Association between sexual role and HIV status among Peruvian men who have sex with men seeking an HIV test: a cross-sectional analysis
In Latin America, sexual role, sexual identity and sexual practices are intricately related; the roles activo, pasivo and moderno often encompass sexual identity and sexual practices. We aimed to understand the association between sexual role and HIV status in Peruvian men who have sex with men. HIV...
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| Veröffentlicht in: | International journal of STD & AIDS 2016-08, Vol.27 (9), p.783-789 |
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| container_title | International journal of STD & AIDS |
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| creator | McLean, Sarah A Galea, Jerome T Prudden, Holly J Calvo, Gino Sánchez, Hugo Brown, Brandon |
| description | In Latin America, sexual role, sexual identity and sexual practices are intricately related; the roles activo, pasivo and moderno often encompass sexual identity and sexual practices. We aimed to understand the association between sexual role and HIV status in Peruvian men who have sex with men. HIV-testing services at Epicentro Salud, a Peruvian gay men’s health centre, were paired with clinic data on demographics and sexual behaviour. Bidirectional stepwise logistic regression was conducted to determine associations between sexual role and HIV status. Of 366 clients who underwent HIV testing, 86 (23.5%) tested positive. There was a strong association between sexual role (‘activo’ or typically insertive, ‘pasivo’ or typically receptive, ‘moderno’ or typically versatile) and a positive HIV test (p = 0.002). Compared to clients with an activo role, those who reported a pasivo (OR = 6.14) and moderno (OR = 6.26) role were more likely to test positive for HIV. Sexual role was associated with sexual identity (gay, straight and bisexual) and gender of partners in the past six months. Self-reported pasivo and moderno sexual roles were strongly associated with a positive HIV test result. Further research should examine differences in sexual practices between sexual role groups. |
| doi_str_mv | 10.1177/0956462415596300 |
| format | Article |
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We aimed to understand the association between sexual role and HIV status in Peruvian men who have sex with men. HIV-testing services at Epicentro Salud, a Peruvian gay men’s health centre, were paired with clinic data on demographics and sexual behaviour. Bidirectional stepwise logistic regression was conducted to determine associations between sexual role and HIV status. Of 366 clients who underwent HIV testing, 86 (23.5%) tested positive. There was a strong association between sexual role (‘activo’ or typically insertive, ‘pasivo’ or typically receptive, ‘moderno’ or typically versatile) and a positive HIV test (p = 0.002). Compared to clients with an activo role, those who reported a pasivo (OR = 6.14) and moderno (OR = 6.26) role were more likely to test positive for HIV. Sexual role was associated with sexual identity (gay, straight and bisexual) and gender of partners in the past six months. Self-reported pasivo and moderno sexual roles were strongly associated with a positive HIV test result. 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We aimed to understand the association between sexual role and HIV status in Peruvian men who have sex with men. HIV-testing services at Epicentro Salud, a Peruvian gay men’s health centre, were paired with clinic data on demographics and sexual behaviour. Bidirectional stepwise logistic regression was conducted to determine associations between sexual role and HIV status. Of 366 clients who underwent HIV testing, 86 (23.5%) tested positive. There was a strong association between sexual role (‘activo’ or typically insertive, ‘pasivo’ or typically receptive, ‘moderno’ or typically versatile) and a positive HIV test (p = 0.002). Compared to clients with an activo role, those who reported a pasivo (OR = 6.14) and moderno (OR = 6.26) role were more likely to test positive for HIV. Sexual role was associated with sexual identity (gay, straight and bisexual) and gender of partners in the past six months. Self-reported pasivo and moderno sexual roles were strongly associated with a positive HIV test result. Further research should examine differences in sexual practices between sexual role groups.</description><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Condoms - utilization</subject><subject>Cross-Sectional Studies</subject><subject>Gender Identity</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - transmission</subject><subject>Homosexuality, Male - ethnology</subject><subject>Homosexuality, Male - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Lentivirus</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Middle Aged</subject><subject>Peru - epidemiology</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Risk-Taking</subject><subject>Sexual Behavior</subject><subject>Sexual Partners</subject><subject>Unsafe Sex - prevention & control</subject><subject>Young Adult</subject><issn>0956-4624</issn><issn>1758-1052</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUFv1DAQhS0Eokvhzgn5yCUwk9ixw62qCq1UiR5or5HtTLopSVwySZf-Av42TrdwQKrExZY833sz4yfEW4QPiMZ8hEqXqswVal2VBcAzsUGjbYag8-dis5aztX4gXjHfAEBZmOqlOMhLtKaCYiN-HTHH0Lm5i6P0NO-IRsn0c3G9nGJP0o2NPD27kjy7eWHphjheywualrvOjXJI9G4b5dbd0SqTu27ePrwy0fcuoQla5TPx_Ek6GabInDGFtWHq4dJxzx2_Fi9a1zO9ebwPxeXnk2_Hp9n51y9nx0fnWVAK5sw2vnS2bUrQOlcVKOXBe4MIrvUNtt4ozLHVlVWtDtaYELxXmorcpdWLUByK93vf2yn-WNJQ9dBxoL53I8WFa7SI1qLNi_9AIQ1gLKiEwh59WG-itr6dusFN9zVCvSZV_5tUkrx7dF_8QM1fwZ9oEpDtAXbXVN_EZUpfxU8b_gaLr5tJ</recordid><startdate>201608</startdate><enddate>201608</enddate><creator>McLean, Sarah A</creator><creator>Galea, Jerome T</creator><creator>Prudden, Holly J</creator><creator>Calvo, Gino</creator><creator>Sánchez, Hugo</creator><creator>Brown, Brandon</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope></search><sort><creationdate>201608</creationdate><title>Association between sexual role and HIV status among Peruvian men who have sex with men seeking an HIV test: a cross-sectional analysis</title><author>McLean, Sarah A ; 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We aimed to understand the association between sexual role and HIV status in Peruvian men who have sex with men. HIV-testing services at Epicentro Salud, a Peruvian gay men’s health centre, were paired with clinic data on demographics and sexual behaviour. Bidirectional stepwise logistic regression was conducted to determine associations between sexual role and HIV status. Of 366 clients who underwent HIV testing, 86 (23.5%) tested positive. There was a strong association between sexual role (‘activo’ or typically insertive, ‘pasivo’ or typically receptive, ‘moderno’ or typically versatile) and a positive HIV test (p = 0.002). Compared to clients with an activo role, those who reported a pasivo (OR = 6.14) and moderno (OR = 6.26) role were more likely to test positive for HIV. Sexual role was associated with sexual identity (gay, straight and bisexual) and gender of partners in the past six months. 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| ispartof | International journal of STD & AIDS, 2016-08, Vol.27 (9), p.783-789 |
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| subjects | Adolescent Adult AIDS/HIV Condoms - utilization Cross-Sectional Studies Gender Identity HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - transmission Homosexuality, Male - ethnology Homosexuality, Male - psychology Human immunodeficiency virus Humans Lentivirus Male Mass Screening Middle Aged Peru - epidemiology Prevalence Retrospective Studies Risk-Taking Sexual Behavior Sexual Partners Unsafe Sex - prevention & control Young Adult |
| title | Association between sexual role and HIV status among Peruvian men who have sex with men seeking an HIV test: a cross-sectional analysis |
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