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Driving force of condomless sex after online intervention among Chinese men who have sex with men

BMC Public Health Jul 29, 2019

Huang W, et al. - Because condom use continues to be consistently low among Chinese men who have sex with men (MSM), researchers assessed factors linked to condom use following online video intervention. They collected data from an online non-inferiority trial that compared the efficacy of two condom use promotion video interventions among Chinese MSM. Participants from the two groups were merged, given that the effectiveness of two video interventions were shown to be non-inferior. Univariable and multivariable logistic regression were used to determine factors linked to condomless sex following the intervention during the follow-up interval. Over 1,100 participants were recruited at baseline, and 67.4% completed the 3-month follow-up survey. In all, 453 of 791 participants reported condomless sex after intervention in the 3-month follow-up interval. MSM under the influence of alcohol in the last 3 months and ever have had sex tourism at baseline displayed greater odds of having condomless sex after intervention in the 3-month follow-up period. MSM who had a higher level of community engagement in sexual health and who viewed additional condom promotion videos during the follow-up period by themselves were less likely to have condomless sex during the follow-up period. In all, the intervention seemed to be effective among MSM who reported viewing additional condom promotion videos by themselves and more community engagement following the intervention. In MSM who reported risky sexual behaviors at baseline, the intervention did not appear to be as effective. The investigators recommended individualizing intervention videos that target particular subgroups, active in-person community engagement, and optimized intervention frequency in future sexual health interventions.

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