Young men who have sex with men (MSM) are at risk for HIV infection. We investigated inconsistent condom use among 827 sexually active young MSM (15-24 years), enrolled using venue-day-time sampling in Bangkok, Chiang Mai and Phuket, Thailand. Data was collected using palmtop computer-assisted self-interviewing. Of participants, 33.1% were regular MSM, 37.7% were male sex workers (MSWs) and 29.1% were transgenders (TGs). Of MSM, 46.7%, of MSWs, 34.9% and of TGs, 52.3% reported recent inconsistent condom use. In multivariate analysis, receptive anal intercourse (MSM, MSWs), receptive and insertive anal intercourse, living alone and a history of sexual coercion (MSWs), not carrying a condom when interviewed (MSM, TGs), lower education, worrying about HIV infection and a history of sexually transmitted infections (TGs) were significantly and independently associated with inconsistent condom use. Interventions for young MSM are needed and must consider the distinct risk factors of MSM, MSWs, and TGs.
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Article Synopsis
- MSM (men who have sex with men) are a key group in HIV transmission, but there's a lack of research on the differences within this population, particularly between MSM who also have sex with women (MSMW) and those who only have sex with men (MSMO).
- A study conducted in Eastern China from October 2022 to March 2023 surveyed 1993 MSM, revealing that MSMO tend to have earlier sexual experiences and different behaviors compared to MSMW, who engage more in casual encounters and risky practices like inconsistent condom use and higher rates of alcohol-fueled sex.
- The findings indicate that MSMW may face a heightened risk of HIV infection, highlighting the importance of considering sexual orientation and gender identity in
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