Actitudes hacia los programas de prevención on-line del VIH y las ITS, y perfil de los usuarios de Internet en los hombres que tienen sexo con hombres / Attitudes toward online HIV/sexually-transmitted infection prevention programs and Internet user profiles among men who have sex with men

Objetivos Describir las actitudes de los hombres que tienen sexo con hombres hacia los programas de prevención on-line del virus de la inmunodeficiencia humana (VIH) y de las infecciones de transmisión sexual (ITS), e identificar y caracterizar perfiles de usuarios con respecto a sus actitudes hacia estos programas de prevención. Método Encuesta aplicada en lugares/locales de ambiente gay o a través de Internet contestada por 2044 participantes de Madrid, Barcelona, Bilbao y San Sebastián. La encuesta investigó, además de variables sociodemográficas, conductas sexuales y otras variables asociadas a riesgo de infección por el VIH, las actitudes hacia los programas de prevención on-line. El análisis estadístico incluyó análisis factorial y análisis de clusters no jerárquicos. Resultados La mayoría de los hombres tuvieron actitudes favorables hacia los programas de prevención on-line del VIH y las ITS. El análisis factorial reveló dos factores: prevención on-line orientada a la interacción y prevención on-line orientada a la información. A partir de estos factores se determinaron tres perfiles de usuarios: usuarios orientados hacia la prevención on-line informativa e interactiva (53,5%), usuarios orientados hacia la prevención on-line interactiva (25,9%) y usuarios no orientados hacia la prevención on-line (20,7%). Al caracterizar estos perfiles, observamos una presencia significativa de hombres que no están interesados en la prevención on-line entre aquellos con menor nivel de estudios, bisexuales y VIH positivos. Inversamente, los más receptivos a la prevención on-line eran (..) (AU)

Objectives To describe the attitudes of men who have sex with men (MSM) toward online HIV/sexually-transmitted infection (STI) prevention programs and to identify and characterize user profiles with regard to their attitudes toward online prevention programs. Method A survey in gay venues or via the internet was completed by 2,044 participants from Madrid, Barcelona, Bilbao and San Sebastián (Spain). The survey explored socio-demographic variables, sexual behavior and other risk behaviors associated with HIV infection, as well as attitudes toward online prevention programs. The statistical analysis included factor analysis and non-hierarchical cluster analysis. Results Most MSM had positive attitudes towards online HIV/STI prevention programs. Factor analysis revealed two factors: online prevention aimed at interaction and online prevention aimed at information. Based on these factors, three user profiles were identified: users oriented toward informative and interactive online prevention (53.5%), users oriented toward interactive online prevention (25.9%) and users were not oriented toward online prevention (20.7%). On characterizing these profiles, we observed a significant presence of men who were not (..) (AU)

[Attitudes toward online HIV/sexually-transmitted infection prevention programs and Internet user profiles among men who have sex with men]. / Actitudes hacia los programas de prevención on-line del VIH y las ITS, y perfil de los usuarios de Internet en los hombres que tienen sexo con hombres.

OBJECTIVES: To describe the attitudes of men who have sex with men (MSM) toward online HIV/sexually-transmitted infection (STI) prevention programs and to identify and characterize user profiles with regard to their attitudes toward online prevention programs. METHOD: A survey in gay venues or via the internet was completed by 2,044 participants from Madrid, Barcelona, Bilbao and San Sebastián (Spain). The survey explored socio-demographic variables, sexual behavior and other risk behaviors associated with HIV infection, as well as attitudes toward online prevention programs. The statistical analysis included factor analysis and non-hierarchical cluster analysis. RESULTS: Most MSM had positive attitudes towards online HIV/STI prevention programs. Factor analysis revealed two factors: online prevention aimed at interaction and online prevention aimed at information. Based on these factors, three user profiles were identified: users oriented toward informative and interactive online prevention (53.5%), users oriented toward interactive online prevention (25.9%) and users were not oriented toward online prevention (20.7%). On characterizing these profiles, we observed a significant presence of men who were not interested in online prevention among those with a lower educational level, bisexual men and HIV-positive men. Conversely, those most receptive to online prevention were men self-identified as gay, those with a bachelors degree, those who had been tested for HIV and those who were HIV-negative. CONCLUSION: The internet can facilitate sexual health promotion among MSM. Characterization of user profiles offers the possibility of segmenting prevention programs and of combining online and offline strategies.

