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AIDS Behav. 2017 Jun 22. doi: 10.1007/s10461-017-1831-5. [Epub ahead of print]

Socio-demographic Characteristics, Sexual and Test-Seeking Behaviours Amongst Men Who have Sex with Both Men and Women: Results from a Bio-behavioural Survey in 13 European Cities.

Collaborators (219)

Mirandola M, Gios L, Benvenuti S, Davis RJ, Lunardi M, Menichelli S, Breveglieri M, Vanden Berghe W, de Groot P, Nöstlinger C, van Wijk V, Fransen K, Vermoesen T, Vanackere M, Benchikha F, van den Eynde S, Cruyssaert B, Sergeant M, Blondeel K, Damen P, Massoz F, Carlier E, François M, Karon S, Soltani S, Martin T, De Bruyne A, Bocken F, Dieleman M, Alexiev I, Dimitrova R, Gancheva A, Bogeva D, Nikolova M, Muhtarova M, Kantarjiev T, Georgieva V, Naseva E, Tsintsarski P, Taskov H, Varleva T, Birindjieva E, Angelova A, Antonov M, Marcus U, Schink SB, Dudareva-Vizule S, An der Heiden M, Marzougui S, Bremer V, Kühne A, Schönerstedt-Zastrau K, Zimmermann R, Wille A, Eckstein K, Buch N, Moskophidis P, Grenz M, Schmogro D, Cornaglia G, Zorzi A, Tonolli E, Lo Cascio G, Todeschini T, Recchia M, Pattini L, Rocca M, Bighignoli A, Galardi A, Martini L, Cobello F, Bovo C, Bortolami O, Crestani L, Comperini F, Concia E, Lattuada E, Lanzafame M, Del Bravo P, Cordioli M, Rigo F, Guardalben E, Marchesoni I, Suligoi B, Regine V, Pugliese L, Caplinskas S, Caplinskiene I, Krupenkaite R, Sargelis G, Rudomanskis A, Dias S, Gama A, Brás O, Piedade J, Fuertes R, Pinto N, Brito J, Esteves J, Rojas J, Ferreira F, Rocha M, Machado H, Campos MJ, Mendão L, Rosińska M, Kucharczyk B, Niedźwiedzka-Stadnik M, Henszel Ł, Zieliński A, Czerwiński M, Pawlęga M, Burdon E, Gajdemska M, Guściora A, Klasik N, Rżanek K, Sawicki M, Tęcza M, Dębski M, Maciejewska A, Pazdan I, Rafila A, Pitigoi D, Abagiu A, Marin C, Panzariu I, Miroiu A, Popa M, Likker M, Georgescu M, Musat G, Cojocaru D, Lixandru M, Teodorescu R, Staneková D, Hábeková M, Drobková T, Chabadová Z, Wimmerova S, Mojzesová M, Kunč F, Skurák M, Bodnar P, Horniaková K, Krahulcová M, Präsensová J, Smoleň M, Záhradník P, Tibaj P, Klavs I, Kustec T, Adamič C, Poljak M, Krošelj R, Mlakar J, Šolinc M, Folch C, Ferrer L, Montoliu A, Casabona J, Esteve A, Galdon M, Gonzalez V, Muñoz R, Axelsson M, Berglund T, Kuhlmann-Berenzon S, Tsoumanis A, Velicko I, Janson C, Lindh B, Aperia K, Babulanam B, Carlberg H, Davidsson M, Entenza Gutierrez N, Hildingsson V, Klasson H, Peña Ramos M, Quintero Rojas C, Sandberg SO, Samuelson A, Sjöberg E, Sjölund T, Svensson S, Valencia I, Garcia F, Lindblad O, Voss J, Ask R, Blaxhult A, Maliniemi M, Ideström M, Blom N, Sherriff N, Panton C, Flood G, Fransen K, Vermoesen T, Boseley R, Tweed M, Roberts J, Menel Lemos C, Guglielmetti P, Philipp W, Amato A, Dinca I, Haar K, Pharris A, Noori T, Toskin I, Maurer N, Zohrabyan L, Iovita A, Campioni M, Noack P, Peeling R, Johnston L.

Author information

1
Veneto Region - Department of Health, CReMPE - Regional Coordination Centre for European Project Management, the Verona University Hospital, Verona, Italy. massimo.mirandola@gmail.com.
2
Infectious Diseases Section, Department of Diagnostics and Public Health, University of Verona, P.le L.A Scuro, 10, 37134, Verona, Italy. massimo.mirandola@gmail.com.
3
Veneto Region - Department of Health, CReMPE - Regional Coordination Centre for European Project Management, the Verona University Hospital, Verona, Italy.
4
Centre for Health Research, University of Brighton, Brighton, UK.
5
Department of Chronic Disease Epidemiology, Social and Behavioral Sciences Division, Yale School of Public Health, Yale University, New Haven, CT, USA.
6
Department of Reproductive Health & Research, World Health Organization, Geneva, Switzerland.
7
Centre Estudis Epidemiologics sobre les Infeccions de Transmissio Sexual i Sida de Catalunya (CEEISCAT), Dept Salut, Generalitat de Catalunya, Barcelona, Spain.
8
CIBER Epidemiologia y Salud Publica (CIBERESP), Barcelona, Spain.
9
Global Health and Tropical Medicine GHTM, Instituto de Higiene e Medicina Tropical IHMT Universidade Nova de Lisboa, Lisbon, Portugal.
10
Department of Monitoring and Evaluation, Public Health Agency of Sweden, Solna, Sweden.
11
NRC for HIV/AIDS, Slovak Medical University, Bratislava, Slovak Republic.
12
Centre for Communicable Diseases and AIDS, Mykolas Romeris University, Vilnius, Lithuania.
13
Faculty of Public Health, Medical University of Sofia, Sofia, Bulgaria.
14
Department of Epidemiology, National Institute of Public Health-National Institute of Hygiene, Warsaw, Poland.

Abstract

Within the MSM population, men who have sex with both men and women (MSMW) are identified as a high-risk group both worldwide and in Europe. In a multi-centred bio-behavioural cross-sectional study, we aimed to assess the relationship(s) between socio-demographic factors, stigma, sexual behavioural patterns, test seeking behaviour and sero-status amongst MSMW. A multi-level analysis was conducted to identify factors associated with being MSMW versus Men who have Sex with Men Only (MSMO). A total of 4901 MSM were enrolled across the 13 study sites. Participants were categorised as MSMW in the 12.64% of the cases. Factors such as educational status, perceived homonegativity, testing facilities knowledge and HIV testing lifetime seem to be relevant factors when characterising the MSMW group. The results highlight the vulnerability of MSMW and the wide spectrum of risky behavioural and psycho-social patterns, particularly in terms of HIV testing, 'outness', and perceived stigma.

KEYWORDS:

HIV; MSMW; Respondent-driven sampling; Risk behaviours; Time–location sampling

PMID:
28643241
DOI:
10.1007/s10461-017-1831-5
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