Русский
Behavioral risks for HIV infection in men who have sex with men (according to the survey results)
DOI: https://dx.doi.org/10.18565/epidem.2022.12.3.41-5
Pokrovskaya A.V., Barsky K.A., Korenev D.A., Petrov A.S., Kalinin A.A., Pchelin I.V., Popova A.A.
1) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 2) Peoples’ Friendship University of Russia, Moscow, Russia; 3) «Shagi» (Steps) Regional Charitable Public AIDS Control Foundation, Moscow, Russia
Subjects and methods. An anonymous online survey was conducted on the Internet among MSM in 2019 and 2021.
Results. The investigation involved 1192 people. In 2021, 15% of the respondents indicated that they had sex with men and women, and 18% reported to be HIV-positive. 18% of the respondents had more than 30 sexual partners per year. 21% of the participants had experienced chemsex; 43% of the MSM used condoms regularly. 17% had never been tested for HIV. The proportion of people who had undergone pre-post or post-test counseling during HIV testing in the healthcare facilities significantly decreased from 45% in 2019 to 32% in 2021.
Conclusion. The irregular use of condoms, a large number of sexual partners, and chemsex practice suggest that there is risky behavior among MSM in the transmission of HIV infection. It is necessary to introduce and develop programs to inform MSM about measures to prevent HIV infection and to increase the availability of HIV testing.
Literature
1. Кон И.С. Введение в сексологию. Курс лекций. М.: Олимп, ИНФРА-М, 1999. 288 с. Kon I.S. [Introduction to sexology. Lecture course]. Moscow: Olimp, INFRA-Moscow, 1999. 288 p. (In Russ.). 2. Smith A.M.A., Rissel C.E., Richters J., Grulich А.E., de Visser, R.O. Sex in Australia: sexual identity, sexual attraction and sexual experience among a representative sample of adults. Aust. N. Z. J. Public .Health 2003; 27(2): 138–45. doi: 10.1111/j.1467-842x.2003.tb00801.x 3. Copen C.E., Chandra A., Febo-Vazquez I. Sexual Behavior, Sexual Attraction, and Sexual Orientation Among Adults Aged 18–44 in the United States: Data From the 2011–2013 National Survey of Family Growth. Natl. Health Stat. Report 2016; 88: 1–14. 4. LGBT Identification Rises to 5,6% in Latest U.S. Estimate. https://news.gallup.com/poll/329708/lgbt-identification-rises-latest-estimate. aspx 5. Marcus U., Hickson F., Weatherburn P., Schmidt A.J. Estimating the size of the MSM populations for 38 European countries by calculating the survey‑surveillance discrepancies (SSD) between self‑reported new HIV diagnoses from the European MSM internet survey (EMIS) and surveillance‑reported HIV diagnoses among MSM in 2009. BMC Public Health 2013; 13(1): 919. doi: 10.1186/1471-2458-13-919 6. Макарова Е.В., Соловьев А.М. Распространение и клинические особенности инфекций, передаваемых половым путем, у мужчин, практикующих секс с мужчинами. Клиническая дерматология и венерология 2015; 14(5): 125–9. Makarova E.V., Solov’ev A.M. [Prevalence and clinical features of sexually transmitted infections in men having sex with men]. Klinicheskaya Dermatologiya i Venerologiya 2015; 14(5): 125–9. (In Russ.). https://doi.org/10.17116/klinderma 2015145125-129 7. Плавинский С.Л., Ладная Н.Н., Баринова А.Н., Зайцева Е.Е. Эпидемиологический надзор II поколения за ВИЧ-инфекцией. Распространенность ВИЧ-инфекции и рискованного поведения среди уязвимых групп населения в 7 регионах Российской Федерации, результаты биоповеденческого исследования, 2017. М.: Открытый институт здоровья, 2018. 