Background
Black
men who have sex with men (MSM) have a high prevalence of bacterial sexually
transmitted infections (STIs), and individual risk behavior does not fully
explain the higher prevalence when compared with other MSM. Using the
social-ecological framework, we evaluated individual, social and sexual network,
and structural factors and their association with prevalent STIs among Black
MSM.
Methods
The
HIV Prevention Trials Network 061 was a multi-site cohort study designed to
determine the feasibility and acceptability of a multi-component intervention
for Black MSM in six US cities. Baseline assessments included demographics,
risk behavior, and social and sexual network questions collected information
about the size, nature and connectedness of their sexual network. Logistic
regression was used to estimate the odds of having any prevalent sexually
transmitted infection (gonorrhea, chlamydia, or syphilis).
Results
A
total of 1,553 Black MSM were enrolled in this study. In multivariate analysis,
older age was associated with a
lower odds of having a prevalent STI. Compared with reporting one male sexual
partner, having 2–3 partners or more
than 4 partners was associated with
prevalent STIs. Having both Black and non-Black sexual partners was the only sexual network factor associated with
prevalent STIs.
Conclusions
Age and the number and racial composition of sexual
partners were associated with prevalent STIs among Black MSM, while other
sexual network factors were not. Further studies are needed to evaluate the
effects of the individual, network, and structural factors on prevalent STIs
among Black MSM to inform combination interventions to reduce STIs among these
men.
Full article at: http://goo.gl/IQZHuZ
By:
Hyman M. Scott, Susan Buchbinder
Bridge HIV, San Francisco
Department of Public Health, San Francisco, California, United States of
America
Risha Irvin, Charlotte Gaydos
Department of Medicine, Johns
Hopkins University, Baltimore, Maryland, United States of America
Leo Wilton
Department of Human Development,
State University of New York at Binghamton, Binghamton, New York, United States
of America
Leo Wilton
Faculty of Humanities,
University of Johannesburg, Johannesburg, South Africa
Hong Van Tieu
Laboratory of Infectious Disease
Prevention, New York Blood Center, New York, New York, United States of America
Hong Van Tieu
Division of Infectious Diseases,
Columbia University Medical Center, New York, New York, United States of
America
Chauncey Watson, Manya Magnus
Department of Epidemiology and
Biostatistics, George Washington University, Washington, DC, United States of
America
Iris Chen
Department of Pathology, John
Hopkins University, Baltimore, Maryland, United States of America
Sophia A. Hussen
Hubert Department of Global
Health, Rollins School of Public Health, Emory University, Atlanta, Georgia,
United States of America
Sharon Mannheimer
Department of Medicine, Harlem Hospital,
Columbia University, New York, New York, United States of America
Sharon Mannheimer
Department of Epidemiology,
Mailman School of Public Health, Columbia University, New York, New York,
United States of America
Kenneth Mayer
Fenway Institute, Boston,
Massachusetts, United States of America
Nancy A. Hessol
More at: https://twitter.com/hiv
insight
No comments:
Post a Comment