TITLE

Trends in sexual behaviour among London homosexual men 1998-2003: implications for HIV prevention and sexual health promotion

AUTHOR(S)
Elford, J.; Bolding, G.; Davis, M.; Sherr, L.; Hart, G.
PUB. DATE
December 2004
SOURCE
Sexually Transmitted Infections;Dec2004, Vol. 80 Issue 6, p451
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objectives: To examine changes in sexual behaviour among London homosexual men between 1998 and 2003 by type and HIV status of partner. Methods: Homosexual men (n = 4264) using London gyms were surveyed annually between 1998 and 2003 (range 498-834 per year). Information was collect&1 on HIV status, unprotected anal intercourse (UAI) in the previous 3 months, and type of partner for UAI. High risk sexual behaviour was defined as UAI with a partner of unknown or discordant HIV status. Results: Between 1998 and 2003, the percentage of men reporting high risk sexual behaviour with a casual partner increased from 6.7% to 16.1 % (adjusted odds ratio (AOR) 1.36 per year, 95% confidence interval (Cl) 1.26 to 1.46, P <0.001 }. There was no significant change in the percentage of men reporting high risk sexual behaviour with a main partner alone (7.8%, 5.6%, p=0.7). These patterns were seen for HIV positive, negative and never tested men alike regardless of age. The percentage of HIV positive men reporting UAI with a casual partner who was also HIV positive increased from 6.8% to 10.3% (AOR 1.27, 95% Cl 1.01 to 1.58, p<0,05). Conclusion: The increase in high risk sexual behaviour among London homosexual men between 1998 and 2003 was seen only with casual and not with main partners. STI/ HIV prevention campaigns among London homosexual men should target high risk practices with casual partners since. these appear to account entirely for the recent increase in high risk behaviour.
ACCESSION #
18530766

 

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