138 с. Plavinsky S.L., Ladnaya N.N., Barinova A.N., Zaitseva E.E. [Prevalence of HIV infection and risk behavior among vulnerable groups in 7 regions of the Russian Federation, results of a bio-behavioral study, 2017]. Moscow: OIZ, 2018. 138 p. (In Russ.). 8. Подымова А.С. Сексуальное поведение групп риска как возможный фактор распространения ВИЧ-инфекции в Свердловской области. Клиническая дерматология и венерология 2016; 15(5): 8–13. https://doi.org/10.17116/klinderma20161558-13 Podymova A.S. [Sexual behavior of the risk groups as a possible factor for HIV spread in the Sverdlovsk Region]. Klinicheskaya Dermatologiya i Venerologiya 2016; 15(5): 8–13. (In Russ.). https://doi.org/10.17116/ klinderma20161558-13 9. ECDC Technical Report. EMIS-2017 – The European Men-Who-Have-Sex-With-Men Internet Survey https://www.ecdc.europa.eu/en/publications-data/emis-2017-european-men-who-have-sex-men-internet-survey 10. Amirkhanian Yu.A. Review of HIV vulnerability and condom use in central and eastern Europe. Sexual Health 2012; 9(1): 34–43. doi: 10.1071/SH11025 11. Малиновский А.А., Харченко В.И., Бессараб Т.П., Герасимов И.В., Серебряков Е.М., Халилулин Т.Р. Особенности передачи ВИЧ-инфекции: вербально-коммуникативное исследование. Эпидемиология и инфекционные болезни 2018; 23(1): 23–9. doi: http://dx.doi.org/10.18821/1560-9529-2018-23-1-23-29 Malinovsky A.A., Kharchenko V.I., Bessarab T.P., Gerasimov I.V, Serebryakov E.M., Khalilulin T.R. [Features of the transmission of HIV infection: a verbal communication research]. Epidemiology and infectious diseases 2018; 23(1): 23–9. (In Russ.). doi: http://dx.doi.org/10.18821/1560-9529-2018-23-1-23-29 12. Покровская А.В., Тюленев Ю.А., Барский К.А., Годунова Ю.В., Корень С.В. Поведенческие риски инфицирования ВИЧ и инфекциями, передаваемыми половым путем, среди посетителей секс-вечеринок в Москве. Журнал инфектологии 2021; 13(3): 78–82. doi: 10.47877/0234-0623_2020_11_30 Pokrovskaya A.V., Tyulenev Yu.A., Barsky K.A., Godunova Ju.V., Koren S.V. [Behavioral risks of HIV and sexually transmitted infections among attendees of sex parties in Moscow]. Journal of Infectology 2021; 13(3): 78–82. (In Russ.). doi: 10.47877/0234-0623_2020_11_30
About the Autors
Anastasia V. Pokrovskaya, Cand. Med. Sci., Senior Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; Associate Professor, Department of Infectious Diseases with Courses of Epidemiology and Phthisiology, Medical Institute, Peoples’ Friendship University, Moscow, Russia; pokrovskaya_av@mail.ru; http://orcid.org/0000-0002-2677-0404
Kirill A. Barsky, Public Health and Social Work Specialist; Program and Project Supervisor, «Shagi» (Steps) Regional Charitable Public AIDS Control Foundation, Moscow, Russia; barskiykirill@gmail.com
Andrey S. Petrov, Social Work Specialist; Vulnerable Population Specialist, «Shagi» (Steps) Regional Charitable Public AIDS Control Foundation, Moscow, Russia; mosnomad@gmail.com
Dmitry A. Korenev, Social Work Specialist; Administrator, «Shagi» (Steps) Social Information Center, «Shagi» (Steps) Regional Charitable Public AIDS Control Foundation, Moscow, Russia; 1dmitrii.korenev@gmail.com
Aleksandr A. Kalinin, Social Worker; «Shagi» (Steps) Regional Charitable Public AIDS Control Foundation, Moscow, Russia; kalinin.aleksandr.an@gmail.com
Igor V. Pchelin, State and Municipal Administration Specialist; Chairman of the Board, «Shagi» (Steps) Regional Charitable Public AIDS Control Foundation, Moscow, Russia; shagi@hiv-aids.ru
Anna A. Popova, Cand. Med. Sci., Senior Researcher, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; asya-med@mail.ru; https://orcid.org/0000-0001-9484-5917
Similar Articles