Hombres jóvenes que tienen sexo con hombres: ¿un colectivo en alto riesgo para la infección por el VIH? / Young men who have sex with men: a group at high risk for HIV infection?

Objetivos Comparar las variables asociadas al riesgo de infección por el VIH entre los hombres ≤25 años (jóvenes) y >25 años de edad que tienen sexo con hombres, y determinar las variables asociadas a la penetración anal sin condón de los hombres jóvenes con parejas sexuales ocasionales. Método Durante 1 mes, 485 participantes ≤25 años y 1.470 >25 años completaron una encuesta impresa aplicada en lugares de ambiente o a través de Internet en Madrid, Barcelona, Bilbao y San Sebastián. La encuesta investigó conductas sexuales de los últimos 3 meses según las parejas sexuales conocidas en lugares de ambiente y por Internet. Resultados No se encontraron diferencias significativas entre los hombres ≤25 años y >25 años con respecto a la penetración anal sin condón con parejas sexuales conocidas en lugares de ambiente (23% frente a 30%, p>0,05) o en Internet (29% frente a 30%, p>0,05), al uso del condón en la última penetración anal y a haber tenido una infección de transmisión sexual en el último año (19% frente a 23%, p>0,05). Sin embargo, los encuestados >25 años tuvieron un número promedio mayor de parejas sexuales conocidas en lugares de ambiente (9,2 frente a 7, p<0,05) y en Internet (8,9 frente a 6,4, p<0,05), consumieron alguna droga cuando tuvieron penetración anal sin condón (68% frente a 55%, p<0,05, con parejas conocidas en Internet; y 73% frente a 55%, p<0,05, con parejas conocidas en lugares de ambiente) y presentaban una mayor prevalencia del (..) (AU)

Objectives To compare variables associated with the risk of HIV among men ≤25 years old who have sex with men (YMSM) and those >25 years old, and to determine the variables associated with unprotected anal intercourse (UAI) in YMSM with casual sexual partners. Method For 1 month, 485 participants ≤25 years old and 1,470 aged >25 years old completed a pen-and-paper survey carried out in gay venues (GV) or via the Internet in Madrid, Barcelona, Bilbao and San Sebastián (Spain). The survey investigated sexual behaviors in the past 3 months according to whether the men met sexual partners in GV (SPGV) or on the Internet (SPI).Results No significant differences were found between YMSM and those >25 years old with respect to UAI with SPGV (23% vs. 30%, p>0.05) and SPI (29% vs. 30%, p>0.05), condom use in the last anal intercourse and having had a sexually-transmitted infection (STI) in the last year (19% vs. 23%, p>0.05). However, respondents>25 years old had a higher average number of SPGV (9.2 vs. 7, p<0.05) and SPI (8.9 vs. 6.4, p<0.05), were more likely to have used drugs while having UAI (68% vs. 55%, p<0.05, with SPI, and 73% vs. 55%, p<0.05, with SPGV) and had a higher prevalence of HIV (11% vs. 4%, p<0.05). When exploring other variables, we found that YMSM more frequently had receptive UAI with SPI (73% vs. 57%, p<0.05), had less time to be in a stable relationship, and their sexual partner more frequently convinced them to have UAI (8% vs. 0%, p<0.05). In multivariate analysis, UAI in YMSM with casual sexual partners was not associated with any of the variables. Conclusions YMSM do not constitute a group at increased risk of HIV/STI infection compared with respondents >25 years old. However, there are some variables could contribute to vulnerability in this group (AU)

[Young men who have sex with men: a group at high risk for HIV infection?]. / Hombres jóvenes que tienen sexo con hombres: ¿un colectivo en alto riesgo para la infección por el VIH?

