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AJPH First Look, published online ahead of print Feb 12, 2009
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AJPH.2007.127464v1
99/S1/S187    most recent
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April 2009, Vol 99, No. S1 | American Journal of Public Health S187-S192
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.127464

RESEARCH AND PRACTICE

Health Care Access and Sexually Transmitted Infection Screening Frequency Among At-Risk Massachusetts Men Who Have Sex With Men

Carey V. Johnson, MS, Matthew J. Mimiaga, ScD, MPH, Sari L. Reisner, MA, Ashley M. Tetu, BS, Kevin Cranston, MDiv, Thomas Bertrand, MPH, David S. Novak, MSW and Kenneth H. Mayer, MD

Carey V. Johnson, Matthew J. Mimiaga, Sari L. Reisner, and Ashley M. Tetu are with The Fenway Institute, Fenway Community Health, Boston, MA. Kevin Cranston is with the HIV/AIDS Bureau, Massachusetts Department of Public Health, Boston. At the time of the study, Thomas Bertrand and David S. Novak were with the Bureau of Communicable Disease Control, Massachusetts Department of Public Health, Boston. Kenneth H. Mayer is with Brown Medical School, Providence, RI.

Correspondence: Requests for reprints should be sent to Matthew J. Mimiaga, The Fenway Institute, Fenway Community Health, 7 Haviland St, Boston, MA 02115-2683 (e-mail: mmimiaga{at}fenwayhealth.org).

Objectives. We sought to assess risk exposures, health care access, and screening rates for HIV and sexually transmitted infections (STIs) among men who have sex with men (MSM) in Massachusetts.

Methods. We used a modified respondent-driven sampling method to collect data between March 2006 and May 2007. Overall, 126 MSM completed a survey.

Results. Seventy percent of participants reported unprotected receptive anal intercourse with at least 1 nonmonogamous male partner; 50% reported having had a previous STI. Although 98% had visited a health care provider in the previous year, 39% had not been screened for STIs during the previous 2 years. Bisexual respondents were less likely to have told their health care providers that they engage in male-to-male sexual contact (OR = 4.66; P < .001), less likely to have been tested for STIs during in the previous 2 years (OR = 6.91; P < .001), and more likely to engage in insertive anal intercourse without a condom with an HIV-infected partner (OR = 5.04; P < .005) than were non-bisexual respondents.

Conclusions. Clinicians need to assess sexual risk-taking behaviors and more routinely screen for STIs among sexually active men regardless of disclosure of a history of having sex with men.






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