التفاصيل البيبلوغرافية
| العنوان: |
Group Sex Events Among Cisgender Men Who Have Sex With Men: Cross-Sectional and Longitudinal Survey Study to Explore Participation and Risk-Taking Behaviors. |
| المؤلفون: |
Violette, Lauren R1 (AUTHOR), Niemann, Lisa A1 (AUTHOR), McMahan, Vanessa M1 (AUTHOR), Katz, David A2 (AUTHOR), Chavez, Pollyanna R3 (AUTHOR), Clark, Hollie A3 (AUTHOR), Cornelius-Hudson, Andy1 (AUTHOR), Ethridge, Steven F3 (AUTHOR), McDougal, Sarah J1 (AUTHOR), II, George Ure1 (AUTHOR), Stekler, Joanne D1,4,5 (AUTHOR), Delaney, Kevin P3 (AUTHOR) |
| المصدر: |
Journal of Medical Internet Research. Nov2019, Vol. 21 Issue 11, pN.PAG-N.PAG. 1p. 5 Charts. |
| مصطلحات موضوعية: |
*Longitudinal method, *Open access publishing, Men's sexual behavior, Sexually transmitted diseases, Animal sexual behavior, At-risk behavior, Cell aggregation |
| مصطلحات جغرافية: |
Seattle (Wash.) |
| الشركة/الكيان: |
Centers for Disease Control & Prevention (U.S.) |
| مستخلص: |
Background: Group sex events (GSEs) are common among cisgender men who have sex with men (MSM), pose a unique risk profile for HIV and sexually transmitted disease (STD) transmission, and may be on the rise, in part because of Web-based networking platforms. However, collecting data on GSEs can be challenging, and many gaps exist in our knowledge about GSE participation among MSM. Objective: The objective of this study was to develop survey questions addressing aggregate and partner-specific group sex behaviors to measure prevalence of GSEs and associated risks in persons participating in Project Diagnostic Evaluation To Expand Critical Testing Technologies (DETECT), including MSM seeking HIV and STD testing at a public clinic in Seattle, Washington. Methods: We developed a computer self-assisted survey that included questions about participant demographics, sexual history, and risk behaviors, including group sex, as a part of Project DETECT, a Centers for Disease Control and Prevention–funded study evaluating point-of-care HIV tests. Aggregate and partner-specific questions asked about participation in all GSEs, threesomes, and four-or-more-somes including questions about number and HIV status of sex partners and condom use during the events. To evaluate question performance, we assessed the discrepancies in reporting between the aggregate and partner-specific questions, quantified question refusal rates, and calculated the additional time required to answer the GSE questions. Information about network density (number of partnerships of overlapping duration) was estimated and compared for MSM who did and did not report GSEs. Results: Among 841 visits by 690 MSM who were asked any group sex survey question, participation in a GSE of any type in the past 3 months was reported at 293 visits (293/841, 34.8%). We found that 9.0% (76/841) of MSM in the sample reported ≥1 four-or-more-some in the partner-specific questions but did not report in the aggregate. The proportion of refusals on any given aggregate GSE-related question ranged from 0% (0/273) to 10.6% (15/141) (median 2.6%) and partner-specific questions ranged from 0% (0/143) to 22% (5/23) (median 3.0%), with questions about four-or-more-somes having the highest proportions of refusals. Completing the aggregate group sex questions added 1 to 2 minutes and the partner-specific questions added an additional 2 to 4 minutes per partner to the total survey length. As expected, the partner-specific GSE questions documented higher density of sexual networks that was not captured by asking about total partner counts and overlap of specific partnerships. Conclusions: We found that the Project DETECT survey was able to obtain nuanced information about GSEs. The question skip patterns and consistency checks were effective, and survey fatigue was minimal. More research is needed on GSEs, and our survey represents a promising data collection tool to help fill gaps in knowledge about the subject. We help JMIR researchers to raise funds to pursue their research and development aimed at tackling important health and technology challenges. If you would like to show your support for this author, please donate using the button below. The funds raised will directly benefit the corresponding author of this article (minus 8% admin fees). Your donations will help this author to continue publishing open access papers in JMIR journals. Donations of over $100 may also be acknowledged in future publications. Suggested contribution levels: $20/$50/$100 [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
Library, Information Science & Technology Abstracts |
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