Sex Tourism, Condomless Anal Intercourse, and HIV Risk Among Men Who Have Sex With Men

Salem Harry-Hernández, Su Hyun Park, Kenneth H. Mayer, Noah Kreski, William C. Goedel, H. Rhodes Hambrick, Brandon Brooks, Vincent Guilamo-Ramos, Dustin T. Duncan

Research output: Contribution to journalArticle

Abstract

Sex tourism affects the sexual health of tourists and locals with whom they interact. However, a few studies have examined whether sex tourism is a risk factor for the acquisition of HIV and other sexually transmitted infections among men who have sex with men, and no such studies have been conducted in Western Europe. Almost 28% of our respondents reported engaging in sex tourism in their lifetime. Sex tourism was associated with an elevated risk of engagement in condomless receptive anal intercourse, use of alcohol/drugs during sex, participation in group sex, and an elevated risk of diagnosis with any type of sexually transmitted infection over the previous year, specifically gonorrhea and chlamydia. Research with men who have sex with men who engage in sex tourism should explore high-risk sexual behavior during sex tourism and also the feasibility and acceptability of the use of episodic pre-exposure prophylaxis for short periods of participation in elevated risk behaviors by tourists and local sex partners.

Original languageEnglish (US)
Pages (from-to)405-414
Number of pages10
JournalThe Journal of the Association of Nurses in AIDS Care : JANAC
Volume30
Issue number4
DOIs
StatePublished - Jul 1 2019

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

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