ArticleBMJ open2025
Factors associated with inconsistent condom use among men who have sex with men engaging in anal intercourse: a cross-sectional online survey.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
1 citing paper in PubMed.
- A comparative study of sociodemographic characteristics, health cognition, and risky sexual behaviors between MSMO and MSMW in Zhejiang Province, Eastern China.Frontiers in public health · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesInconsistent condom use (ICU) during anal sexual activity among men who have sex with men (MSM) can result in infection with HIV and other sexually transmitted infections (STIs). This study aimed to provide a scientific foundation for developing effective HIV prevention and control strategies for this population by analysing the prevalence of ICU and associated factors during anal sexual encounters among MSM recruited online.
designA cross-sectional online survey was performed. SETTING AND
participantsMSM were recruited online through a non-governmental organisation in May 2024 and completed a questionnaire survey in China. PRIMARY AND SECONDARY OUTCOME MEASURES: Based on whether the participants used condoms during anal sex with male partners, they were divided into two groups (ICU and non-ICU). Univariate and multivariate logistic regression analyses were used to analyse the factors associated with ICU.
resultsA total of 604 participants were analysed, of whom 400 (66.2%) reported ICU during anal sexual activity with homosexual partners. Multivariate logistic regression analysis indicated that participants who engaged in behaviours such as drinking alcohol, using drugs or taking performance-enhancing medications were more likely to have ICU during encounters with homosexual partners (adjusted OR (aOR) 2.93; 95% CI 1.64 to 5.47). Conversely, participants who had one-night stands (aOR 0.57; 95% CI 0.39 to 0.84), those with a self-efficacy score of 9 for condom use (aOR 0.47; 95% CI 0.29 to 0.77) and those who underwent HIV testing in the past year (aOR 0.39; 95% CI 0.21 to 0.68) were less likely to report ICU.
conclusionsA high proportion of participants reported ICU during sexual activity with homosexual partners. There is a need for education and awareness campaigns targeting MSM to promote consistent condom use during sexual activity, expand HIV testing coverage and discourage alcohol intake, drug use or use of enhancement medications during sexual encounters with homosexual partners to reduce the risk of contracting HIV and other STIs.
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