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?:about
?:abstract
  • "Objectives: To calculate estimates for group level trends among German men who have sex with men (MSM) regarding parameters related to HIV epidemiology: frequency of anal intercourse, consistency in condom use, risk-taking, numbers of sex partners, incident bacterial STIs, and HIV-testing behaviour. Methods: Data derived from six large cross-sectional national follow-up surveys among MSM, conducted between 1991 and 2007. Questionnaires were circulated with German magazines for gay men; in 2003/2007, online recruitment was added. 23,878 anonymously self-administered questionnaires were analyzed in multiple regression models for five subgroups. Results: With the normalization of AIDS, restriction of anal intercourse to primary partnerships has lost its relevance as a risk avoidance strategy for MSM. Other traditional risk reduction strategies among MSM in Germany showed a high degree of time stability: Between 1991 and 2007, condom use in anal intercourse has been relatively stable; numbers of sex partners have been rather constant. No positive trends in the use of Nitrite inhalants were seen, party drugs were increasingly used by a minority of gay men during the 1990s. The syphilis epidemic seen after 1999 among German gay men is well reflected in the survey data. No evidence was found for a concurrent rise in urethral gonorrhoea. The proportion of MSM with a recent HIV test has been continuously increasing. Conclusions: We found no evidence for increasing 'carelessness' or 'prevention fatigue'. However, given the increasing proportions of MSM who frequently engage in anal intercourse with casual partners, a rise in HIV incidence is likely; especially if accompanied by a syphilis epidemic. Time trend analyses of these large behavioural follow-up surveys suggest that the rise in new HIV diagnoses among MSM in Germany may partially reflect an increased uptake of HIV-testing, rather than new infections due to the erosion of condom use or increased numbers of sex partners." (author's abstract) (xsd:string)
?:citation
?:contributor
?:dateModified
  • 2009 (xsd:gyear)
?:datePublished
  • 2009 (xsd:gyear)
?:duplicate
?:editingInstitute
?:hasFulltext
  • true (xsd:boolean)
is ?:hasPart of
?:inLanguage
  • en (xsd:string)
?:linksURN
?:location
?:name
  • Trends in risk taking and risk reduction among German MSM: results of follow-up surveys "Gay men and AIDS" 1991-2007 (xsd:string)
?:provider
?:publicationType
  • Arbeitspapier (xsd:string)
?:reference
?:sourceInfo
  • GESIS-SSOAR (xsd:string)
rdf:type
?:url
?:urn
  • urn:nbn:de:0168-ssoar-259255 ()
?:volumeNumber
  • 2009-303 (xsd:string)