title: 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.
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.
authors.affiliation: Division of Global Public Health, Department of Medicine, University of California, San Diego, 9500 Gilman Dr., MC 0507, La Jolla, CA, 92093-0507, USA. hpines@ucsd.edu.
authors.forename: Heather A
authors.initials: HA
authors.lastname: Pines
authors.affiliation: Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA, USA.
authors.forename: Pamina M
authors.initials: PM
authors.lastname: Gorbach
authors.affiliation: Department of Biostatistics, Fielding School of Public Health, University of California, Los Angeles, CA, USA.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Weiss
authors.affiliation: Friends Research Institute, Inc., Los Angeles, CA, USA.|Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA.
authors.forename: Cathy J
authors.initials: CJ
authors.lastname: Reback
authors.affiliation: Center for Clinical AIDS Research & Education, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
authors.forename: Raphael J
authors.initials: RJ
authors.lastname: Landovitz
authors.affiliation: AIDS Project Los Angeles, Los Angeles, CA, USA.|Department of Sociology, California State University, Dominguez Hills, Carson, CA, USA.
authors.forename: Matt G
authors.initials: MG
authors.lastname: Mutchler
authors.affiliation: Center for Clinical AIDS Research & Education, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
authors.forename: Ronald T
authors.initials: RT
authors.lastname: Mitsuyasu
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D015141:Los Angeles / Q000453:epidemiology; D054327:Lubricants / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D011203:Poverty; D012307:Risk Factors; D040242:Risk Reduction Behavior; D021841:Safe Sex / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D012747:Sexual Partners / Q000523:psychology; D011795:Surveys and Questionnaires
chemical_list: D054327:Lubricants
keywords: Condom use; HIV prevention; Men who have sex with men; Methamphetamine use; Receptive anal intercourse