141st APHA Annual Meeting and Exposition

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288978
Disproportionate social vulnerability and HIV-related sexual risk among men who have sex with men and women (MSMW) in the United States


Monday, November 4, 2013

Typhanye Penniman Dyer, PhD, MPH, College of Public Health and Health Professions, Department of Epidemiology, University of Florida, Gainesville, FL
Rotrease Regan, PhD, MS, MPH, RN, School of Medicine, Department of Family Medicine, Center for Behavioral and Addiction Medicine, University of California Los Angeles, CA
Lauren R. Pacek, BA, Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Maria Khan, PhD, School of Public Health, Department of Epidemiology and Biostatistics, University of Florida, Gainesville, FL
Background: HIV remains a public health concern in the US, concentrated among men who have sex with men (MSM). Some MSM have had female partners (MSMW). Because MSMW may bridge HIV infection to women and men, research on social vulnerability and HIV-related sexual risk among MSMW is warranted. Methods: Data are from Wave IV (2007-2008) of the National Longitudinal Study of Adolescent Health. Using responses to past and current sexual activity, we classified men as having sex with women only (MSW), men only (MSMO), or MSMW. We also identified MSMW with current male partners, female partners, and both male and female partners (N= 6,945). We compared MSW, MSMO, and MSMW on social vulnerability, STI, multiple partners, concurrent partnerships and unprotected sex.

Results: Compared to MSW, MSMW with female partners had almost 3 times higher odds of an STI; MSMW with male and female partners had almost 4 times higher odds of reporting multiple partners. MSMW with male partners had almost 3 times higher odds of reporting multiple partners. MSMW with male partners and MSMW with male and female partners had approximately 3 times higher odds of concurrent partnerships. Compared to MSM, MSMW with female partners had almost 3 times higher odds of unprotected sex. MSMWs were more likely to report social vulnerabilities that are HIV risk factors including depression, substance use, and incarceration than MSWs and MSMOs. Conclusions: HIV risk is elevated among MSMW. Interventions to reduce HIV risk should address social vulnerability and varying sexual risk patterns of MSMW.

Learning Areas:

Epidemiology
Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify subgroups of MSMW that are at greatest risk of acquiring new HIV infection and transmitting infection to members of their sexual networks. Compare MSW, MSMO, and the heterogeneity of groups within MSMW on HIV risk outcomes and social vulnerability factors that drive HIV risk.

Keyword(s): Gay Men, Sexual Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a researcher in the area of drug dependence, mental health, HIV/AIDS and STI among sexual and racial/ethnic minority populations and their sexual and substance use networks for 10 years. I am currently a NIDA and NIMHHD funded researcher whose interests include the examination of social, structural and behavioral aspects of risk that drive HIV/AIDS disparities in the US.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3295.0: Community-based practice and treatment in HIV