Table 5.
Sexual behaviours, risk perception, and sexual health outcomes reported by men who have sex exclusively with women (MSEW), all men who have sex with men (MSM), and MSM who identified as gay in Natsal-3
| MSEW | All MSM | MSM who identified as gayb | |||
|---|---|---|---|---|---|
| Denominators: a | 5069, 6257 | 190, 191 | 107, 99 | ||
| % [95 % CI] | % [95 % CI] | p-value* | % [95 % CI] | p-value** | |
| Sexual behaviours | |||||
| ≥10 partnersc, past year | 1.2 [0.9–1.5] | 13.4 [8.0–21.6] | 19.6 [10.5–33.7] | ||
| aAOR [95 % CI]d | 1.00 | 11.69 [6.06–22.54] | <0.001 | 15.91 [7.10–35.66] | <0.001 |
| Non-use of condoms at first sex with any of the three most recent partnersc, past year | 10.1 [9.3–11] | 15.2 [9.7–23.1] | 6.0 [3.2–10.9] | ||
| aAOR [95 % CI]d | 1.00 | 1.50 [0.91–2.49] | 0.114 | 0.66 [0.35–1.24] | 0.198 |
| Condomless sex with ≥2 partnersc, past year | 8.1 [7.3–8.9] | 24.6 [17.1–34.1] | 13.0 [6.6–24.3] | ||
| aAOR [95 % CI]d | 1.00 | 3.52 [2.13–5.83] | <0.001 | 1.86 [0.85–4.07] | 0.120 |
| Concurrent partnersc, past 5 years | 15.6 [14.5–16.7] | 52.4 [43.5–61.1] | 41.6 [29.7–54.5] | ||
| aAOR [95 % CI]d | 1.00 | 5.65 [3.85–8.30] | <0.001 | 3.66 [2.23–6.00] | <0.001 |
| Taken drugs to assist sexual performance, past year | 6.5 [5.7–7.3] | 19.1 [12.6–27.7] | 18.4 [9.8–31.7] | ||
| aAOR [95 % CI]d | 1.00 | 3.50 [2.06–5.93] | <0.001 | 3.72 [1.74–7.94] | 0.001 |
| STI/HIV risk perception | |||||
| Self-perceived STI risk | |||||
| Not at all at risk | 73.6 [72.2–74.9] | 31.5 [23.7–40.7] | 33.6 [22.4–46.9] | ||
| Not very much | 23 [21.7–24.3] | 51.1 [42.3–59.8] | 45.8 [34.1–58.0] | ||
| Quite a lot | 2.6 [2.2–3] | 11.9 [7.1–19.5] | 15.7 [8.6–27.0] | ||
| Greatly at risk | 0.9 [0.7–1.2] | 5.4 [2.3–12.4] | 4.9 [1.7–13.4] | ||
| AOR [95 % CI]e | 1.00 | 5.60 [3.28–9.56] | <0.001 | 7.04 [3.69–13.43] | <0.001 |
| Self-perceived HIV risk | |||||
| Not at all at risk | 76.0 [74.7–77.3] | 35.0 [27.0–43.9] | 39.2 [28.2–51.5] | ||
| Not very much | 21.0 [19.8–22.3] | 50.6 [41.6–59.5] | 44.5 [33.0–56.7] | ||
| Quite a lot | 1.9 [1.6–2.4] | 9.5 [5.9–14.9] | 10.9 [6.0–19.1] | ||
| Greatly at risk | 1.1 [0.8–1.4] | 4.9 [2.1–11.2] | 5.3 [2.0–13.7] | ||
| AOR [95 % CI]e | 1.00 | 5.44 [3.26–9.08] | <0.001 | 6.42 [3.67–11.23] | <0.001 |
| Sexual health outcomes | |||||
| Sexual health clinic attendance, past year | 14.1 [12.5–16] | 33.0 [24.8–42.4] | 31.9 [22.0–43.7] | ||
| AOR [95 % CI]e | 1.00 | 4.71 [2.58–8.58] | <0.001 | 4.53 [2.30–8.94] | <0.001 |
| Tested for HIV, past year | 3.4 [2.9–4] | 17.0 [12.0–23.4] | 21.7 [14.9–30.4] | ||
| AOR [95 % CI]e | 1.00 | 6.08 [3.92–9.41] | <0.001 | 9.44 [5.59–15.96] | <0.001 |
| STI diagnosis, past year | 0.9 [0.7–1.2] | 4.9 [2.6–9.2] | 6.3 [2.9–13.3] | ||
| AOR [95 % CI]e | 1.00 | 5.67 [2.67–12.04] | <0.001 | 7.85 [3.27–18.83] | <0.001 |
| Lowest quintile of distribution of scores for Natsal-SFf | 19.7 [18.4–21.1] | 36.2 [28.2–45.2] | 28.0 [17.9–40.9] | ||
| AOR [95 % CI]e | 1.00 | 2.28 [1.57–3.33] | <0.001 | 1.60 [0.95–2.69] | 0.079 |
| Feel distressed/worried about sex life | 10.2 [9.3–11.2] | 14.1 [9.0–21.2] | 12.7 [6.3–24.1] | ||
| AOR [95 % CI]e | 1.00 | 1.39 [0.85–2.27] | 0.194 | 1.14 [0.57–2.29] | 0.703 |
| Sought professional help/advice for sex life, past year | 7.1 [6.3–7.9] | 16.5 [11.0–24.0] | 14.2 [8.1–23.7] | ||
| AOR [95 % CI]e | 1.00 | 2.70 [1.65–4.42] | <0.001 | 3.04 [1.62–5.68] | 0.001 |
| Experienced attempted non-volitional sex, ever | 4.3 [3.7–5.0] | 22.8 [16.0–31.4] | 24.6 [15.1–37.4] | ||
| AOR [95 % CI]e | 1.00 | 6.51 [4.22–10.06] | <0.001 | 6.30 [3.66–10.83] | <0.001 |
All estimates are age-standardised
* p-value for comparing all MSM to MSEW
** p-value for comparing MSM who identified as gay in Natsal-3 to MSEW. Note that MSM who identify as gay are a subset of all MSM
aUnweighted, weighted denominators defined as participants who reported at least one sexual partner in the 5 years prior to interview
bMSM who identified as gay in Natsal-3 are a subset of all MSM
cPartners of either gender
dAge-adjusted odds ratio (aAOR) for reporting response relative to MSEW
eAOR - odds ratio for reporting response relative to MSEW adjusted for age, reporting recreational drug use, being treated depression (past year), educational attainment, smoking status, ethnicity, health condition that has affected sexual activity, and total partners numbers in the past 5 years
fAmong men reporting sex in the past year [14]