Latent classes of sexual positioning practices and sexual risk among men who have sex with men in Paris, France

Derek T. Dangerfield; Chakema C. Carmack; Tamika D. Gilreath; Dustin T. Duncan

doi:10.1007/s10461-018-2267-2

Latent classes of sexual positioning practices and sexual risk among men who have sex with men in Paris, France

Derek T. Dangerfield, Chakema C. Carmack, Tamika D. Gilreath, Dustin T. Duncan

Urban Initiative

Research output: Contribution to journal › Article › peer-review

Abstract

HIV/STI risk varies by sexual positioning practices; however, limited data have characterized the behavioral profiles of men who have sex with men (MSM) in France. This study used latent class analysis (LCA) to explore sexual risk profiles among MSM in Paris, France. LCA was used to classify sexual positioning and serosorting profiles among MSM in Paris (n = 496). Age, HIV status, relationship status, substance use, group sex, and PrEP history were used in a multinomial regression model predicting class membership. Three latent classes were identified: majority top/serosorters, versatile/low partners, and majority bottom/some serosorters. Majority top/serosorters had the highest probability of condomless serosorting; majority bottom/some serosorters had the highest mean number of partners (~ 12 partners) for condomless receptive anal intercourse. HIV-positive MSM were more likely to be classified as majority bottom/some serosorters than versatile/low partners (AOR 7.61; 95% CI 2.28, 25.3). Findings support the need for tailored and targeted interventions for highest-risk individuals.

Original language	English (US)
Pages (from-to)	4001-4008
Number of pages	8
Journal	AIDS and Behavior
Volume	22
Issue number	12
DOIs	https://doi.org/10.1007/s10461-018-2267-2
State	Published - Jan 1 2018

Keywords

HIV
Insertive anal intercourse
Men who have sex with men
Receptive anal intercourse
Versatility

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-018-2267-2

Cite this

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title = "Latent classes of sexual positioning practices and sexual risk among men who have sex with men in Paris, France",

abstract = "HIV/STI risk varies by sexual positioning practices; however, limited data have characterized the behavioral profiles of men who have sex with men (MSM) in France. This study used latent class analysis (LCA) to explore sexual risk profiles among MSM in Paris, France. LCA was used to classify sexual positioning and serosorting profiles among MSM in Paris (n = 496). Age, HIV status, relationship status, substance use, group sex, and PrEP history were used in a multinomial regression model predicting class membership. Three latent classes were identified: majority top/serosorters, versatile/low partners, and majority bottom/some serosorters. Majority top/serosorters had the highest probability of condomless serosorting; majority bottom/some serosorters had the highest mean number of partners (~ 12 partners) for condomless receptive anal intercourse. HIV-positive MSM were more likely to be classified as majority bottom/some serosorters than versatile/low partners (AOR 7.61; 95% CI 2.28, 25.3). Findings support the need for tailored and targeted interventions for highest-risk individuals.",

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note = "Funding Information: Acknowledgements We thank the translators and participants of this study who contributed to the project. This work was supported by Dr. Dustin Duncan{\textquoteright}s New York University School of Medicine (Start-Up Research Fund), National Institute of Mental Health (Grant Nos. R01MH112406, R21MH110190), National Institute on Drug Abuse (Grant No. R03DA039748) and also by Centers for Disease Control and Prevention (Grant No. U01PS005122). Publisher Copyright: {\textcopyright} Springer Science+Business Media, LLC, part of Springer Nature 2018.",

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N1 - Funding Information: Acknowledgements We thank the translators and participants of this study who contributed to the project. This work was supported by Dr. Dustin Duncan’s New York University School of Medicine (Start-Up Research Fund), National Institute of Mental Health (Grant Nos. R01MH112406, R21MH110190), National Institute on Drug Abuse (Grant No. R03DA039748) and also by Centers for Disease Control and Prevention (Grant No. U01PS005122). Publisher Copyright: © Springer Science+Business Media, LLC, part of Springer Nature 2018.

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N2 - HIV/STI risk varies by sexual positioning practices; however, limited data have characterized the behavioral profiles of men who have sex with men (MSM) in France. This study used latent class analysis (LCA) to explore sexual risk profiles among MSM in Paris, France. LCA was used to classify sexual positioning and serosorting profiles among MSM in Paris (n = 496). Age, HIV status, relationship status, substance use, group sex, and PrEP history were used in a multinomial regression model predicting class membership. Three latent classes were identified: majority top/serosorters, versatile/low partners, and majority bottom/some serosorters. Majority top/serosorters had the highest probability of condomless serosorting; majority bottom/some serosorters had the highest mean number of partners (~ 12 partners) for condomless receptive anal intercourse. HIV-positive MSM were more likely to be classified as majority bottom/some serosorters than versatile/low partners (AOR 7.61; 95% CI 2.28, 25.3). Findings support the need for tailored and targeted interventions for highest-risk individuals.

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Latent classes of sexual positioning practices and sexual risk among men who have sex with men in Paris, France

Abstract

Keywords

ASJC Scopus subject areas

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