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Sexual behaviors and risk for sexually transmitted infections among teenage men who have sex with men.
- Source :
-
The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2014 Aug; Vol. 55 (2), pp. 247-53. Date of Electronic Publication: 2014 Mar 21. - Publication Year :
- 2014
-
Abstract
- Objectives: To report on sexual behaviors and sexually transmitted infections (STIs) among men who have sex with men (MSM) in their teens, when many MSM engage in their first sexual experiences.<br />Methods: MSM aged 16 to 20 years were recruited via community and other sources. Men completed a questionnaire about their sexual behaviors and were screened for gonorrhea, chlamydia, syphilis, and HIV.<br />Results: Two hundred men were included. The median age was 19 years. The median age at first insertive or receptive anal intercourse was 17 years. Half of men reported sex with mainly older men: these men were more likely to engage in receptive anal intercourse (48% vs. 25%, p < .001) than other men. Most men had engaged in insertive (87%) and receptive (85%) anal intercourse in the prior 12 months with 60% and 53% reporting inconsistent condom use with insertive and receptive anal intercourse partners, respectively. The median number of insertive anal intercourse partners was 3 and 1.5 (p < .001) among men reporting inconsistent and consistent condom use with insertive anal intercourse over the prior 12 months. The median number of receptive anal intercourse partners was 3 and 2 (p = .006) among men reporting inconsistent and consistent condom use with receptive anal intercourse over the prior 12 months. Pharyngeal gonorrhea, rectal gonorrhea, urethral chlamydia, rectal chlamydia, and syphilis were detected in 3.0%, 5.5%, 3.0%, 4%, and 2.0% of men, respectively. All men were HIV negative.<br />Conclusion: Many of the teenage MSM in this study were at risk for STI. Preventative messages and STI screening interventions that are age appropriate need to be developed to reduce HIV and STI risk in this under-recognized group.<br /> (Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Age Distribution
Attitude to Health
Australia epidemiology
Chi-Square Distribution
Condoms statistics & numerical data
Confidence Intervals
Cross-Sectional Studies
Health Promotion organization & administration
Homosexuality, Male psychology
Humans
Male
Prevalence
Risk Assessment
Risk-Taking
Safe Sex statistics & numerical data
Sexual Partners
Sexually Transmitted Diseases prevention & control
Statistics, Nonparametric
Surveys and Questionnaires
Urban Population
Young Adult
Health Education organization & administration
Homosexuality, Male statistics & numerical data
Sexual Behavior statistics & numerical data
Sexually Transmitted Diseases diagnosis
Sexually Transmitted Diseases epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1879-1972
- Volume :
- 55
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Journal of adolescent health : official publication of the Society for Adolescent Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 24661735
- Full Text :
- https://doi.org/10.1016/j.jadohealth.2014.01.020