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In peru, reporting male sex partners imparts significant risk of incident HIV/sexually transmitted infection: All men engaging in same-sex behavior need prevention services

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dc.contributor.author Konda, Kelika A.
dc.contributor.author Lescano Guevara, Andres Guillermo
dc.contributor.author Celentano, David D.
dc.contributor.author Hall, Eric
dc.contributor.author Montano, Silvia M.
dc.contributor.author Kochel, Tadeusz J.
dc.contributor.author Coates, ThomasJ.
dc.contributor.author Caceres Palacios, Carlos Fernando
dc.date.accessioned 2022-01-04T20:31:51Z
dc.date.available 2022-01-04T20:31:51Z
dc.date.issued 2013
dc.identifier.uri https://hdl.handle.net/20.500.12866/10740
dc.description.abstract Background: Detailed information on the sexual behavior of bisexual, non–gay-identified men and the relationship between same-sex behavior and HIV/sexually transmitted infection (STI) incidence is limited. This study provides information on the sexual behavior with male partners of non–gay-identified men in urban, coastal Peru and the relationship of this behavior with HIV/STI incidence. Methods: We analyzed data from 2146 non–gay-identified men with a baseline and then 2 years of annual follow-up, including detailed information on sexual behavior with up to 5 sex partners, to determine the characteristics associated with bisexual behavior. Discrete time proportional hazards models were used to determine the effect of self-reported sex with men on subsequent HIV/STI incidence. Results: Over the 3 study visits, sex with a man was reported by 18.9% of men, 90% of whom also reported sex with a female partner. At baseline, reported bisexual behavior was associated with other sexual risk behaviors such as exchanging sex for money and increased risk of HIV, herpes simplex virus type 2, and gonorrhea. The number of study visits in which recent sex with men was reported was positively correlated with risk of other sexual risk behaviors and incident HIV, herpes simplex virus type 2, and gonorrhea. Recent sex with a man was associated with increased HIV/STI incidence (hazard ratio, 1.79; confidence interval, 1.19–2.70), after adjusting for sociodemographics and other sexual risk behaviors. Conclusions: Given the prevalence of recent sex with men and the relationship of this behavior with HIV/STI incidence, interventions with non–gay-identified men who have sex with men and their partners are warranted. en_US
dc.language.iso eng
dc.publisher Wolters Kluwer Health
dc.relation.ispartofseries Sexually Transmitted Diseases
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject major clinical study en_US
dc.subject Peru en_US
dc.subject prevalence en_US
dc.subject controlled study en_US
dc.subject Prevalence en_US
dc.subject risk factor en_US
dc.subject HIV Infections en_US
dc.subject Human immunodeficiency virus infection en_US
dc.subject sexual behavior en_US
dc.subject homosexuality en_US
dc.subject Risk-Taking en_US
dc.subject Sexual Partners en_US
dc.subject sexuality en_US
dc.subject educational status en_US
dc.subject demography en_US
dc.subject urban population en_US
dc.subject incidence en_US
dc.subject clinical trial en_US
dc.subject Follow-Up Studies en_US
dc.subject proportional hazards model en_US
dc.subject Proportional Hazards Models en_US
dc.subject randomized controlled trial en_US
dc.subject sexually transmitted disease en_US
dc.subject men who have sex with men en_US
dc.subject Sexually Transmitted Diseases en_US
dc.subject gonorrhea en_US
dc.subject phase 3 clinical trial en_US
dc.subject bisexuality en_US
dc.subject homosexuality en_US
dc.subject Bisexuality en_US
dc.subject Gonorrhea en_US
dc.subject Herpes Genitalis en_US
dc.subject Herpes simplex virus 2 en_US
dc.subject high school en_US
dc.title In peru, reporting male sex partners imparts significant risk of incident HIV/sexually transmitted infection: All men engaging in same-sex behavior need prevention services en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1097/OLQ.0b013e3182956eeb
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.15
dc.relation.issn 1537-4521


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