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AIDS Behav. 2017 Dec;21(12):3478-3485. doi: 10.1007/s10461-017-1930-3.

Financial Hardship, Condomless Anal Intercourse and HIV Risk Among Men Who Have Sex with Men.

Author information

1
Department of Population Health, New York University School of Medicine, New York, NY, USA. Dustin.Duncan@nyumc.org.
2
Spatial Epidemiology Lab, Department of Population Health, New York University School of Medicine, 227 East 30th Street, 6th Floor, Room 621, New York, NY, 10016, USA. Dustin.Duncan@nyumc.org.
3
Department of Population Health, New York University School of Medicine, New York, NY, USA.
4
Department of Medicine, University of Chicago School of Medicine, Chicago, IL, USA.
5
Department of Public Health Sciences, University of Chicago School of Medicine, Chicago, IL, USA.
6
New York University Wagner School of Public Service, New York, NY, USA.
7
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
8
Fenway Health, The Fenway Institute, Boston, MA, USA.
9
Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Abstract

The objective of this study was to examine the association between financial hardship, condomless anal intercourse and HIV risk among a sample of men who have sex with men (MSM). Users of a popular geosocial networking application in Paris were shown an advertisement with text encouraging them to complete a anonymous web-based survey (n = 580). In adjusted multivariate models, high financial hardship (compared to low financial hardship) was associated with engagement in condomless anal intercourse (aRR 1.28; 95% CI 1.08-1.52), engagement in condomless receptive anal intercourse (aRR 1.34; 95% CI 1.07-1.67), engagement in condomless insertive anal intercourse (aRR 1.30; 95% CI 1.01-1.67), engagement in transactional sex (aRR 2.36; 95% CI 1.47-3.79) and infection with non-HIV STIs (aRR 1.50; 95% CI 1.07-2.10). This study suggests that interventions to reduce financial hardships (e.g., income-based strategies to ensure meeting of basic necessities) could decrease sexual risk behaviors in MSM.

KEYWORDS:

Condomless anal intercourse; Financial hardship; Gay men’s health; Health disparities; Men who have sex with men (MSM); Paris France; Sexual health; Sexually transmitted infections; Social epidemiology

PMID:
29101606
PMCID:
PMC5988347
DOI:
10.1007/s10461-017-1930-3
[Indexed for MEDLINE]
Free PMC Article

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