Factors Associated with Unprotected Anal Sex among Men Who Have Sex with Men in Mexico

The global prevalence of HIV is notably higher in men who have sex with men (MSM) compared with other male populations. Unprotected anal intercourse is the riskiest sexual behavior for HIV acquisition and/or transmission among this minority population. The purpose of the study was to identify if the...

Full description

Bibliographic Details
Main Authors: Ramiro Caballero-Hoyos, Joel Monárrez-Espino, María Guadalupe Ramírez-Ortíz, Francisco Martín Cárdenas-Medina
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Infectious Disease Reports
Subjects:
Online Access:https://www.mdpi.com/2036-7449/14/4/58
_version_ 1797432095907250176
author Ramiro Caballero-Hoyos
Joel Monárrez-Espino
María Guadalupe Ramírez-Ortíz
Francisco Martín Cárdenas-Medina
author_facet Ramiro Caballero-Hoyos
Joel Monárrez-Espino
María Guadalupe Ramírez-Ortíz
Francisco Martín Cárdenas-Medina
author_sort Ramiro Caballero-Hoyos
collection DOAJ
description The global prevalence of HIV is notably higher in men who have sex with men (MSM) compared with other male populations. Unprotected anal intercourse is the riskiest sexual behavior for HIV acquisition and/or transmission among this minority population. The purpose of the study was to identify if the syndemic of psychosocial stressors and experienced stigma are predictors of unprotected anal sex in Mexican MSM. A cross-sectional analytic study was carried out. It included adults residing in Manzanillo, Mexico, with oral/anal sex practices within the last year. Informed consent was given by 142 participants selected using snowball sampling. Collected data included sociodemographic characteristics, psychosocial stressors, experienced stigma, HIV knowledge, knowing a friend/acquaintance living with HIV/AIDS, and sexual risk behaviors. Adjusted logistic regression was used to identify predictors of unprotected anal sex within the last six months. Presence of syndemic of psychosocial stressors, drug use during sex, having friends/acquaintances with HIV/AIDS, and experiencing high stigma were positively associated; high level of HIV knowledge was negatively linked. Reducing psychosocial stressors and integrating stigma-mitigation strategies are key elements to reduce HIV transmission.
first_indexed 2024-03-09T09:56:21Z
format Article
id doaj.art-65549ba3bdfc403d931c35fcd50069c4
institution Directory Open Access Journal
issn 2036-7449
language English
last_indexed 2024-03-09T09:56:21Z
publishDate 2022-07-01
publisher MDPI AG
record_format Article
series Infectious Disease Reports
spelling doaj.art-65549ba3bdfc403d931c35fcd50069c42023-12-01T23:46:24ZengMDPI AGInfectious Disease Reports2036-74492022-07-0114454755710.3390/idr14040058Factors Associated with Unprotected Anal Sex among Men Who Have Sex with Men in MexicoRamiro Caballero-Hoyos0Joel Monárrez-Espino1María Guadalupe Ramírez-Ortíz2Francisco Martín Cárdenas-Medina3Clinical Epidemiology Research Unit, Mexican Institute of Social Security, Colima 28040, MexicoDepartment of Health Research, Christus Muguerza del Parque Hospital, University of Monterrey, Chihuahua 31000, MexicoManzanillo Social Security Center, Mexican Institute of Social Security, Manzanillo 28210, MexicoVIHda Manzanillo, Private Assistance Institution, Manzanillo 28210, MexicoThe global prevalence of HIV is notably higher in men who have sex with men (MSM) compared with other male populations. Unprotected anal intercourse is the riskiest sexual behavior for HIV acquisition and/or transmission among this minority population. The purpose of the study was to identify if the syndemic of psychosocial stressors and experienced stigma are predictors of unprotected anal sex in Mexican MSM. A cross-sectional analytic study was carried out. It included adults residing in Manzanillo, Mexico, with oral/anal sex practices within the last year. Informed consent was given by 142 participants selected using snowball sampling. Collected data included sociodemographic characteristics, psychosocial stressors, experienced stigma, HIV knowledge, knowing a friend/acquaintance living with HIV/AIDS, and sexual risk behaviors. Adjusted logistic regression was used to identify predictors of unprotected anal sex within the last six months. Presence of syndemic of psychosocial stressors, drug use during sex, having friends/acquaintances with HIV/AIDS, and experiencing high stigma were positively associated; high level of HIV knowledge was negatively linked. Reducing psychosocial stressors and integrating stigma-mitigation strategies are key elements to reduce HIV transmission.https://www.mdpi.com/2036-7449/14/4/58anal sexHIV-AIDSMSMstigmasyndemic
spellingShingle Ramiro Caballero-Hoyos
Joel Monárrez-Espino
María Guadalupe Ramírez-Ortíz
Francisco Martín Cárdenas-Medina
Factors Associated with Unprotected Anal Sex among Men Who Have Sex with Men in Mexico
Infectious Disease Reports
anal sex
HIV-AIDS
MSM
stigma
syndemic
title Factors Associated with Unprotected Anal Sex among Men Who Have Sex with Men in Mexico
title_full Factors Associated with Unprotected Anal Sex among Men Who Have Sex with Men in Mexico
title_fullStr Factors Associated with Unprotected Anal Sex among Men Who Have Sex with Men in Mexico
title_full_unstemmed Factors Associated with Unprotected Anal Sex among Men Who Have Sex with Men in Mexico
title_short Factors Associated with Unprotected Anal Sex among Men Who Have Sex with Men in Mexico
title_sort factors associated with unprotected anal sex among men who have sex with men in mexico
topic anal sex
HIV-AIDS
MSM
stigma
syndemic
url https://www.mdpi.com/2036-7449/14/4/58
work_keys_str_mv AT ramirocaballerohoyos factorsassociatedwithunprotectedanalsexamongmenwhohavesexwithmeninmexico
AT joelmonarrezespino factorsassociatedwithunprotectedanalsexamongmenwhohavesexwithmeninmexico
AT mariaguadaluperamirezortiz factorsassociatedwithunprotectedanalsexamongmenwhohavesexwithmeninmexico
AT franciscomartincardenasmedina factorsassociatedwithunprotectedanalsexamongmenwhohavesexwithmeninmexico