Cargando…
Condom and Substance Use at Last Sex: Differences between MSMO and MSWO High School Youth
HIV disproportionately impacts youth, particularly young men who have sex with men (YMSM), a population that includes subgroups of young men who have sex with men only (YMSMO) and young men who have sex with men and women (YMSMW). In 2015, among male youth, 92% of new HIV diagnoses were among YMSM....
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982034/ https://www.ncbi.nlm.nih.gov/pubmed/29762520 http://dx.doi.org/10.3390/ijerph15050995 |
_version_ | 1783328159046828032 |
---|---|
author | Phillips, Gregory Kalmin, Mariah M. Turner, Blair Felt, Dylan Marro, Rachel Salamanca, Paul Beach, Lauren B. |
author_facet | Phillips, Gregory Kalmin, Mariah M. Turner, Blair Felt, Dylan Marro, Rachel Salamanca, Paul Beach, Lauren B. |
author_sort | Phillips, Gregory |
collection | PubMed |
description | HIV disproportionately impacts youth, particularly young men who have sex with men (YMSM), a population that includes subgroups of young men who have sex with men only (YMSMO) and young men who have sex with men and women (YMSMW). In 2015, among male youth, 92% of new HIV diagnoses were among YMSM. The reasons why YMSM are disproportionately at risk for HIV acquisition, however, remain incompletely explored. We performed event-level analyses to compare how the frequency of condom use, drug and/or alcohol use at last sex differed among YMSMO and YMSWO (young men who have sex with women only) over a ten-year period from 2005–2015 within the Youth Risk Behavior Survey (YRBS). YMSMO were less likely to use condoms at last sex compared to YMSWO. However, no substance use differences at last sexual encounter were detected. From 2005–2015, reported condom use at last sex significantly declined for both YMSMO and YMSWO, though the decline for YMSMO was more notable. While there were no significant differences in alcohol and substance use at last sex over the same ten-year period for YMSMO, YMSWO experienced a slight but significant decrease in reported alcohol and substance use. These event-level analyses provide evidence that YMSMO, similar to adult MSMO, may engage in riskier sexual behaviors compared to YMSWO, findings which may partially explain the increased burden of HIV in this population. Future work should investigate how different patterns of event-level HIV risk behaviors vary over time among YMSMO, YMSWO, and YMSMW, and are tied to HIV incidence among these groups. |
format | Online Article Text |
id | pubmed-5982034 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-59820342018-06-07 Condom and Substance Use at Last Sex: Differences between MSMO and MSWO High School Youth Phillips, Gregory Kalmin, Mariah M. Turner, Blair Felt, Dylan Marro, Rachel Salamanca, Paul Beach, Lauren B. Int J Environ Res Public Health Article HIV disproportionately impacts youth, particularly young men who have sex with men (YMSM), a population that includes subgroups of young men who have sex with men only (YMSMO) and young men who have sex with men and women (YMSMW). In 2015, among male youth, 92% of new HIV diagnoses were among YMSM. The reasons why YMSM are disproportionately at risk for HIV acquisition, however, remain incompletely explored. We performed event-level analyses to compare how the frequency of condom use, drug and/or alcohol use at last sex differed among YMSMO and YMSWO (young men who have sex with women only) over a ten-year period from 2005–2015 within the Youth Risk Behavior Survey (YRBS). YMSMO were less likely to use condoms at last sex compared to YMSWO. However, no substance use differences at last sexual encounter were detected. From 2005–2015, reported condom use at last sex significantly declined for both YMSMO and YMSWO, though the decline for YMSMO was more notable. While there were no significant differences in alcohol and substance use at last sex over the same ten-year period for YMSMO, YMSWO experienced a slight but significant decrease in reported alcohol and substance use. These event-level analyses provide evidence that YMSMO, similar to adult MSMO, may engage in riskier sexual behaviors compared to YMSWO, findings which may partially explain the increased burden of HIV in this population. Future work should investigate how different patterns of event-level HIV risk behaviors vary over time among YMSMO, YMSWO, and YMSMW, and are tied to HIV incidence among these groups. MDPI 2018-05-15 2018-05 /pmc/articles/PMC5982034/ /pubmed/29762520 http://dx.doi.org/10.3390/ijerph15050995 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Phillips, Gregory Kalmin, Mariah M. Turner, Blair Felt, Dylan Marro, Rachel Salamanca, Paul Beach, Lauren B. Condom and Substance Use at Last Sex: Differences between MSMO and MSWO High School Youth |
title | Condom and Substance Use at Last Sex: Differences between MSMO and MSWO High School Youth |
title_full | Condom and Substance Use at Last Sex: Differences between MSMO and MSWO High School Youth |
title_fullStr | Condom and Substance Use at Last Sex: Differences between MSMO and MSWO High School Youth |
title_full_unstemmed | Condom and Substance Use at Last Sex: Differences between MSMO and MSWO High School Youth |
title_short | Condom and Substance Use at Last Sex: Differences between MSMO and MSWO High School Youth |
title_sort | condom and substance use at last sex: differences between msmo and mswo high school youth |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982034/ https://www.ncbi.nlm.nih.gov/pubmed/29762520 http://dx.doi.org/10.3390/ijerph15050995 |
work_keys_str_mv | AT phillipsgregory condomandsubstanceuseatlastsexdifferencesbetweenmsmoandmswohighschoolyouth AT kalminmariahm condomandsubstanceuseatlastsexdifferencesbetweenmsmoandmswohighschoolyouth AT turnerblair condomandsubstanceuseatlastsexdifferencesbetweenmsmoandmswohighschoolyouth AT feltdylan condomandsubstanceuseatlastsexdifferencesbetweenmsmoandmswohighschoolyouth AT marrorachel condomandsubstanceuseatlastsexdifferencesbetweenmsmoandmswohighschoolyouth AT salamancapaul condomandsubstanceuseatlastsexdifferencesbetweenmsmoandmswohighschoolyouth AT beachlaurenb condomandsubstanceuseatlastsexdifferencesbetweenmsmoandmswohighschoolyouth |