Table 4. Sexual practices of Canadian participants in the EMIS-2017 (N=5,165).
| Characteristics | British Columbia + Yukon (n=1,191)a |
Alberta + Northwest Territories (n=710)a |
Saskatchewan + Manitoba (n=339)a |
Ontario + Nunavut (n=1,707)a |
Quebec (n=789)a |
Atlantic Provinces (n=429)a |
Total (N=5,165)a |
|||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| n | % | n | % | n | % | n | % | n | % | n | % | n | % | |
| Nonsober sex (last 12 months)b | ||||||||||||||
| None of it | 362 | 33.1 | 252 | 41.0 | 125 | 41.7 | 533 | 35.0 | 253 | 35.8 | 160 | 44.3 | 1,685 | 36.6 |
| Almost none of it | 278 | 25.4 | 174 | 28.3 | 81 | 27.0 | 380 | 25.0 | 171 | 24.2 | 87 | 24.1 | 1,171 | 25.5 |
| Less than half | 141 | 12.9 | 71 | 11.6 | 26 | 8.7 | 209 | 13.7 | 92 | 13.0 | 42 | 11.6 | 581 | 12.6 |
| About half | 115 | 10.5 | 42 | 6.8 | 21 | 7.0 | 122 | 8.0 | 67 | 9.5 | 24 | 6.6 | 391 | 8.5 |
| More than half | 74 | 6.8 | 27 | 4.4 | 9 | 3.0 | 111 | 7.3 | 49 | 6.9 | 16 | 4.4 | 286 | 6.2 |
| Almost all of it | 97 | 8.9 | 31 | 5.0 | 31 | 10.3 | 121 | 8.0 | 58 | 8.2 | 23 | 6.4 | 361 | 7.8 |
| All of it | 28 | 2.6 | 17 | 2.8 | 7 | 2.3 | 46 | 3.0 | 17 | 2.4 | 9 | 2.5 | 124 | 2.7 |
| Recency of chemsexc | ||||||||||||||
| Within six months | 95 | 8.1 | 26 | 3.7 | 11 | 3.3 | 105 | 6.2 | 47 | 6.0 | 14 | 3.3 | 298 | 5.8 |
| Six months to a year | 76 | 6.5 | 56 | 7.9 | 14 | 4.1 | 127 | 7.5 | 50 | 6.4 | 20 | 4.7 | 343 | 6.7 |
| 1–5 years ago | 50 | 4.2 | 37 | 5.2 | 10 | 3.0 | 62 | 3.7 | 31 | 3.9 | 12 | 2.8 | 202 | 3.9 |
| 5+ years ago | 77 | 6.5 | 31 | 4.4 | 8 | 2.4 | 84 | 5.0 | 40 | 5.1 | 20 | 4.7 | 260 | 5.1 |
| Never | 879 | 74.7 | 558 | 78.8 | 295 | 87.3 | 1,311 | 77.6 | 617 | 78.6 | 357 | 84.4 | 4,017 | 78.5 |
| Anal intercourse with casual partners (participants of any HIV status)d | ||||||||||||||
| No anal intercourse | 420 | 36 | 258 | 36.7 | 125 | 37.3 | 632 | 37.8 | 308 | 39.6 | 181 | 42.9 | 1,924 | 37.9 |
| Any anal intercourse | 748 | 64 | 444 | 63.3 | 210 | 62.7 | 1,038 | 62.2 | 470 | 60.4 | 241 | 57.1 | 3,151 | 62.1 |
| Consistent condom use with casual partners (participants of any HIV status)e | ||||||||||||||
| Non-consistent condom use | 561 | 75.0 | 327 | 73.6 | 160 | 76.2 | 765 | 73.8 | 320 | 68.2 | 185 | 76.8 | 2,318 | 73.6 |
| Consistent condom use | 187 | 25.0 | 117 | 26.4 | 50 | 23.8 | 272 | 26.2 | 149 | 31.8 | 56 | 23.2 | 831 | 26.4 |
| Any CAI by HIV-negative men, on PrEPf | ||||||||||||||
| No CAI | – | – | – | – | – | – | – | – | – | – | – | – | 30 | 8.7 |
| Any CAI | – | – | – | – | – | – | – | – | – | – | – | – | 314 | 91.3 |
| Any CAI among HIV-negative or HIV-unknown men not on PrEPg | ||||||||||||||
| No CAI | 180 | 26.5 | 114 | 27.4 | 50 | 25.1 | 265 | 29.5 | 134 | 36.1 | 54 | 23.4 | 797 | 28.5 |
