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Factors associated with condom use and HIV testing among young men who have sex with men: a cross-sectional survey in a random online sample in Sweden
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0002-3749-998x
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine. Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden; World Health Program, Université du Québec en AbitibiTémiscamingue (UQAT), Québec, Ottawa, Canada.ORCID iD: 0000-0003-0756-7280
2018 (English)In: Sexually Transmitted Infections, ISSN 1368-4973, E-ISSN 1472-3263, Vol. 94, no 6, p. 427-433Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The objectives are to analyse social determinants of sexual health behaviour (condom use and HIV testing) among young, internet-active, cis men who have sex with men (MSM) in a high-income country. The aspects of sexual health behaviour analysed here are condomless anal intercourse with one or more new or casual partner(s), condomless anal intercourse during the most recent sex with a man and HIV testing.

METHODS: A randomised sample of men active on Sweden's main online community for Lesbian, Gay, Bisexual and Trans people responded to an online survey (response rate 19%). A subsample of young people, aged 15-29, was analysed (effective sample 597-669) using multivariable logistic regression with respect to factors associated with condomless anal intercourse with one or more new or casual partner(s), condomless anal intercourse at most recent sex and not having had a test for HIV.

RESULTS: Low education, being single and living in a metropolitan area were found to be independently associated with condomless anal intercourse with new or casual partner(s). Sex with a steady partner was associated with condomless anal intercourse during the most recent sex. Knowledge of where to get tested, high education, being born outside Sweden and condomless anal intercourse with new or casual sex partner(s) were independently associated with having been tested for HIV.

CONCLUSIONS: The factors associated with sexual health behaviour among young MSM are complex, and preventive messages need to be tailored accordingly.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2018. Vol. 94, no 6, p. 427-433
Keywords [en]
HIV testing, adolescent, condoms, gay men, public health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-150588DOI: 10.1136/sextrans-2017-053369ISI: 000443606300012PubMedID: 29773663OAI: oai:DiVA.org:umu-150588DiVA, id: diva2:1238382
Available from: 2018-08-13 Created: 2018-08-13 Last updated: 2018-11-01Bibliographically approved

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Johansson, KlaraEl-Khatib, Ziad

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Epidemiology and Global HealthDepartment of Public Health and Clinical Medicine
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Sexually Transmitted Infections
Public Health, Global Health, Social Medicine and Epidemiology

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