European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
Health Protection Surveillance Centre, Dublin, Ireland.
Sex Transm Infect. 2019 Jun;95(4):279-284. doi: 10.1136/sextrans-2018-053637. Epub 2018 Dec 5.
OBJECTIVES: MSM Internet Survey Ireland (MISI) 2015 was an anonymous, self-completed, cross-sectional internet survey assessing sexual behaviours and health needs among men who have sex with men (MSM) in Ireland. We explored factors associated with self-reported STI diagnosis among MSM who were sexually active and had an STI test in the previous year. METHODS: We compared the study population (n=1158; 37% of total population), with the sexually active MISI population not testing for STIs (n=1620; 52% of total population). Within the study population, we identified sociodemographics and sexual behaviours associated with self-reporting STI diagnosis. We used multivariable logistic regression to estimate adjusted odds ratios (aORs). RESULTS: The sociodemographics, lifestyle and sexual behaviours of the study population differed significantly from the sexually active MISI population who did not test for STIs. Within the study population, 65% met a sexual partner via geosocial networking smartphone application (GSNa) and 21% self-reported an STI diagnosis in the previous year. On univariable analysis, factors associated with STI diagnosis included: older age, identifying as gay, HIV-positive status, increasing number of sexual partners in the previous year, condomless anal intercourse (CAI) with ≥2 non-steady partners and using GSNa to meet a new sexual partner in the previous year or most recent sexual partner. On multivariable analysis, STI diagnosis was associated with: being aged 25-39 years (aOR 1.8, 95% CI 1.04 to 3.15), CAI with ≥2 non-steady partners (aOR 2.8, 95% CI 1.84 to 4.34), total number of sexual partners (aOR 1.02, 95% CI 1.00 to 1.03) and using GSNa to meet a new sexual partner (aOR 1.95, 95% CI 1.12 to 3.39). CONCLUSIONS: STI diagnosis among MSM testing for STIs is associated with GSNa use, as well as sexual behaviours. GSNas are key settings for STI prevention interventions, which should prioritise men with high numbers of sexual partners and those with multiple CAI partners.
目的:MSM 爱尔兰互联网调查(MISI)2015 年是一项匿名、自我完成的横断面互联网调查,旨在评估爱尔兰男男性行为者(MSM)的性行为和健康需求。我们探讨了与过去一年有性行为且进行过性传播感染(STI)检测的活跃 MSM 中自我报告的 STI 诊断相关的因素。
方法:我们将研究人群(n=1158;占总人群的 37%)与未进行 STI 检测的活跃 MISI 人群(n=1620;占总人群的 52%)进行比较。在研究人群中,我们确定了与自我报告的 STI 诊断相关的社会人口统计学和性行为因素。我们使用多变量逻辑回归来估计调整后的优势比(aOR)。
结果:研究人群的社会人口统计学、生活方式和性行为与未进行 STI 检测的活跃 MISI 人群有显著差异。在研究人群中,65%的人通过地理社交网络智能手机应用程序(GSNa)认识性伴侣,21%的人在过去一年中自我报告有 STI 诊断。在单变量分析中,与 STI 诊断相关的因素包括:年龄较大、同性恋身份、HIV 阳性状态、过去一年性伴侣数量增加、与≥2 个非固定性伴侣无保护肛交(CAI)以及过去一年或最近一次性伴侣使用 GSNa 认识。在多变量分析中,STI 诊断与以下因素相关:年龄 25-39 岁(aOR 1.8,95%CI 1.04 至 3.15)、与≥2 个非固定性伴侣进行 CAI(aOR 2.8,95%CI 1.84 至 4.34)、性伴侣总数(aOR 1.02,95%CI 1.00 至 1.03)和使用 GSNa 认识新的性伴侣(aOR 1.95,95%CI 1.12 至 3.39)。
结论:在进行 STI 检测的 MSM 中,STI 诊断与 GSNa 的使用以及性行为相关。GSNa 是 STI 预防干预的关键场所,应优先关注性伴侣数量较多和有多个 CAI 伴侣的男性。
J Med Internet Res. 2015-5-25
J Med Internet Res. 2021-3-26
Sex Health. 2019-9