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Sex Tourism, Condomless Anal Intercourse, and HIV Risk Among Men Who Have Sex With Men

Harry-Hernández, Salem BA*; Park, Su Hyun PhD, MPH; Mayer, Kenneth H. MD; Kreski, Noah BA; Goedel, William C. BA; Hambrick, H. Rhodes BS; Brooks, Brandon MPH; Guilamo-Ramos, Vincent PhD, MPH, LCSW, RN, ANP-BC; Duncan, Dustin T. ScD

Journal of the Association of Nurses in AIDS Care: July-August 2019 - Volume 30 - Issue 4 - p 405–414
doi: 10.1097/JNC.0000000000000018
Research Article
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Sex tourism affects the sexual health of tourists and locals with whom they interact. However, a few studies have examined whether sex tourism is a risk factor for the acquisition of HIV and other sexually transmitted infections among men who have sex with men, and no such studies have been conducted in Western Europe. Almost 28% of our respondents reported engaging in sex tourism in their lifetime. Sex tourism was associated with an elevated risk of engagement in condomless receptive anal intercourse, use of alcohol/drugs during sex, participation in group sex, and an elevated risk of diagnosis with any type of sexually transmitted infection over the previous year, specifically gonorrhea and chlamydia. Research with men who have sex with men who engage in sex tourism should explore high-risk sexual behavior during sex tourism and also the feasibility and acceptability of the use of episodic pre-exposure prophylaxis for short periods of participation in elevated risk behaviors by tourists and local sex partners.

Salem Harry-Hernández, BA, is a Research Assistant, Spatial Epidemiology Lab, Department of Population Health, New York University School of Medicine, New York, New York, USA. Su Hyun Park, PhD, MPH, is a Data Analyst, Spatial Epidemiology Lab, Department of Population Health, New York University School of Medicine, New York, New York, USA. Kenneth H. Mayer, MD, is the Medical Research Director, Fenway Health, Fenway Institute, Boston, Massachusetts, USA, and Professor of Medicine, Division of Infectious Disease, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts, USA. Noah Kreski, BA, is a Research Assistant, Spatial Epidemiology Lab, Department of Population Health, New York University School of Medicine, New York, New York, USA. William C. Goedel, BA, is a Research Assistant, Spatial Epidemiology Lab, Department of Population Health, New York University School of Medicine, New York, New York, USA. H. Rhodes Hambrick, BS, is a Research Assistant, Spatial Epidemiology Lab, Department of Population Health, New York University School of Medicine, New York, New York, USA. Brandon Brooks, MPH, is a Research Coordinator, Spatial Epidemiology Lab, Department of Population Health, New York University School of Medicine, New York, New York, USA. Vincent Guilamo-Ramos, PhD, MPH, LCSW, RN, ANP-BC, is a Professor of Social Work, Center for Latino Adolescent and Family Health (CLAFH), Silver School of Social Work, New York University, New York, New York, USA. Dustin T. Duncan, ScD, is an Associate Professor, Department of Population Health, New York University School of Medicine, New York, New York, USA.

Corresponding author: Salem Harry-Hernández, e-mail: sharry@uchc.edu

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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