2020•International Journal of Sexual HealthOpen access

Lifetime Prevalence and Correlates of Female Condom Use for Anal Sex in a Geographically Diverse Sample of Men Who Have Sex with Men (MSM) in the United States

Elizabeth A. Kelvin, Viraj V. Patel, Chloe Mirzayi, Kathryn Anastos, Christian Grov

Abstract

OBJECTIVES: Examine use of the female condom (FC) for anal sex among Men who have sex with men (MSM) in the United States (US). METHODS: An online survey among 3,837 MSM. RESULTS: 5.2% had used the FC for anal sex. Use was higher among those who had used the FC for vaginal sex (OR=14.39, p<0.001), those with multiple partners, (OR=2.68, p=0.004), and those who were HIV-positive (OR=2.07, p<0.001) or on PrEP (OR=2.66, p<0.001). CONCLUSIONS: FC use for anal sex was associated with risk of HIV infection/transmission and may be a risk reduction strategy used by MSM in the US.

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Key concepts: Men who have sex with men, Anal sex, Demography, Condom, Medicine, Sex partners, Gynecology, Human immunodeficiency virus (HIV)