Risk behaviors among HIV-positive gay and bisexual men at party-oriented vacations

Michael P Fisher1, Rajeev Ramchand, Sarah Bana

  • 1RAND Corporation, Arlington, VA 22202, USA. mfisher@rand.org

Abstract

Insights

HIV-positive men who have sex with men (MSM) at party events reported higher illegal drug use and sexual risk. Prevention campaigns should target these risks for HIV-positive MSM.

Area of Science:

  • Public Health
  • Epidemiology
  • Behavioral Science

Background:

  • Party-oriented vacations are environments where substance use and sexual risk behaviors may be heightened.
  • Understanding substance use and sexual practices among men who have sex with men (MSM), particularly those with HIV, is crucial for targeted prevention.

Purpose of the Study:

  • To examine substance use, unprotected sex, and HIV disclosure practices among HIV-positive MSM at party-oriented vacations.
  • To compare these practices between HIV-positive and HIV-negative MSM.
  • To assess the impact of illegal drug use and HIV status on unprotected anal intercourse (UAI).

Main Methods:

  • A sample of 489 MSM attending two party-oriented vacations participated in the PartyIntents longitudinal survey.
  • Follow-up assessments were completed by 47% of participants up to 2 weeks post-event.
  • Multiple logistic regression analyzed the association between illegal drug use, HIV status, and UAI.

Main Results:

  • HIV-positive MSM were significantly more likely to use nitrite inhalants ('poppers') and engage in insertive and receptive UAI compared to HIV-negative MSM.
  • Both HIV status (OR=4.5) and illegal drug use (OR=16.4) were significantly associated with UAI.
  • No significant difference was found in HIV disclosure or questioning rates based on HIV status.

Conclusions:

  • HIV-positive MSM attending these events exhibited higher rates of illegal drug use and sexual risk behaviors.
  • Prevention efforts targeting MSM at high-risk events should incorporate specific messages for HIV-positive individuals to address these elevated risks.

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