Is Group Sex a Higher-Risk Setting for HIV and Other Sexually Transmitted Infections Compared With Dyadic Sex Among Men Who Have Sex With Men?

Sexually Transmitted Diseases
Wijnand van den BoomIneke G Stolte

Abstract

Group sex has been suggested as a potential high-risk setting for HIV and other sexually transmitted infections (STIs) among men who have sex with men (MSM). We investigated whether group sex is associated with lower condom use during anal sex and higher proportions of STIs compared with dyadic sex among HIV-negative MSM between 2009 and 2012. Cross-sectional data from 7 data waves of the Amsterdam Cohort Studies were used. The sample consisted of 465 MSM who either reported both group and dyadic sex (at n = 706 visits) or dyadic sex only (at n = 1339 visits) in the preceding 6 months. Logistic regression with generalized estimating equations was used to investigate the association between sexual setting (group vs. dyadic sex), condomless anal sex, and STI. Group sex was reported at 35% (706/2045) of visits. Condomless sex was more often reported during dyadic than group sex (odds ratio, 3.64 95% confidence interval, 2.57-5.16). Men who had group sex were more likely diagnosed as having gonorrhea compared with men with dyadic sex (odds ratio, 1.71; 95% confidence interval, 1.08-2.97), but this effect was not retained in the multivariate model. Results demonstrate within-person differences in sexual behavior during group and dya...Continue Reading

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Citations

Aug 31, 2019·Journal of the International AIDS Society·Kenneth H Mayer, Lao-Tzu Allan-Blitz
Mar 15, 2019·Sexually Transmitted Infections·Étienne Meunier, Karolynn Siegel
Jun 25, 2020·Sociology of Health & Illness·Ingrid HandlovskyJohn Oliffe
May 12, 2018·Archives of Sexual Behavior·Katherine Frank
Sep 11, 2019·Sexual Health·Robert D KirkcaldyGwenda Hughes
Mar 28, 2019·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Denton CallanderDustin T Duncan
Nov 12, 2020·Sexual Health·Evelyn M TurekEric P F Chow
Oct 24, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tiffany R PhillipsEric P F Chow
May 15, 2021·Journal of Homosexuality·Robert BirchEric Abella Roth
Sep 28, 2021·International Journal of STD & AIDS·Nguyen K TranSeth L Welles

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