AIDS and Behavior

, Volume 21, Issue 10, pp 2811–2834 | Cite as

Trends in Sexual Behavior Among Men Who have Sex with Men (MSM) in High-Income Countries, 1990–2013: A Systematic Review

  • Kristen L. Hess
  • Nicole Crepaz
  • Charles Rose
  • David Purcell
  • Gabriela Paz-Bailey
Substantive Review

Abstract

HIV diagnoses among men who have sex with men (MSM) have been increasing in several high-income countries. A better understanding of the sexual behavior trends among MSM can be useful for informing HIV prevention. We conducted a systematic review of studies that examined behavioral trends (1990–2013) in any condomless anal sex, condomless anal sex with an HIV-discordant partner, and number of partners. Studies included come from the United States, Europe, and Australia. We found increasing trends in condomless anal sex and condomless anal sex with an HIV-discordant partner, and a decreasing trend in number of partners. The increase in condomless anal sex may help to explain the increase in HIV infections. More explanatory research is needed to provide insight into factors that contribute to these behavior trends. Continuous monitoring of HIV, risk behaviors, and use of prevention and treatment is needed to evaluate prevention efforts and monitor HIV transmission risk.

Keywords

HIV Risk behaviors Men who have sex with men Condom use 

Resumen

Diagnósticos de VIH en hombres que tienen sexo con hombres (HSH) han ido aumentando en varios países de altos ingresos. Una mejor comprensión de las tendencias de comportamiento sexual entre HSH puede ser útil para informar a la prevención del VIH. Se realizó una revisión sistemática de estudios que examinaron las tendencias de comportamientos sexuales (1990–2013) incluyendo: sexo anal sin condón, sexo anal sin condón con una pareja VIH discordante y número de parejas sexuales. Los estudios provienen de los Estados Unidos, Europa y Australia. Encontramos tendencias en aumento en el sexo anal sin condón y sexo anal sin condón con una pareja VIH discordantes y una tendencia decreciente en el número de parejas. El aumento en el sexo anal sin condón puede ayudar a explicar el aumento de infecciones por el VIH. Se necesita más investigación para explicar los factores que contribuyen a estas tendencias de comportamiento. Monitoreo continuo del VIH, comportamientos de riesgo y uso de la prevención y el tratamiento es necesario para evaluar los esfuerzos de prevención y control de la transmisión del VIH.

Notes

Acknowledgements

We would like to thank Amy Lansky for her feedback on the research questions, data interpretation, and manuscript.

Disclaimer

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Funding

There was no external funding source for this work.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York (outside the USA)  2017

Authors and Affiliations

  1. 1.Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD, and TB PreventionCenters for Disease Control and PreventionAtlantaUSA

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