Amsterdam 2015
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| Abstract #2105 - Men and Sex | ||||
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Session: 31.2: Men and Sex (Oral Poster discussion) on Thursday @ 13.30-14.30 in Poster room 2 Chaired by Dana Rosenfeld, Jack Tocco Authors: Presenting Author: Ms Mathilde Coudray - SIS Reseau, France |
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| Additional Authors: | ||||
| Aim: Sida Info Service is the HIV/STI free and anonymous helpline of France’s SIS Association. This study centres on calls from men who have sex with men (MSM) between 2004 and 2014, and examines change in this group and their concerns. | ||||
| Method / Issue: After each call, the counsellors complete information on the caller and the counselling session. This study focuses on quantitative and qualitative data collected from 2004 to 2014. Male callers who referred to their homo/bisexuality, or had had a same gender sexual partner, were classified as MSM for the purposes of this study. A total of 5,264 MSM calls in 2004, 4,780 in 2008 and 10,565 in 2014 were analyzed with Modalisa software. | ||||
| Results / Comments: The proportion of MSM to the sum total of male callers has doubled from 8.3% in 2004 to 16.3% in 2014. At the same time the ratio of MSM first time callers has also increased, from 40.7% to 52.6%, likewise the percentage of MSM calling from outside the Paris region, up from 51.7% to 59.4%. The profile of MSM callers to Sida Info Service has diversified over ten years, along with their concerns. Disregarding the ten year time span, MSM refer more frequently to their sexual risks, compared to general callers. For the latter, the past decade has demonstrated a higher proportion of calls concerning sexual risks in 2014 than in 2004. In 2014, 22.6% spoke of a risk (any sexual practice with no condom or a broken condom) and 14.9% a major risk (anal or vaginal penetration with a broken/no condom), versus 13.1% and 8.9% in 2004. Simultaneously the ratio of MSM contacting the service after a sexual risk is lower in 2014 than in 2004: 44.4% and 22.3% as opposed to 59.4% and 24.3%. This variation applies equally to under 25s, MSM and general callers. Clearly, the main issue for MSM callers concerns risks for HIV/STIs: 77.9% in 2004 and 75.2% in 2014. New issues have emerged, such as Post-Exposure Prophylaxis (PEP), risk reduction with or without treatment, and Pre-Exposure Prophylaxis (PrEP). Counselling calls with MSM also include an increase in psychological and relational aspects (up from 21.1% in 2004 to 29.5% in 2014) and a fewer general questions on sexuality over the last decade (down from 7% in 2004 to 1.9% in 2014). | ||||
| Discussion: In the past decade the profile of men who have sex with men contacting Sida Info Service, has diversified and concerns have changed. Whereas in 2004 the majority of MSM requested urgent information on risks, today – probably due to wider social acceptance of homo/bisexuality – MSM discuss their sexuality as a whole plus related issues more frequently. | ||||
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