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Place and practice: Sexual risk behaviour while travelling abroad among Swedish men who have sex with men

Kristina Ingemarsdotter Persson1, Torsten Berglund2, Jakob Bergström3

  • 1Department of Public Health Sciences, Karolinska Institutet, Karolinska Institutet, 171 77 Stockholm, Sweden; Department of Knowledge Development, Public Health Agency of Sweden, Unit for Health and Sexuality, 171 82 Solna, Sweden.

Travel Medicine and Infectious Disease
|February 27, 2018
PubMed
Abstract

Insights

Newly diagnosed HIV and STI cases among men who have sex with men (MSM) contracted abroad are rising. Casual unprotected anal intercourse (UAI) abroad is linked to visiting gay venues, having sex with foreign visitors, and specific health factors.

Area of Science:

  • Public Health
  • Epidemiology
  • Sexual Health

Background:

  • Increasing rates of HIV and STI diagnoses among men who have sex with men (MSM) in Sweden are linked to infections acquired internationally.
  • This trend necessitates an investigation into the factors contributing to casual unprotected anal intercourse (UAI) and international travel among MSM.

Purpose of the Study:

  • To identify factors associated with engaging in casual unprotected anal intercourse (UAI) abroad among men who have sex with men (MSM).
  • To compare sexual practices of MSM who had casual UAI abroad with those who engaged in casual UAI exclusively within Sweden.

Main Methods:

  • A cross-sectional stratified survey was conducted with 2751 men who have sex with men (MSM).
  • Regression analysis was employed to identify factors associated with casual UAI abroad within the past 12 months.

Main Results:

  • Key factors associated with casual UAI abroad included visiting gay saunas and bars/pubs, having UAI with foreign visitors, living with HIV, reporting poor health, being born outside Sweden, and vaccination status for hepatitis A/B.
  • Specific odds ratios (OR) and 95% confidence intervals (CI) were reported for each identified factor.

Conclusions:

  • Men who have sex with men (MSM) engaging in casual UAI abroad require enhanced awareness of associated risks, which vary by location and sexual practices.
  • Healthcare providers should prioritize the preventive needs of traveling MSM, offering counseling and STI prevention measures.
Keywords:
HIV infectionMSMSexually transmitted infectionsTravelUnprotected anal intercourse

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