TY - JOUR
T1 - Associations between economic dependence, sexual behaviours, and sexually transmitted infections among young, Black, gay, bisexual and other men who have sex with men living with and without HIV in Jackson, Mississippi, USA
AU - Closson, Kalysha
AU - Smith, Rachel Vickers
AU - Olarewaju, Gbolahan
AU - Crosby, Richard
N1 - Publisher Copyright:
© 2018 CSIRO.
PY - 2018
Y1 - 2018
N2 - Background: In the USA, young Black gay, bisexual or other men who have sex with men (YBMSM) bear the largest burden of HIV incidence. The aim of this study is to examine the independent associations between economic dependency on a sexual partner and several HIV risk behaviours and sexual health outcomes among YBMSM living in Jackson, Mississippi, USA. Methods: Baseline data from 589 YBMSM, with a median age of 22.0 years (IQR = 15-25) participating in a brief sex-positive HIV and STI prevention intervention, were used to measure the association between six sexual behaviours, sexually transmissible infections (STIs) status at baseline and economic dependence. Bivariate χ 2 associations were tested and regression models adjusted for education level (≤ high school), employment and HIV-status. Results: In regressions, of the six sexual behaviours reported in the last 90 days and six STIs tested at baseline, economically dependent YBMSM were more likely to report condomless anal receptive sex (aOR = 2.19, 95%CI = 1.25-3.83), ≥3 partners as a top (aOR = 1.99, 95%CI = 1.17-340), ≥3 sex partners as a bottom (aOR = 2.07, 95%CI = 1.24-3.45), ≥3 sex acts as a bottom (aOR = 2.10, 95%CI = 1.16-3.82) and testing positive for oral gonorrhoea (aOR = 2.39, 95%CI = 1.18-4.83) after controlling for HIV status, employment and education. Conclusions: Interventions should consider how poverty, unemployment and economic dependence interact to influence relationship power imbalances, condom use and sexual positioning agency, and sexual health for key populations of MSM.
AB - Background: In the USA, young Black gay, bisexual or other men who have sex with men (YBMSM) bear the largest burden of HIV incidence. The aim of this study is to examine the independent associations between economic dependency on a sexual partner and several HIV risk behaviours and sexual health outcomes among YBMSM living in Jackson, Mississippi, USA. Methods: Baseline data from 589 YBMSM, with a median age of 22.0 years (IQR = 15-25) participating in a brief sex-positive HIV and STI prevention intervention, were used to measure the association between six sexual behaviours, sexually transmissible infections (STIs) status at baseline and economic dependence. Bivariate χ 2 associations were tested and regression models adjusted for education level (≤ high school), employment and HIV-status. Results: In regressions, of the six sexual behaviours reported in the last 90 days and six STIs tested at baseline, economically dependent YBMSM were more likely to report condomless anal receptive sex (aOR = 2.19, 95%CI = 1.25-3.83), ≥3 partners as a top (aOR = 1.99, 95%CI = 1.17-340), ≥3 sex partners as a bottom (aOR = 2.07, 95%CI = 1.24-3.45), ≥3 sex acts as a bottom (aOR = 2.10, 95%CI = 1.16-3.82) and testing positive for oral gonorrhoea (aOR = 2.39, 95%CI = 1.18-4.83) after controlling for HIV status, employment and education. Conclusions: Interventions should consider how poverty, unemployment and economic dependence interact to influence relationship power imbalances, condom use and sexual positioning agency, and sexual health for key populations of MSM.
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U2 - 10.1071/SH17218
DO - 10.1071/SH17218
M3 - Article
C2 - 30111483
AN - SCOPUS:85052786961
SN - 1448-5028
VL - 15
SP - 473
EP - 476
JO - Sexual Health
JF - Sexual Health
IS - 5
ER -