ISSN 2146-8346
 

Original Research 


Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas

Osaro Mgbere, Sonia I. Arbona, Sharon K. Melville, Jonathon Poe, Shane U. Sheu, Salma Khuwaja, Zaida Lopez.

Abstract
Background: Condomless anal sex (CAS) accounts for most HIV infections among men who have sex with men (MSM). Knowledge of one’s HIV status through routine testing remains essential for reducing HIV transmission. We assessed the associations between demographic, behavioral, and prevention characteristics of MSM who engaged in CAS and HIV testing in the Dallas and Houston, Texas metropolitan areas in 2008 and 2014, and examined changes in CAS and HIV testing prevalence during this period. Methods: Data from the National HIV Behavioral Surveillance for 2008 and 2014 MSM cycles in Dallas and Houston were used for this analysis. We compared proportions of self-reported CAS and HIV testing and determined the adjusted prevalence ratios (aPR) using generalized estimating equations. Results: The overall adjusted prevalence of CAS among MSM in Dallas and Houston remained stable over time. MSM who had one sexual partner were 9 (aPR=9.21, 95%CI=3.83-14.91, p<0.0001) and 7 (aPR=6.92, 95%CI=2.29-20.92, p=0.001) times likely to engage in CAS in Dallas and Houston. CAS increased significantly by 36% (aPR=1.36, 95%CI=1.00-1.85, p=0.052) among young MSM (18-29 years) in Houston. Overall, the prevalence of HIV testing in Dallas increased significantly by 63% from 2008 to 2014 (aPR=1.63, 95% CI: 1.12-2.36, p=0.010) and across the subgroups. In Houston, HIV testing was generally stable, overall and across most subgroups, except for race/ethnicity, education and number of sexual partners. Conclusion: The study highlights the need to tailor intervention efforts to each MSA’s unique circumstances and specific at-risk subpopulations as a mean to help reduce new HIV infection.

Key words: Men who have sex with men, Condomless anal sex, HIV testing, Dallas and Houston, Texas


 
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Pubmed Style

Osaro Mgbere, Sonia I. Arbona, Sharon K. Melville, Jonathon Poe, Shane U. Sheu, Salma Khuwaja, Zaida Lopez. Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas. J Behav Health. 2018; 7(2): 78-90. doi:10.5455/jbh.20170924070142


Web Style

Osaro Mgbere, Sonia I. Arbona, Sharon K. Melville, Jonathon Poe, Shane U. Sheu, Salma Khuwaja, Zaida Lopez. Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas. http://www.jbehavioralhealth.com/?mno=278818 [Access: December 19, 2018]. doi:10.5455/jbh.20170924070142


AMA (American Medical Association) Style

Osaro Mgbere, Sonia I. Arbona, Sharon K. Melville, Jonathon Poe, Shane U. Sheu, Salma Khuwaja, Zaida Lopez. Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas. J Behav Health. 2018; 7(2): 78-90. doi:10.5455/jbh.20170924070142



Vancouver/ICMJE Style

Osaro Mgbere, Sonia I. Arbona, Sharon K. Melville, Jonathon Poe, Shane U. Sheu, Salma Khuwaja, Zaida Lopez. Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas. J Behav Health. (2018), [cited December 19, 2018]; 7(2): 78-90. doi:10.5455/jbh.20170924070142



Harvard Style

Osaro Mgbere, Sonia I. Arbona, Sharon K. Melville, Jonathon Poe, Shane U. Sheu, Salma Khuwaja, Zaida Lopez (2018) Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas. J Behav Health, 7 (2), 78-90. doi:10.5455/jbh.20170924070142



Turabian Style

Osaro Mgbere, Sonia I. Arbona, Sharon K. Melville, Jonathon Poe, Shane U. Sheu, Salma Khuwaja, Zaida Lopez. 2018. Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas. Journal of Behavioral Health, 7 (2), 78-90. doi:10.5455/jbh.20170924070142



Chicago Style

Osaro Mgbere, Sonia I. Arbona, Sharon K. Melville, Jonathon Poe, Shane U. Sheu, Salma Khuwaja, Zaida Lopez. "Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas." Journal of Behavioral Health 7 (2018), 78-90. doi:10.5455/jbh.20170924070142



MLA (The Modern Language Association) Style

Osaro Mgbere, Sonia I. Arbona, Sharon K. Melville, Jonathon Poe, Shane U. Sheu, Salma Khuwaja, Zaida Lopez. "Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas." Journal of Behavioral Health 7.2 (2018), 78-90. Print. doi:10.5455/jbh.20170924070142



APA (American Psychological Association) Style

Osaro Mgbere, Sonia I. Arbona, Sharon K. Melville, Jonathon Poe, Shane U. Sheu, Salma Khuwaja, Zaida Lopez (2018) Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas. Journal of Behavioral Health, 7 (2), 78-90. doi:10.5455/jbh.20170924070142





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