HIV transmissn risk at a gay bathhoe - PubMed

Contents:

• GAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA--RULTS OF A META-ANALYSIS
• WHAT I LEARNED OM TTG MEN FOR HIV AT GAY BATHHO
• GAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA—RULTS OF A META‐ANALYSIS
• HIV TRANSMISSN RISK AT A GAY BATHHOE
• GAY SNA AND HIV RISK
• VIS TO GAY SNA
• REV. STEPHEN PIETERS, HIV SURVIVOR AND GAY ACTIVIST, DI AT 70

GAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA--RULTS OF A META-ANALYSIS

Gay snas and the risks of HIV and syphilis transmissns Cha--rults of a meta-analysis. The aim of this study was to vtigate the associatns between HIV/syphilis prevalence and the typ of venu, namely snas, parks, gay bars, and the Inter, which are mostly ed for sourcg male sex partners by MSM Cha.

47% (gay bars), 14. 18% (gay snas), and 8. 38% (gay snas), 2.

90% (gay bars).

WHAT I LEARNED OM TTG MEN FOR HIV AT GAY BATHHO

The rults of this study suggt that those sourcg partners maly om gay snas have higher prevalence of HIV/syphilis when pared wh those dog so via the Inter or gay bars.

AimsThe aim of this study was to vtigate the associatns between HIV/syphilis prevalence and the typ of venu, namely snas, parks, gay bars, and the Inter, which are mostly ed for sourcg male sex partners by MSM Cha. ConclnsThe rults of this study suggt that those sourcg partners maly om gay snas have higher prevalence of HIV/syphilis when pared wh those dog so via the Inter or gay bars.

Gay snas and the risks of HIV and syphilis transmissns Cha—rults of a meta‐analysis.

GAY SNAS AND THE RISKS OF HIV AND SYPHILIS TRANSMISSNS CHA—RULTS OF A META‐ANALYSIS

Keywords: Men Who Have Sex wh Men (MSM), Gay Sna, Syphilis, HIV, Meta‐Analysis, ChaIntroductnThe human immunoficiency vis (HIV) prevalence among men who have sex wh men (MSM) Cha has been creasg sharply [1]. The lack of social space for datg among MSM may force them to rec male sex partners om venu such as gay bars, gay snas, or via gay webs 8, 9. Concentrated high‐risk behavrs occur gay venu.

Paradoxilly, such venu also provi a platform for offerg stctured venue‐based HIV terventns targetg MSM [10] of the surveys targetg MSM llected data om gay venu or via the Inter 11, 12, 13, 14, 15, 16, 17. For stance, prev studi that were nducted Hong Kong and the Uned Kgdom showed that participants reced via the Inter had higher prevalence of risk behavrs such as unprotected anal terurse (UAI) and multiple partnerships, as pared wh those reced om other gay venu 18, 19. Other studi showed that participants reced om some venu, such as gay snas, had higher prevalence of HIV/sexually transmted disease (STD), as pared wh participants reced om other sourc 20, 21.

35 [3] snas operate que openly Cha—rmatn and addrs are available most of the Che gay webs and are known to the majory of MSM. Some untri, excludg Cha, have tablished polici erng gay snas or have hoe l wh snas to rce the chance of havg high‐risk behavrs occurrg on‐se [22]. Preventn efforts targetg gay snas Cha are at the prelimary stage.

HIV TRANSMISSN RISK AT A GAY BATHHOE

In some dividual ci Cha, limed but sporadic outreach work gay snas has been provid by some peer MSM health tors. Neverthels, there are studi showg that ndom availabily is a factor associated wh UAI takg place gay snas 12, 23, 24.

GAY SNA AND HIV RISK

There are fact two different typ of studi regardg gay venu—those vtigatg variatns by se of partner sourcg and those vtigatg variatns by se of data llectn. Regardg the latter, a rponnt reced om a bar, for stance, may also go to snas or other gay venu so that the terpretatn is ls specific than sounds.

It is important to fd out whether havg gay sna and/or other gay venu as the ma s for sourcg sex partners is gog to talyze HIV/STD transmissns Cha. The rults have important policy and programmg the 2008 natnal survey nducted Cha [2], a qutn asked about the type of venue where the MSM rponnts mostly sourced their sex partners (gay snas, gay bars, Inter, and parks). ” A sgle rponse was allowed, cludg gay snas, gay bars, the Inter, or parks.

VIS TO GAY SNA

DiscsnThe rults of this study suggt that those sourcg male sex partners mostly om snas the 10 ci Cha were at higher risk of ntractg HIV and syphilis, as pared wh those om gay bars or the Inter. 18% of the sampled MSM sourced male sex partners mostly om gay snas, their ndom‐e behavrs would have a high impact onto the HIV epimic among MSM Cha, as their risk of ntractg HIV and syphilis was higher than those mostly sourcg sex partners om the Inter and om bars. Patrons of gay snas may vis gay snas equently and they may vis multiple snas wh the same time perd—large, tensive, and overlappg sexual works are therefore created by sna goers.

Studi vtigatg the stcture of sexual works among MSM are warranted Cha 4, are reasons why gay snas Cha are nducive to HIV transmissns. Prev studi showed that factors cludg ndom availabily, lack of munitn, and physil settgs were associated wh UAI wh gay snas 24, 32, 33. Condoms found the snas might be ed as evince police prosecutn; hence, vendg mach are hence not stalled gay snas Cha.

This is, however, not the se regardg gay snas Cha, which have been shown to have a potentially important role HIV/STD transmissns. It is arguable whether gay snas Cha should be shut down.

REV. STEPHEN PIETERS, HIV SURVIVOR AND GAY ACTIVIST, DI AT 70

HIV workers may argue that closure of snas would make MSM even “harr‐to‐reach, ” as they approach MSM for HIV preventn maly through venu such as gay snas. Therefore, even high verage of ttg may not be able to stop HIV transmissn gay ternatnal lerature, no siar meta‐analysis had been nducted. Some of the reported that participants sampled om gay snas have higher HIV prevalence as pared wh those sampled om other venu such as gay bars and gay clubs 21, 28.