caa a22 4500 606232699 CHVBK 20210128101228.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10508-014-0396-x doi (NATIONALLICENCE)springer-10.1007/s10508-014-0396-x Correlates of Unprotected Anal Intercourse: The Influence of Anal Sex Position Among Men Who Have Sex with Men in Beijing, China [Elektronische Daten] [Heng Zhang, Hongyan Lu, Stephen Pan, Dongyan Xia, Yuejuan Zhao, Yan Xiao, Xiong He, Hai Yue, Zheya Sun, Yunan Xu, Yuhua Ruan, Yiming Shao] Understanding barriers to consistent condom use among men who have sex with men (MSM) requires consideration of the context in which risk behaviors occur. Anal sex position is one such context. This pooled cross-sectional study used survey data from 1,230 MSM and their 2,618 reported male sexual partnerships. Overall, nearly half of the participants engaged in unprotected anal intercourse (UAI) with at least one of upto three partners in the past 6months. "Insertive” men engaged in less UAI (39%) than "receptive” (53%) or "versatile” (51%) men. Regardless of sexual position, UAI was associated with cohabiting with a male or female partner and perceiving great or moderate risk of HIV from male contact at the individual level, and steady (vs. casual) partnership at the dyad level. However, early MSM anal sex debut, high number of male partners, alcohol use, receiving and buying condoms, HIV testing, and MSM sex-seeking venues were found to be only statistically significantly correlated with UAI among some but not all sexual positions, implying that interventions to increase condom use should take into account how anal sex position may influence willingness and ability to engage in safer sex. Dyad level data appear to provide additional insight into the influence of sexual positions, and should be used to complement individual data for future intervention designs. Springer Science+Business Media New York, 2014 Men who have sex with men nationallicence Unprotected anal intercourse nationallicence Anal sex position nationallicence HIV nationallicence Sexual orientation nationallicence Zhang Heng Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut Lu Hongyan Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China aut Pan Stephen The School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada aut Xia Dongyan Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China aut Zhao Yuejuan Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China aut Xiao Yan Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut He Xiong Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China aut Yue Hai Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China aut Sun Zheya Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut Xu Yunan Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut Ruan Yuhua Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut Shao Yiming Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 375-387 0004-0002 44:2<375 2015 44 10508 https://doi.org/10.1007/s10508-014-0396-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0396-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zhang Heng Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Lu Hongyan Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Pan Stephen The School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada aut NATIONALLICENCE 700 1- Xia Dongyan Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Zhao Yuejuan Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Xiao Yan Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- He Xiong Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Yue Hai Beijing Center for Disease Control and Prevention, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Sun Zheya Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Xu Yunan Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Ruan Yuhua Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut NATIONALLICENCE 700 1- Shao Yiming Epidemiology and Biostatistics Branch of Division of Virology and Immunology, State Key Laboratory for Infectious Disease Prevention and Control, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206, Beijing, People's Republic of China aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 375-387 0004-0002 44:2<375 2015 44 10508