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Individual-Level, Partnership-Level, and Sexual Event-Level Predictors of Condom Use During Receptive Anal Intercourse Among HIV-Negative Men Who Have Sex with Men in Los Angeles

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Abstract

We examined individual-level, partnership-level, and sexual event-level factors associated with condom use during receptive anal intercourse (RAI) among 163 low-income, racially/ethnically diverse, HIV-negative men who have sex with men (MSM) in Los Angeles (2007–2010). At baseline, 3-month, and 12-month visits, computer-assisted self-interviews collected information on ≤3 recent male partners and the last sexual event with those partners. Factors associated with condom use during RAI at the last sexual event were identified using logistic generalized linear mixed models. Condom use during RAI was negatively associated with reporting ≥ high school education (adjusted odds ratio [AOR] = 0.32, 95 % confidence interval [CI] 0.11–0.96) and methamphetamine use, specifically during RAI events with non-main partners (AOR = 0.20, 95 % CI 0.07–0.53) and those that included lubricant use (AOR = 0.20, 95 % CI 0.08–0.53). Condom use during RAI varies according to individual-level, partnership-level, and sexual event-level factors that should be considered in the development of risk reduction strategies for this population.

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Acknowledgments

The authors would like to thank all study staff and participants without whom this study would not have been possible. This work was supported by the California HIV/AIDS Research Program (CHRP) under grant MC08-LA-710, the Center for HIV Identification, Prevention, and Treatment Services (CHIPTS) under National Institute of Mental Health grant P30MH058107, the National Institute of Mental Health under grant F31MH097620, the National Institute on Drug Abuse under grants T32DA023356 and K23DA026308, and the UCLA Center for AIDS Research (CFAR) under grant 5P30AI028697 (Core H).

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Authors and Affiliations

  1. Division of Global Public Health, Department of Medicine, University of California, San Diego, 9500 Gilman Dr., MC 0507, La Jolla, CA, 92093-0507, USA

    Heather A. Pines

  2. Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA, USA

    Pamina M. Gorbach

  3. Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, CA, USA

    Robert E. Weiss

  4. Friends Research Institute, Inc., Los Angeles, CA, USA

    Cathy J. Reback

  5. Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA

    Cathy J. Reback

  6. Center for Clinical AIDS Research & Education, David Geffen School of Medicine, University of California, Los Angeles, CA, USA

    Raphael J. Landovitz & Ronald T. Mitsuyasu

  7. AIDS Project Los Angeles, Los Angeles, CA, USA

    Matt G. Mutchler

  8. Department of Sociology, California State University, Dominguez Hills, Carson, CA, USA

    Matt G. Mutchler

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  1. Heather A. Pines
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  2. Pamina M. Gorbach
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  3. Robert E. Weiss
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  5. Raphael J. Landovitz
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  7. Ronald T. Mitsuyasu
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Correspondence to Heather A. Pines.

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Pines, H.A., Gorbach, P.M., Weiss, R.E. et al. Individual-Level, Partnership-Level, and Sexual Event-Level Predictors of Condom Use During Receptive Anal Intercourse Among HIV-Negative Men Who Have Sex with Men in Los Angeles. AIDS Behav 20, 1315–1326 (2016). https://doi.org/10.1007/s10461-015-1218-4

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