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Revisiting obesity and condom use in men who have sex with men
David A Moskowitz1, David W Seal
1Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Center for AIDS Intervention Research, 2071 North Summit Ave, Milwaukee, WI 53202, USA. dmoskowi@mcw.edu
Abstract:
The incidence of both eating disorders and sexually transmitted diseases (STD) is relatively high among men who have sex with men (MSM). Yet, only one study has explored the influence of body mass index (BMI) on sexual risk-taking behaviors in this population. The objective of this study was to reexamine the practice of anal intercourse among overweight and obese MSM and to assess the consistency with which condoms were used. MSM who had placed same-sex sexual advertisements were asked to complete a brief online survey. A total of 576 MSM completed the survey, which assessed: age, HIV-status, height, weight, rejection of sexual partners, number of anal intercourse partners, and condom use during anal intercourse. Increased BMI was associated with a lowered likelihood of rejecting sexual partners and decreased number of actual anal intercourse partners. Increased BMI was also associated with decreased condom use. In addition to cardiovascular disease, obese MSM may be at a higher risk for STDs relative to normal weight MSM. There was some evidence to suggest that inconsistent condom use in such men may be an expression of the overexcitement concomitant with the comparatively rare event of acquiring an anal intercourse partner.
Insights
Higher body mass index (BMI) in men who have sex with men (MSM) is linked to increased sexual risk-taking behaviors, including less condom use. This finding suggests obese MSM may face higher STD risks.
Area of Science:
- Public Health
- Sexual Health
- Obesity Research
Background:
- Men who have sex with men (MSM) have high rates of eating disorders and sexually transmitted diseases (STDs).
- Limited research exists on how body mass index (BMI) affects sexual risk-taking in MSM.
- Previous studies have not sufficiently explored the relationship between BMI and condom use in this demographic.
Purpose of the Study:
- To investigate the association between increased BMI and sexual behaviors among overweight and obese MSM.
- To assess condom use consistency during anal intercourse in relation to BMI.
- To understand potential links between BMI, partner acquisition, and sexual risk in MSM.
Main Methods:
- An online survey was administered to 576 MSM who had placed same-sex sexual advertisements.
- Data collected included age, HIV status, height, weight, partner rejection rates, number of anal intercourse partners, and condom usage.
- Statistical analysis examined correlations between BMI and sexual risk factors.
Main Results:
- Increased BMI correlated with a lower likelihood of rejecting sexual partners.
- Higher BMI was associated with a reduced number of actual anal intercourse partners.
- A significant association was found between increased BMI and decreased condom use during anal intercourse.
Conclusions:
- Overweight and obese MSM may be at a greater risk for STDs compared to normal-weight MSM.
- Inconsistent condom use among MSM with higher BMIs might be linked to the excitement of acquiring partners.
- Public health strategies should consider BMI as a factor in sexual health interventions for MSM.
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