OBJECTIVES: To compare variables associated with the risk of HIV among men ≤ 25 years old who have sex with men (YMSM) and those >25 years old, and to determine the variables associated with unprotected anal intercourse (UAI) in YMSM with casual sexual partners. METHOD: For 1 month, 485 participants ≤ 25 years old and 1,470 aged >25 years old completed a pen-and-paper survey carried out in gay venues (GV) or via the Internet in Madrid, Barcelona, Bilbao and San Sebastián (Spain). The survey investigated sexual behaviors in the past 3 months according to whether the men met sexual partners in GV (SPGV) or on the Internet (SPI). RESULTS: No significant differences were found between YMSM and those >25 years old with respect to UAI with SPGV (23% vs. 30%, p>0.05) and SPI (29% vs. 30%, p>0.05), condom use in the last anal intercourse and having had a sexually-transmitted infection (STI) in the last year (19% vs. 23%, p>0.05). However, respondents>25 years old had a higher average number of SPGV (9.2 vs. 7, p<0.05) and SPI (8.9 vs. 6.4, p<0.05), were more likely to have used drugs while having UAI (68% vs. 55%, p<0.05, with SPI, and 73% vs. 55%, p<0.05, with SPGV) and had a higher prevalence of HIV (11% vs. 4%, p<0.05). When exploring other variables, we found that YMSM more frequently had receptive UAI with SPI (73% vs. 57%, p<0.05), had less time to be in a stable relationship, and their sexual partner more frequently convinced them to have UAI (8% vs. 0%, p<0.05). In multivariate analysis, UAI in YMSM with casual sexual partners was not associated with any of the variables. CONCLUSIONS: YMSM do not constitute a group at increased risk of HIV/STI infection compared with respondents >25 years old. However, there are some variables could contribute to vulnerability in this group.

Internet y riesgo sexual en hombres que tienen sexo con hombres / Internet and sexual risk in men who have sex with men

Objetivo1) Comparar las características sociodemográficas, el uso de Internet para buscar sexo y la conducta sexual entre hombres que tienen sexo con hombres encuestados en lugares de ambiente y encuestados por Internet, y 2) determinar las variables asociadas a la penetración anal sin condón con parejas sexuales conocidas por Internet.MétodoDurante un mes, 804 hombres que tienen sexo con hombres completaron una encuesta impresa aplicada en lugares de ambiente, y 1.240 lo hicieron por Internet, en Madrid, Barcelona y Bilbao/San Sebastián.ResultadosAmbas muestras presentan características sociodemográficas diferentes. Comparando los hombres encuestados en lugares de ambiente con los encuestados on-line, encontramos una mayor proporción de encuestados on-line que usaron Internet para buscar parejas sexuales (81% frente a 65%, p<0,05), practicaron la penetración anal sin condón con parejas ocasionales conocidas por Internet (31% frente a 27%, p>0,05), tuvieron penetración anal sin condón de manera intencionada (81% frente a 65%, p <0,05), no sabían su estado serológico respecto al virus de la inmunodeficiencia humana (VIH) (35% frente a 28%, p<0,05), consumieron alguna droga cuando tuvieron penetración anal sin condón (68% frente a 55%, p<0,05) y han tenido alguna infección de transmisión sexual en el último año (24% frente a 20%, p <0,05). En el análisis multivariado, la penetración anal sin condón con parejas sexuales conocidas por Internet estuvo asociada con tener más de 20 parejas sexuales (odss ratio [OR]: 1,528; intervalo de confianza del 95% [IC95%]: 1,024–2,282; p=0,038), consumir drogas antes o durante la penetración anal sin condón (OR: 1,962; IC95%: 1,478–2,604; p=0,000)(..) (AU)

