Abstrait

The influence of condom use during the first-time anal intercourse on the subsequent sexual behaviors among young men who have sex with men in China

Chenchang Xiao, Wei Wang, Yue Cao, Hong Yan, Shiyue Li, Jingjing Li, Hanbo Wu, Bin Yu

HIV infection rate within Chinese Young Men who have Sex with Men (YMSM) dramatically increased in recent years, and the major cause is widespread unprotected sexual behavior without using condoms. This study explored the influence of condom use during the first-time anal intercourse on subsequent homosexual behaviors among YMSM in China. Multivariate logistic regression analysis was used to identify correlated factors with condom use at the first time; Odd Ratios (OR) with 95% Confidence Interval (CI) were calculated. Of 371 YMSM, 50.7% used a condom during the first-time anal intercourse. YMSM were more inclined to neglect of using a condom during the first-time anal intercourse if they were younger (OR=3.262, P=0.001) or their first-time sexual partners were schoolmates (OR=3.543, P<0.001). Compared to YMSM who used a condom at first time, YMSM who did not use a condom during the first-time anal intercourse were more likely to neglect of using condoms during subsequent oral sexes (OR=2.992, P<0.001), anal sexes (OR=3.144, P<0.001) and sexes after drinking alcohols (OR=5.331, P=0.005). Findings suggest that YMSM who did not use a condom during the first-time anal intercourse were more likely to produce unprotected sexual behavior subsequently.