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A life course perspective of sexual ...

Glick, Sara Nelson.

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A life course perspective of sexual behavior and HIV/STD risk among men who have sex with men.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	A life course perspective of sexual behavior and HIV/STD risk among men who have sex with men./
Author:	Glick, Sara Nelson.
Description:	46 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-04, Section: B, page: .
Contained By:	Dissertation Abstracts International72-04B.
Subject:	Health Sciences, Epidemiology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3443144
ISBN:	9781124482989

A life course perspective of sexual behavior and HIV/STD risk among men who have sex with men.
Glick, Sara Nelson.

A life course perspective of sexual behavior and HIV/STD risk among men who have sex with men. - 46 p.

Source: Dissertation Abstracts International, Volume: 72-04, Section: B, page: .

Thesis (Ph.D.)--University of Washington, 2010.

Many sexually transmitted infections (STI), including HIV, disproportionately affect men who have sex with men (MSM). HIV and syphilis rates among MSM are estimated to be over 40 times higher than those among heterosexuals, yet most sexual behavior patterns that distinguish these populations have not been extensively characterized. Furthermore, research suggests that HIV/STI risk behaviors may be defined early in the sexual life course, however, little is known about the early partnership patterns of MSM. Therefore, I conducted studies that: 1) compared the sexual behaviors of MSM and heterosexuals focusing on how behavior patterns differed over the life course, and 2) described the feasibility of conducting a prospective study among young MSM and evaluated the reliability of self-reported sexual behavior and substance use data. In the first study, I assessed sexual behavior patterns among MSM and heterosexuals using four population-based surveys. I found that MSM initiate sexual activity at younger ages than heterosexuals, report more recent partners, continue to form new partnerships later into adulthood, and display more age-disassortative mixing and sex partner concurrency. These factors likely help explain the higher HIV/STI rates among MSM, despite higher levels of condom use and fewer sexual acts. In the second study, I assessed the feasibility of conducting a prospective study among young MSM and compared quantitative sexual behavior and substance use data collected in diaries and 3-month retrospective surveys. The study enrolled 95 relatively sexually inexperienced MSM, and nearly all measures had strong agreement between the diaries and surveys. Overall, sexual behavior and substance use data collected from young MSM during 3-month retrospective surveys, an interval commonly used in sexual behavior research, were largely adequate. In summary, these findings highlight how partnership formation patterns differed between MSM and heterosexuals over the life course in ways that facilitate HIV/STI transmission. A more comprehensive understanding of the earliest sexual behavior patterns of MSM may provide insight into how these subsequent patterns develop. The knowledge gained from the pilot cohort study will provide guidance for conducting a more definitive study of early partnership patterns among MSM and serve as a platform for intervention research.

ISBN: 9781124482989Subjects--Topical Terms:

1019544
Health Sciences, Epidemiology.

A life course perspective of sexual behavior and HIV/STD risk among men who have sex with men.
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245 1 2 $a A life course perspective of sexual behavior and HIV/STD risk among men who have sex with men.
300 $a 46 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-04, Section: B, page: .
500 $a Adviser: Matthew R. Golden.
502 $a Thesis (Ph.D.)--University of Washington, 2010.
520 $a Many sexually transmitted infections (STI), including HIV, disproportionately affect men who have sex with men (MSM). HIV and syphilis rates among MSM are estimated to be over 40 times higher than those among heterosexuals, yet most sexual behavior patterns that distinguish these populations have not been extensively characterized. Furthermore, research suggests that HIV/STI risk behaviors may be defined early in the sexual life course, however, little is known about the early partnership patterns of MSM. Therefore, I conducted studies that: 1) compared the sexual behaviors of MSM and heterosexuals focusing on how behavior patterns differed over the life course, and 2) described the feasibility of conducting a prospective study among young MSM and evaluated the reliability of self-reported sexual behavior and substance use data. In the first study, I assessed sexual behavior patterns among MSM and heterosexuals using four population-based surveys. I found that MSM initiate sexual activity at younger ages than heterosexuals, report more recent partners, continue to form new partnerships later into adulthood, and display more age-disassortative mixing and sex partner concurrency. These factors likely help explain the higher HIV/STI rates among MSM, despite higher levels of condom use and fewer sexual acts. In the second study, I assessed the feasibility of conducting a prospective study among young MSM and compared quantitative sexual behavior and substance use data collected in diaries and 3-month retrospective surveys. The study enrolled 95 relatively sexually inexperienced MSM, and nearly all measures had strong agreement between the diaries and surveys. Overall, sexual behavior and substance use data collected from young MSM during 3-month retrospective surveys, an interval commonly used in sexual behavior research, were largely adequate. In summary, these findings highlight how partnership formation patterns differed between MSM and heterosexuals over the life course in ways that facilitate HIV/STI transmission. A more comprehensive understanding of the earliest sexual behavior patterns of MSM may provide insight into how these subsequent patterns develop. The knowledge gained from the pilot cohort study will provide guidance for conducting a more definitive study of early partnership patterns among MSM and serve as a platform for intervention research.
590 $a School code: 0250.
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