Trends in Sexual Behavior Among Men Who have Sex with Men (MSM) in High-Income Countries, 1990-2013: A Systematic Review

被引:73
作者
Hess, Kristen L. [1 ]
Crepaz, Nicole [1 ]
Rose, Charles [1 ]
Purcell, David [1 ]
Paz-Bailey, Gabriela [1 ]
机构
[1] Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Natl Ctr HIV Viral Hepatitis STD & TB Prevent, 1600 Clifton Rd NE,Mailstop E-47, Atlanta, GA 30329 USA
关键词
HIV; Risk behaviors; Men who have sex with men; Condom use; UNPROTECTED ANAL INTERCOURSE; RISK-REDUCTION STRATEGIES; SAN-FRANCISCO; GAY MEN; TRANSMITTED INFECTIONS; TRANSMISSION RISK; EXPLAIN INCREASES; TEMPORAL TRENDS; REDUCED THREAT; HIV PREVALENCE;
D O I
10.1007/s10461-017-1799-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
HIV diagnoses among men who have sex with men (MSM) have been increasing in several high-income countries. A better understanding of the sexual behavior trends among MSM can be useful for informing HIV prevention. We conducted a systematic review of studies that examined behavioral trends (1990-2013) in any condomless anal sex, condomless anal sex with an HIV-discordant partner, and number of partners. Studies included come from the United States, Europe, and Australia. We found increasing trends in condomless anal sex and condomless anal sex with an HIV-discordant partner, and a decreasing trend in number of partners. The increase in condomless anal sex may help to explain the increase in HIV infections. More explanatory research is needed to provide insight into factors that contribute to these behavior trends. Continuous monitoring of HIV, risk behaviors, and use of prevention and treatment is needed to evaluate prevention efforts and monitor HIV transmission risk.
引用
收藏
页码:2811 / 2834
页数:24
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