Factors associated with higher risk sexual behavior among men who have sex with men in Latvia

Published: December 13, 2011

BACKGROUND
According to preliminary data from the European MSM Internet Survey (EMIS), the percentage of MSM who have reported sexual behaviour which might be associated with higher risk of HIV transmission in Latvia is fifth highest among 38 European countries. The aim of this study is to investigate the possible associated factors in the risky sexual behaviour among MSM.

METHODS
In 2010, Latvia participated in EMIS. In data analysis, 708 valid questionnaires were included. As an indicator for the risky sexual behavior we have used the European Centre for Disease Control ‘behavioural’ surveillance indicator No 13 (ECDC13), which gives the percentage of respondents who have engaged in unprotected anal intercourse (UAI) with any male partners of unknown or discordant HIV serostatus in the last 12 months. After excluding those who have not had sex with men in last 12 months, along with missed responses, the actual number of valid questionnaires was 634. The ECDC13 indicator was estimated at 38.2%. Furthermore, different factors were analysed in order to find statistically significant associations with risky sexual behaviour, and a multinomial regression analysis was conducted to determine the independent effect of each factor to the result.

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