HIV Prevalence and Demographic Determinants of Unprotected Anal Sex and HIV Testing Among Men Who Have Sex with Men in Beirut, Lebanon.

The limited epidemiological data in Lebanon suggest that HIV incident cases are predominantly among men who have sex with men (MSM). We assessed the prevalence of HIV and demographic correlates of condom use and HIV testing among MSM in Beirut. Respondent-driven sampling was used to recruit 213 part...

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Published in:Archives of Sexual Behavior Vol. 43; no. 4; pp. 779 - 789
Main Authors: Wagner, Glenn, Tohme, Johnny, Hoover, Matthew, Frost, Simon, Ober, Allison, Khouri, Danielle, Iguchi, Martin, Mokhbat, Jacques
Format: Article
Published: Springer Nature May2014
Subjects:
Online Access:View this record in EBSCOhost
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        10.1007/s10508-014-0303-5
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        atl: HIV Prevalence and Demographic Determinants of Unprotected Anal Sex and HIV Testing Among Men Who Have Sex with Men in Beirut, Lebanon.
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        au:
          Wagner, Glenn
          Tohme, Johnny
          Hoover, Matthew
          Frost, Simon
          Ober, Allison
          Khouri, Danielle
          Iguchi, Martin
          Mokhbat, Jacques
        affil:
          RAND Corporation, 1776 Main St. Santa Monica 90407 USA
          Department of Veterinary Medicine, Institute of Public Health, and WHO Collaborating Centre for Modelling, Evolution and Control of Emerging Infectious Diseases, Cambridge University, Cambridge UK
          Lebanese AIDS Society, Beirut Lebanon
          School of Nursing and Health Studies, Georgetown University, Washington USA
      su:
        Beirut (Lebanon)
        Men who have sex with men
        Epidemiology
        HIV infections
        Disease prevalence
        Anal sex
        Unsafe sex
      sug:
        subj:
          Men who have sex with men
          Epidemiology
          Beirut (Lebanon)
          HIV infections
          Disease prevalence
          Anal sex
          Unsafe sex
      keyword:
        HIV testing
        Lebanon
        Men who have sex with men (MSM)
        Social determinants
        Unprotected anal intercourse (UAI)
        HIV testing
        Lebanon
        Men who have sex with men (MSM)
        Social determinants
        Unprotected anal intercourse (UAI)
      ab: The limited epidemiological data in Lebanon suggest that HIV incident cases are predominantly among men who have sex with men (MSM). We assessed the prevalence of HIV and demographic correlates of condom use and HIV testing among MSM in Beirut. Respondent-driven sampling was used to recruit 213 participants for completion of a behavioral survey and an optional free rapid HIV test. Multivariate regression analysis was used to examine demographic correlates of unprotected anal sex and any history of HIV testing. Nearly half (47 %) were under age 25 years and 67 % self-identified as gay. Nearly two-thirds (64 %) reported any unprotected anal intercourse (UAI) with men in the prior 3 months, including 23 % who had unprotected anal intercourse with men whose HIV status was positive or unknown (UAIPU) to the participant. Three men (1.5 % of 198 participants tested) were HIV-positive; 62 % had any history of HIV testing prior to the study and testing was less common among those engaging in UAIPU compared to others (33 % vs. 71 %). In regression analysis, men in a relationship had higher odds of having UAI but lower odds of UAIPU and any university education was associated with having UAI; those with any prior history of HIV testing were more likely to be in a relationship and have any university education. HIV prevention efforts for MSM need to account for the influence of relationship dynamics and promotion of testing needs to target high-risk MSM.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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