title: Correlates of risky behaviors among young and older men having sexual relations with men in Montréal, Québec, Canada. Omega Study Group.
abstract: OBJECTIVE
  To assess characteristics associated with 1) age and 2) recent unprotected anal sex with casual partners among men having sexual relations with men (MSM) participating in the Omega Cohort, Montréal, Québec, Canada.
  
  
  METHODS
  The Omega Cohort is a study of the incidence and psychosocial determinants of HIV infection among MSM living in Montréal. MSM complete a questionnaire and are tested for HIV every 6 months.
  
  
  RESULTS
  Thirteen percent of young MSM (< 30 years of age, n = 355) and 12% of older MSM (> or = 30 years of age, n = 455) reported recent unprotected anal sex with casual partners. The predictors of this latter behavior were: not living with a male sexual partner, unprotected anal sex with regular partner, > 5 casual partners, alcohol/drug use before anal sex, and having difficulties with procedures needed for safe sex. Among young MSM, additional predictors were: to have been living in Montreal for less than 1 year and to have exchanged money for sex. Among older MSM, additional predictors were: female sexual partners, unprotected anal sex with an HIV-infected partner, and feeling invulnerable to AIDS.
  
  
  CONCLUSIONS
  Young Omega participants do not have more risky behaviors than older participants. Some predictors of recent risk behaviors with casual partners were different between the two groups. Prevention programs should be adapted consequently.
authors.affiliation: Groupe de Recherche en Epidémiologie de l'Université Laval, Centre Hospitalier Affilié Universitaire de Québec, Québec, Canada.
authors.forename: A
authors.initials: A
authors.lastname: Dufour
authors.forename: M
authors.initials: M
authors.lastname: Alary
authors.forename: J
authors.initials: J
authors.lastname: Otis
authors.forename: R
authors.initials: R
authors.lastname: Noël
authors.forename: R S
authors.initials: RS
authors.lastname: Remis
authors.forename: B
authors.initials: B
authors.lastname: Mâsse
authors.forename: R
authors.initials: R
authors.lastname: Parent
authors.forename: B
authors.initials: B
authors.lastname: Turmel
authors.forename: R
authors.initials: R
authors.lastname: Lavoie
authors.forename: R
authors.initials: R
authors.lastname: LeClerc
authors.forename: J
authors.initials: J
authors.lastname: Vincelette
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D015331:Cohort Studies; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011792:Quebec; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D012959:Socioeconomic Factors