| Any CAI | 498 | 73.5 | 302 | 72.6 | 149 | 74.9 | 632 | 70.5 | 237 | 63.9 | 177 | 76.6 | 1,995 | 71.5 |
| Any CAI by HIV-positive men, on treatment, undetectable viral loadh | ||||||||||||||
| No CAI | – | – | – | – | – | – | – | – | – | – | – | – | 22 | 7.3 |
| Any CAI | – | – | – | – | – | – | – | – | – | – | – | – | 278 | 92.7 |
| Any CAI among HIV-positive men not on treatment and detectable viral loadi | ||||||||||||||
| No CAI | – | – | – | – | – | – | – | – | – | – | – | – | 12 | 85.7 |
| Any CAI | – | – | – | – | – | – | – | – | – | – | – | – | 2 | 14.3 |
| Paid a man to have sex | ||||||||||||||
| Within 12 months | 57 | 4.9 | 33 | 4.8 | 24 | 7.4 | 108 | 6.6 | 51 | 6.8 | 14 | 3.5 | 287 | 5.8 |
| 1–5 years | 61 | 5.3 | 27 | 4.0 | 15 | 4.6 | 89 | 5.4 | 34 | 4.5 | 16 | 4.0 | 242 | 4.9 |
| 5+ years | 78 | 6.7 | 31 | 4.6 | 19 | 5.9 | 113 | 6.9 | 38 | 5.1 | 18 | 4.4 | 297 | 6.0 |
| Never | 961 | 83.1 | 590 | 86.6 | 266 | 82.1 | 1,333 | 81.1 | 626 | 83.6 | 357 | 88.1 | 4,133 | 83.3 |
| Paid by a man to have sex | ||||||||||||||
| Within 12 months | 40 | 3.5 | 30 | 4.4 | 7 | 2.2 | 67 | 4.1 | 36 | 4.8 | 20 | 4.9 | 200 | 4.0 |
| 1–5 years ago | 44 | 3.8 | 22 | 3.2 | 12 | 3.7 | 72 | 4.4 | 44 | 5.9 | 17 | 4.2 | 211 | 4.3 |
| 5+ years ago | 114 | 9.9 | 43 | 6.3 | 24 | 7.4 | 153 | 9.3 | 33 | 4.4 | 25 | 6.2 | 392 | 7.9 |
| Never | 959 | 82.9 | 586 | 86.0 | 281 | 86.7 | 1,353 | 82.2 | 637 | 84.9 | 344 | 84.7 | 4,160 | 83.8 |
Abbreviations: CAI,condomless anal intercourse; PrEP, preexposure prophylaxis; –, numbers were suppressed due to small cell sizes
a The total counts for each characteristic do not always add up to the provincial totals because only participants with non-missing values were included. Missing values make up less than 5% of the totals
b Among men who have had sex with a man in last 12 months (N=4,599)
c Used stimulant drugs to make sex more intense or last longer. Note: The stimulant drugs include ecstasy/MDMA, cocaine, amphetamine (speed), crystal methamphetamine (Tina, Pervitin), mephedrone and ketamine
d Among men of any HIV status who had one or more casual partners in the last 12 months (N=5,075)
e Among men of any HIV status who had anal intercourse with one or more casual partners in the last 12 months (N=3,149)
f Among HIV-negative men on PrEP who had anal intercourse with one or more casual partners in last 12 months (N=344)
g Among HIV-negative or untested men not on PrEP who had anal intercourse with one or more casual partners in last 12 months (N=2,792)
h Among HIV-positive men on treatment and undetectable viral load who had anal intercourse with one or more casual partners in last 12 months (N=300)
i Among HIV-positive men not on treatment and with a detectable viral load who had anal intercourse with one or more casual partners in last 12 months (N=21)