Age- and Race/Ethnicity-Specific Sex Partner Correlates of Condomless Sex in an Online Sample of Hispanic/Latino, Black/African-American, and White Men Who Have Sex with Men

Abstract

We sought to identify and compare correlates of condomless receptive anal intercourse with HIV-positive or unknown status partners (CRAI) for younger (< 25 years) and older (≥ 25 years) Hispanic/Latino, black/African-American, and white men who have sex with men (MSM). Baseline data from the Evaluation of Rapid HIV Self-Testing among MSM Project (eSTAMP), a randomized controlled trial with MSM (n = 2665, analytical sample size = 2421), were used. Potential correlates included participants’ sociodemographic characteristics and HIV status as well as the characteristics of participants’ partners. Younger Hispanic/Latino and black men were most likely to report having older sex partners (≥ 50% of partners being at least 5 years older), and having older partners was a significant correlate of CRAI among younger Hispanic/Latino and white men. Regardless of race/ethnicity, not knowing one’s HIV status was a significant correlate of CRAI among younger men, whereas having a black sex partner was a significant correlate among older men. HIV prevention initiatives could address these and other correlates specific to race/ethnicity groups to target their prevention resources and messaging.

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Acknowledgements

Funding for this study was provided under CDC contract 200-2011-41989. We acknowledge the contributions of the eSTAMP Study Group (Mary Anne Chiasson, Steven Ethridge, Arin Freeman, Laura Gravens, Darrel Higa, Sabina Hirshfield, Wayne Johnson, AD McNaghten, Brian Mustanski, Jerris Raiford, Akshay Sharma, Laura Wesolowski) for designing and implementing the study. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the U.S. Centers for Disease Control and Prevention.

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Correspondence to Yuko Mizuno.

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Mizuno, Y., Borkowf, C.B., Hirshfield, S. et al. Age- and Race/Ethnicity-Specific Sex Partner Correlates of Condomless Sex in an Online Sample of Hispanic/Latino, Black/African-American, and White Men Who Have Sex with Men. Arch Sex Behav 49, 1903–1914 (2020). https://doi.org/10.1007/s10508-019-01534-8

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Keywords

  • Hispanic/Latino
  • Black African-American
  • Men who have sex with men
  • Condomless sex
  • Sexual orientation