A Pilot Study of HIV/STI Risk among Men Having Sex with Men Using Erectile Dysfunction Medications: Challenges and Opportunities for Sexual Medicine Physicians

Heather Honoré Goltz, David Coon, Joseph A. Catania, David M. Latini

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction. A growing literature suggests relationships between erectile dysfunction medications (EDM) and riskier sexual behavior among men who have sex with men (MSM). Questions remain concerning EDM use and related HIV/sexually transmitted infections (STI) risk among older MSM, particularly those 40 years and over, for whom EDM may be medically warranted. Aim. This exploratory pilot study explores the relationship between EDM and risky sexual behavior in a convenience sample of MSM using EDM and attending historic sex-on-premises venues. Methods. We examined anonymous surveys from 139 MSM. Bivariate relationships were examined. We then fit a multiple logistic regression model to determine predictors of engaging in unprotected anal intercourse (UAI) at last EDM, using variables identified as being significantly related to UAI in the bivariate analyses. Potential predictors entered the model in a stepwise fashion. Main Outcome Measures. The primary outcome measure was engaging in UAI at last EDM use. Results. MSM participating in the study ranged from 27 to 77 years and averaged 52.0 years (standard deviation=10.73 years). These participants were primarily older MSM; fewer were younger MSM (12.12%), under age 40. Participants reporting UAI at last EDM use (N=41) were significantly younger (P<0.01). Men visiting bars within the last 6 months reported less UAI (P<0.01). Both variables were independent predictors of UAI in the logistic regression model (P<0.01). Conclusions. Similar to reports from younger MSM, our findings suggest older MSM using EDM and reporting UAI are also recreational drug users. We include recommendations for urologists and other sexual medicine physicians treating MSM who may be at elevated risk for HIV/STI infection because of joint EDM and club drug use. Goltz HH, Coon DW, Catania JA, and Latini DM. A pilot study of HIV/STI risk among men having sex with men using erectile dysfunction medications: Challenges and opportunities for sexual medicine physicians.

Original languageEnglish (US)
Pages (from-to)3189-3197
Number of pages9
JournalJournal of Sexual Medicine
Volume9
Issue number12
DOIs
StatePublished - Dec 2012

Fingerprint

Erectile Dysfunction
Sexually Transmitted Diseases
Medicine
HIV
Physicians
Logistic Models
Sexual Behavior
Outcome Assessment (Health Care)
Street Drugs
Drug Users
Joints

Keywords

  • Erectile dysfunction medications
  • HIV/STI risk behavior
  • MSM
  • Recreational ED drug use

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

A Pilot Study of HIV/STI Risk among Men Having Sex with Men Using Erectile Dysfunction Medications : Challenges and Opportunities for Sexual Medicine Physicians. / Goltz, Heather Honoré; Coon, David; Catania, Joseph A.; Latini, David M.

In: Journal of Sexual Medicine, Vol. 9, No. 12, 12.2012, p. 3189-3197.

Research output: Contribution to journalArticle

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abstract = "Introduction. A growing literature suggests relationships between erectile dysfunction medications (EDM) and riskier sexual behavior among men who have sex with men (MSM). Questions remain concerning EDM use and related HIV/sexually transmitted infections (STI) risk among older MSM, particularly those 40 years and over, for whom EDM may be medically warranted. Aim. This exploratory pilot study explores the relationship between EDM and risky sexual behavior in a convenience sample of MSM using EDM and attending historic sex-on-premises venues. Methods. We examined anonymous surveys from 139 MSM. Bivariate relationships were examined. We then fit a multiple logistic regression model to determine predictors of engaging in unprotected anal intercourse (UAI) at last EDM, using variables identified as being significantly related to UAI in the bivariate analyses. Potential predictors entered the model in a stepwise fashion. Main Outcome Measures. The primary outcome measure was engaging in UAI at last EDM use. Results. MSM participating in the study ranged from 27 to 77 years and averaged 52.0 years (standard deviation=10.73 years). These participants were primarily older MSM; fewer were younger MSM (12.12{\%}), under age 40. Participants reporting UAI at last EDM use (N=41) were significantly younger (P<0.01). Men visiting bars within the last 6 months reported less UAI (P<0.01). Both variables were independent predictors of UAI in the logistic regression model (P<0.01). Conclusions. Similar to reports from younger MSM, our findings suggest older MSM using EDM and reporting UAI are also recreational drug users. We include recommendations for urologists and other sexual medicine physicians treating MSM who may be at elevated risk for HIV/STI infection because of joint EDM and club drug use. Goltz HH, Coon DW, Catania JA, and Latini DM. A pilot study of HIV/STI risk among men having sex with men using erectile dysfunction medications: Challenges and opportunities for sexual medicine physicians.",
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