HIV-related Sexual Risk Taking Among HIV-negative Men Who Have Sex with Men in Zagreb, Croatia
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Croatia has a low-level HIV epidemic and, as in a number of other Central and Southeastern European countries, sex between men accounts for most HIV infections. This study examines sexual behavior and the correlates of condom use in a snowball sample of 342 HIV non-infected men who have sex with men (MSM) in Zagreb. The median age of participants in the sample was 27 years. The majority of participants (81%) reported using condom at last anal sex with casual partner and 56% claimed to have used condoms consistently at anal sex with casual partners in the last 12 months. HIV risk self-assessment and number of sexual partners were significantly correlated with condom use at last anal sex with casual partner. Self-assessed HIV-risk and heterosexual activity were found associated with consistent condom use at anal sex with casual partners. To sustain a low-level HIV epidemic, targeted intervention among young MSM is needed in Croatia.
KeywordsHIV Men who have sex with men Sexual risk taking Condom use Croatia
The study was supported by the Global Fund to Fight AIDS, Tuberculosis and Malaria national Grant No.: HRV-202-G01-H-00. The authors would like to thank the Center for Sexual and Gender Minorities’ Rights Iskorak, HIV counselors working for the Croatian Association for HIV (HUHIV), laboratory personnel from the AIDS Referral Center at the University Hospital for Infectious Diseases, Zagreb, Branko Kolarić, and Lisa G. Johnston.
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