Correlates of inconsistent condom use and drug use among men having sex with men in Poland: a cross-sectional study

Int J STD AIDS. 2020 Aug;31(9):894-902. doi: 10.1177/0956462420929136.

Abstract

The number of new human immunodeficiency virus (HIV) diagnoses is rising in many parts of Europe. We sought to evaluate the rising prevalence of new HIV diagnoses in Poland, where the majority of newly-diagnosed HIV cases are men having sex with men (MSM). This study aims to measure the prevalence of condom use and drug use and to identify risk factors for contracting sexually transmitted infections (STIs) among MSM in Poland by distributing an anonymous online survey aimed toward MSM. Among the 1438 participants who completed valid surveys, those with low education level and greater than 100 prior sexual partners showed the highest odds for inconsistent condom use (adjusted odds ratio [aOR] 3.027, 2.044, respectively). Participants who identified themselves as heterosexuals, with multiple sexual partners and living in big cities showed the highest odds for drug use (aOR 4.869, 3.305, 1.720, respectively). This study identifies groups at the highest risk of HIV/STIs and provides valuable information for public health experts to develop targeted STI prevention campaigns.

Keywords: Sexually transmitted infection; condom; drugs; human immunodeficiency virus; men having sex with men.

MeSH terms

  • Adult
  • Condoms / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • HIV Infections / epidemiology*
  • Homosexuality, Male / psychology
  • Homosexuality, Male / statistics & numerical data*
  • Humans
  • Male
  • Middle Aged
  • Poland / epidemiology
  • Risk-Taking
  • Sexual Partners*
  • Sexually Transmitted Diseases / epidemiology*
  • Substance-Related Disorders / epidemiology*
  • Young Adult