ArticleSexually transmitted diseases2016
Is Group Sex a Higher-Risk Setting for HIV and Other Sexually Transmitted Infections Compared With Dyadic Sex Among Men Who Have Sex With Men?
Article in Sexually transmitted diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed.
- "Very Safety-Conscious and Consent-Focused": Exploring Harm Reduction Practices at Group Sex Events.Archives of sexual behavior · 2026Article
- Machine Learning Identifies Sexual Behavior Subgroups Among Men Who Have Sex with Men in Switzerland.Archives of sexual behavior · 2025Article
- Sexual and drug use risk behaviour trajectories among people treated for recent HCV infection: the REACT study.Journal of the International AIDS Society · 2023Article
- Associations between Drug Use and Sexual Risk Behaviours among Men Who Have Sex with Men in Japan: Results from the Cross-Sectional LASH Study.International journal of environmental research and public health · 2023Article
- Sexual Activities and Changes in Condom Use in Group Sex Events Among Female Sex Workers in Melbourne, Australia.Frontiers in public health · 2022Article
- Countering the rise of syphilis: A role for doxycycline post-exposure prophylaxis?International journal of STD & AIDS · 2022Article
- Variations in Sexual Behaviors by Use of Specific Substances Among Vancouver Gay, Bisexual, and Other Men Who Have Sex with Men: An Event-Level Analysis.Archives of sexual behavior · 2021Article
- Correlates of group sex participation among men who have sex with men in Chongqing, Southwestern China.BMC public health · 2021Article
- Article
- Types of Group Sex and Their Association with Different Sexual Risk Behaviors Among HIV-Negative Men Who Have Sex with Men.Archives of sexual behavior · 2020Article
- Group Sex Events Among Cisgender Men Who Have Sex With Men: Cross-Sectional and Longitudinal Survey Study to Explore Participation and Risk-Taking Behaviors.JMIR research protocols · 2019Article
- Epidemiology of gonorrhoea: a global perspective.Sexual health · 2019Review
- Similar, but different: drivers of the disproportionate HIV and sexually transmitted infection burden of key populations.Journal of the International AIDS Society · 2019Article
- Condomless Group Sex Is Associated With HIV Pre-Exposure Prophylaxis Knowledge and Interest Uptake: A Cross-Sectional Study of Gay and Bisexual Men in Paris, France.AIDS education and prevention : official publication of the International Society for AIDS Education · 2019Article
- Sexual patterns and practices among men who have sex with men and transgender women in Thailand: A qualitative assessment.PloS one · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundGroup sex has been suggested as a potential high-risk setting for HIV and other sexually transmitted infections (STIs) among men who have sex with men (MSM). We investigated whether group sex is associated with lower condom use during anal sex and higher proportions of STIs compared with dyadic sex among HIV-negative MSM between 2009 and 2012.
methodsCross-sectional data from 7 data waves of the Amsterdam Cohort Studies were used. The sample consisted of 465 MSM who either reported both group and dyadic sex (at n = 706 visits) or dyadic sex only (at n = 1339 visits) in the preceding 6 months. Logistic regression with generalized estimating equations was used to investigate the association between sexual setting (group vs. dyadic sex), condomless anal sex, and STI.
resultsGroup sex was reported at 35% (706/2045) of visits. Condomless sex was more often reported during dyadic than group sex (odds ratio, 3.64 95% confidence interval, 2.57-5.16). Men who had group sex were more likely diagnosed as having gonorrhea compared with men with dyadic sex (odds ratio, 1.71; 95% confidence interval, 1.08-2.97), but this effect was not retained in the multivariate model.
conclusionsResults demonstrate within-person differences in sexual behavior during group and dyadic sex among MSM. Men were more likely to use condoms during group sex than during dyadic sex. Thus, for some, group sex may not necessarily be risky for HIV infection compared with dyadic sex. However, group sex may be a higher-risk setting for acquiring STIs other than HIV, such as gonorrhea. Group sex encounters should be recognized as distinct sexual settings with specific risk characteristics that need to be addressed accordingly.
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