Objective1) To compare sociodemographic characteristics, Internet use to seek sexual partners, and sexual behavior in two samples of men who have sex with men: one sample that was surveyed on-line and another that was interviewed in gay venues. 2) To determine the variables associated with unprotected anal intercourse with sexual partners met on-line.MethodsFor 1 month, 804 men who have sex with men completed a pen-and-paper survey in gay venues and 1,240 completed a web survey in Madrid, Barcelona and Bilbao/San Sebastián (Spain).ResultsThe sociodemographic characteristics differed in the two samples. Compared with men who have sex with men surveyed off-line, a higher proportion of those surveyed on-line used the Internet to meet sexual partners (81% vs. 65%, p<0.05), had unprotected anal intercourse with sexual partners met on-line (31% vs. 27%, p>0.05), had intentionally practised unprotected anal intercourse (81% vs. 65%, p<0.05), did not know their HIV status (35% vs. 28%, p<0.05), used drugs when they practised unprotected anal intercourse (68% vs. 55%, p<0.05) and had had a sexually transmitted infection in the previous year (24% vs. 20%, p<0.05). In the multivariate analysis, unprotected anal intercourse with sexual partners met on-line was associated with having more than 20 sexual partners (odds ratio [OR]: 1.528; 95% confidence interval [95%CI]: 1.024–2.282; p=0.038), using drugs before/during sexual relations (OR: 1.962; 95% CI: 1.478–2.604; p=0.000), having had a sexually transmitted infection in the previous year (OR: 2.042; 95% CI: 1.535–2.716; p=0.000) and being HIV-positive (OR: 2.124; 95% CI: 1.355–3.330; p=0.001), amongst other factors.ConclusionsAlthough the prevalence of unprotected anal intercourse was similar in the two samples, certain variables could explain why the men who have sex with men surveyed on-line had a greater risk of sexually transmitted infections than those surveyed off-line(..) (AU)

[Internet and sexual risk in men who have sex with men]. / Internet y riesgo sexual en hombres que tienen sexo con hombres.

OBJECTIVE: 1) To compare sociodemographic characteristics, Internet use to seek sexual partners, and sexual behavior in two samples of men who have sex with men: one sample that was surveyed on-line and another that was interviewed in gay venues. 2) To determine the variables associated with unprotected anal intercourse with sexual partners met on-line. METHODS: For 1 month, 804 men who have sex with men completed a pen-and-paper survey in gay venues and 1,240 completed a web survey in Madrid, Barcelona and Bilbao/San Sebastián (Spain). RESULTS: The sociodemographic characteristics differed in the two samples. Compared with men who have sex with men surveyed off-line, a higher proportion of those surveyed on-line used the Internet to meet sexual partners (81% vs. 65%, p<0.05), had unprotected anal intercourse with sexual partners met on-line (31% vs. 27%, p>0.05), had intentionally practised unprotected anal intercourse (81% vs. 65%, p<0.05), did not know their HIV status (35% vs. 28%, p<0.05), used drugs when they practised unprotected anal intercourse (68% vs. 55%, p<0.05) and had had a sexually transmitted infection in the previous year (24% vs. 20%, p<0.05). In the multivariate analysis, unprotected anal intercourse with sexual partners met on-line was associated with having more than 20 sexual partners (odds ratio [OR]: 1.528; 95% confidence interval [95%CI]: 1.024-2.282; p=0.038), using drugs before/during sexual relations (OR: 1.962; 95% CI: 1.478-2.604; p=0.000), having had a sexually transmitted infection in the previous year (OR: 2.042; 95% CI: 1.535-2.716; p=0.000) and being HIV-positive (OR: 2.124; 95% CI: 1.355-3.330; p=0.001), amongst other factors. CONCLUSIONS: Although the prevalence of unprotected anal intercourse was similar in the two samples, certain variables could explain why the men who have sex with men surveyed on-line had a greater risk of sexually transmitted infections than those surveyed off-line.