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

doi:10.1007/s10461-017-1930-3

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 journal › Article › peer-review

Abstract

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 language	English (US)
Pages (from-to)	3478-3485
Number of pages	8
Journal	AIDS and Behavior
Volume	21
Issue number	12
DOIs	https://doi.org/10.1007/s10461-017-1930-3
State	Published - Dec 1 2017

Keywords

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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10.1007/s10461-017-1930-3

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

abstract = "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.",

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AU - Goedel, William C.

AU - Elbel, Brian

AU - Morganstein, Jace G.

AU - Ransome, Yusuf

AU - Mayer, Kenneth H.

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

Abstract

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ASJC Scopus subject areas

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