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Arab men who have sex with men in Israel: knowledge, attitudes and sexual practices

Z Mor1,2, E Grayeb3,4, A Beany5

  • 1Department of Tuberculosis and AIDS, Ministry of Health, Jerusalem, Israel.

HIV Medicine
|September 9, 2015
PubMed
Abstract

Insights

Arab men who have sex with men (AMSM) have lower HIV knowledge and less favorable attitudes toward condom use, leading to higher rates of unprotected anal intercourse (UAI). Targeted interventions are recommended for AMSM to improve sexual health outcomes.

Area of Science:

  • Public Health
  • Epidemiology
  • Sociology

Background:

  • Emerging visibility of Arab men who have sex with men (AMSM) is associated with increasing reports of HIV and sexually transmitted infections (STIs).
  • Understanding the sexual health knowledge, attitudes, and practices of AMSM is crucial for developing effective public health interventions.
  • Intergroup dynamics between AMSM and Jewish men who have sex with men (JMSM) warrant investigation regarding social connections and sexual encounters.

Purpose of the Study:

  • To assess HIV transmission knowledge among AMSM.
  • To compare attitudes towards condom use and sexual practices between AMSM and Jewish men who have sex with men (JMSM).
  • To evaluate the extent of friendships and sexual encounters between AMSM and JMSM.

Main Methods:

  • A cross-sectional study utilizing questionnaires administered in Arabic or Hebrew.
  • The primary outcome measure was unprotected anal intercourse (UAI) in the preceding six months with partners of unknown or discordant HIV status.
  • Participants reported on friendships and sexual encounters with members of the other ethnic group.

Main Results:

  • AMSM participants (N=342) were more religious, 'closeted,' and married compared to JMSM (N=1775).
  • AMSM demonstrated inferior knowledge of HIV transmission and less favorable attitudes toward condom use.
  • AMSM reported higher rates of unprotected anal intercourse (UAI), greater numbers of sexual partners, and were more likely to be attracted to and have sex with women.

Conclusions:

  • AMSM exhibit less favorable HIV knowledge and condom use attitudes, coupled with higher UAI rates, necessitating targeted interventions.
  • Interventions should address reconciling same-sex attraction positively within the AMSM community.
  • Shared experiences of same-sex attraction and gay identity can serve as a foundation for improved Arab-Jewish communication in Israel.
Keywords:
ArabHIVJewsmen who have sex with mensexually transmitted infections

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