title: Social, Relational and Network Determinants of Unprotected Anal Sex and HIV Testing Among Men Who Have Sex with Men in Beirut, Lebanon.
abstract: Social, relational and network determinants of condom use and HIV testing were examined among 213 men who have sex with men (MSM) in Beirut. 64% reported unprotected anal intercourse (UAI), including 23% who had UAI with unknown HIV status partners (UAIU); 62% had HIV-tested. In multivariate analysis, being in a relationship was associated with UAI and HIV testing; lower condom self-efficacy was associated with UAIU and HIV testing; gay discrimination was associated with UAIU; MSM disclosure was associated with UAI, UAIU and HIV testing; and network centralization was associated with HIV testing. Multi-level social factors influence sexual health in MSM.
authors.affiliation: RAND Corporation, Santa Monica, CA, USA.
authors.forename: Glenn J
authors.initials: GJ
authors.lastname: Wagner
authors.affiliation: RAND Corporation, Santa Monica, CA, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Hoover
authors.affiliation: RAND Corporation, Santa Monica, CA, USA.
authors.forename: Harold
authors.initials: H
authors.lastname: Green
authors.affiliation: Lebanese AIDS Society, Beirut, Lebanon ; Marsa, Sexual Health Centre, Beirut, Lebanon.
authors.forename: Johnny
authors.initials: J
authors.lastname: Tohme
authors.affiliation: Lebanese AIDS Society, Beirut, Lebanon ; Division of Infectious Diseases, University Medical Center Rizk Hospital, Beirut, Lebanon.
authors.forename: Jacques
authors.initials: J
authors.lastname: Mokhbat
keywords: HIV prevention; HIV testing; Lebanon; gay men; sexual behavior; social networks