Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Dec;23(12):3315-3323.
doi: 10.1007/s10461-019-02551-3.

Injection and Heterosexual Risk Behaviors for HIV Infection Among Non-gay Identifying Men Who Have Sex with Men and Women

Kamyar Arasteh  1   2 , Don C Des Jarlais  3 , Courtney McKnight  4 , Jonathan Feelemyer  5
Affiliations

Injection and Heterosexual Risk Behaviors for HIV Infection Among Non-gay Identifying Men Who Have Sex with Men and Women

Kamyar Arasteh et al. AIDS Behav. 2019 Dec.

Abstract
in English, Spanish

Non-gay identifying men who have sex with men and women (MSMW) are an important subgroup of men who have sex with men (MSM) and have been underrepresented in studies of MSM that only use gay venues to draw their samples. We assessed heterosexual and drug use risks of MSMW who use drugs in a sample of male entrants to the Mount Sinai Beth Israel drug treatment programs from 2005 to 2018. Blood samples were collected and tested for HIV and HSV-2 infections. Among HIV seronegative participants, MSMW had significantly greater odds of sharing used needles with others, and reporting unprotected sex with female casual partners and female commercial sex partners, compared to their counterparts who reported sex with women exclusively (MSWE). Although not recruited from gay venues, MSMW had a significantly higher HIV prevalence than MSWE (23% vs. 10%, p < 0.001). Interventions that are specifically tailored to HIV prevention among MSMW are needed to ameliorate the prevalence of HIV risks and infection.

Los hombres que no se que identifican como gay y que tienen sexo con hombres y mujeres (HSHM) son una importante subgrupo de hombres que tienen sexo con hombres (HSH) y han sido subrepresentados en estudios de HSH que solo usan lugares gay para extraer sus muestras. Evaluamos los riesgos heterosexuales y de uso de drogas de los HSHM que usan drogas en una muestra de hombres participantes en los programas de tratamiento de drogas en Mount Sinai Beth Israel desde 2005 hasta 2018. Se recogieron muestras de sangre y se analizaron infecciones por VIH y VHS-2. Entre el VIH participantes seronegativos, HSHM tuvo significativamente mayores probabilidades de compartir utilizados agujas con otros, y reportar relaciones sexuales sin protección con parejas ocasionales y parejas sexuales comerciales femeninas, en comparación con sus contrapartes que informaron haber tenido relaciones sexuales exclusivamente con mujeres (HSEM). Aunque no fue reclutado de lugares gay, HSHM tuvo un prevalencia del VIH significativamente mayor que la HSEM (23% frente a 10%, p <0,001). Intervenciones que se adaptan específicamente a la prevención del VIH entre los HSHM son necesarios para mejorar la prevalencia de los riesgos y la infección de VIH.

Keywords: HIV risk behaviors; Injection drug use; Non-gay identifying MSMW.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest All Authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Flowchart of the analytic sample of participants entering Mount Sinai Beth Israel drug-treatment program in NYC (2005–2018)
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. UNAIDS. 90-90-90: an ambitious treatment target to help end the AIDS epidemic. Geneva: UNAIDS; 2014.
    1. Valdiserri RO, Holtgrave DR. Ending America’s HIV epidemic: why the national HIV/AIDS strategy still matters. AIDS Behav. 2018;22(7):2033–41. - PubMed
    1. New York City Department of Health and Mental Hygiene. Ending the epidemic: overview, New York. 2017. https://www1.nyc.gov/assets/doh/downloads/pdf/ah/ete-strategy.pdf. Accessed 13 Nov 2018.
    1. New York State Department of Health Aids Institute. Ending the AIDS epidemic in New York State. 2018. https://www.health.ny.gov/diseases/aids/ending_the_epidemic/. Accessed 13 Nov 2018.
    1. World Health Organization. Prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people: Recommendations for a public health approach. Prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people: recommendations for a public health approach. Genva: World Health Organization; 2011. - PubMed

MeSH terms