Longitudinal Analysis of HIV Risk and Substance Use Patterns for Men Who Have Sex with Men and Women and Men Who Have Sex with Men Only.
Eric Abella RothZishan CuiHeather L ArmstrongAshleigh J RichNathan John LachowskyPaul SeredaKiffer George CardNic BacaniDavid MooreRobert S HoggPublished in: Journal of bisexuality (2021)
Men Who Have Sex with Men and Women (MSMW) experience discrimination from same-sex and heterosexual communities partially because of perceptions they feature high-risk sexual behavior, elevated polysubstance use levels, and constitute an HIV bridge population. We used a longitudinal multivariate generalized linear mixed model comparing sexual risk and substance use patterns for Men Who Have Sex with Men Only (MSMO) with MSMW in the same cohort study. Data consisted of 771 men reporting 3,705 sexual partnerships from 2012-2017. For high-risk sexual behavior multivariate results showed non-significant ( p >0.05) differences for partner number and commercial sex work, and significantly less ( p <0.05) HIV prevalence and condomless anal sex. However, MSMW had significantly higher levels of hallucinogen and prescription opioid use, and substance treatment histories. Only one HIV-positive MSMW had a transmittable viral load, negating the concept of an HIV bridge population. Results indicate the need for additional longitudinal studies comparing MSMO and MSMW.
Keyphrases
- men who have sex with men
- hiv positive
- hiv testing
- mental health
- antiretroviral therapy
- polycystic ovary syndrome
- machine learning
- south africa
- human immunodeficiency virus
- public health
- data analysis
- deep learning
- risk factors
- adipose tissue
- metabolic syndrome
- breast cancer risk
- pregnant women
- high grade
- cervical cancer screening
- hiv aids
- combination therapy
- adverse drug