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

Dustin T. Duncan, Su Hyun Park, John A. Schneider, Yazan A. Al-Ajlouni, William C. Goedel, Brian Elbel, Jace G. Morganstein, Yusuf Ransome, Kenneth H. Mayer

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)3478-3485
Number of pages8
JournalAIDS and Behavior
Issue number12
StatePublished - Dec 1 2017


  • 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

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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