Factors associated with the increase in sexually transmitted infections in men: an integrative review

Authors

  • Cristina Lao-López Fundación Althaia
  • Neus Garriga-Comas Department of Public Health, Mental Health and Maternal and Child Health Nursing. Universitat de Barcelona https://orcid.org/0000-0002-6743-8598
  • Josefina Goberna-Tricas Departamento Enfermería Salud Pública, Salud Mental y Maternoinfantil. Universidad de Barcelona (UB), Barcelona, España. 4 Servicio de Ginecología y Obstetricia. Xarxa asistencial y universitaria del Bages (Althaia), Manresa, Barcelona, España https://orcid.org/0000-0002-3531-9009
DOI: https://doi.org/10.6018/eglobal.568951
Keywords: Associated factors; sexual conduct; sexual risk behavior; Sexually Transmitted Infections; men.

Abstract

Objective: To analyse the scientific evidence regarding the factors associated with risk behavior in men in relation to the increase in sexually transmitted infections (STIs).
Method: An integrative review based on a bibliographic search of the PubMed, WoS, CINHAL, and Cochrane databases.
Results/Discussion: 151 articles were identified applying the following selection criteria: a) use of English or Spanish, and b) publication between 2015 and 2021. 128 articles were discarded after reading the title and abstract, leaving a total of 23. In accordance with the adapted version of the Precede-Proceed Model, the following factors associated with the presence of STIs: predisposing factors: drug use, alcohol, multiple partners, STI diagnosis, post-exposure prophylaxis (PEP) administration, and sexual orientation; facilitating factors of risk behavior: unprotected sexual intercourse, needle exchange; and reinforcing factors/predictors of behavior change: early diagnosis, use of pre-exposure prophylaxis (PrEP), educational interventions and health programs. All these factors should be considered in a socio-demographic and cultural context along with factors such as age, country of origin, migrant status, work or income level, and educational level.
Conclusion: The prevalence of STIs has decreased, but further improvements are necessary. Identification of all the factors associated with risk behavior and the application of the Precede-Proceed method can help to strengthen the impact of educational interventions designed by health professionals with regard to changing sexual behavior.

Downloads

Download data is not yet available.

Author Biographies

Neus Garriga-Comas, Department of Public Health, Mental Health and Maternal and Child Health Nursing. Universitat de Barcelona

Midwife head of Obstetric Unit  Althaia Foundation, Manresa.

Doctor in Nursing Sciences from the University of Barcelona.

 

Josefina Goberna-Tricas, Departamento Enfermería Salud Pública, Salud Mental y Maternoinfantil. Universidad de Barcelona (UB), Barcelona, España. 4 Servicio de Ginecología y Obstetricia. Xarxa asistencial y universitaria del Bages (Althaia), Manresa, Barcelona, España

Tenured Lecturer. PhD. 

Researcher at ADHUC. Theory ,Gender, Sexuality Research Center. Universitat de Barcelona

References

Pérez-Morente MÁ, Campos-Escudero A, Sánchez-Ocón MT, Hueso-Montoro C. [Socio-demographic characteristics, indicators of risk and health care in relation to sexual transmission infections in migrant population of Granada]. Rev Esp Salud Publica [Internet]. 2019 Dec 2 [cited 2020 Jan 25];93. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31782411

Dirección General de salud pública C e I. Vigilancia epidemiológica del VIH y SIDA en España [Internet]. 2018 [cited 2020 Jan 25]. Available from: https://www.mscbs.gob.es/ciudadanos/enfLesiones/enfTransmisibles/sida/vigilancia/doc/InformeVIH_SIDA_2018_21112018.pdf

Vasilenko SA, Rice CE, Rosenberger JG. Patterns of Sexual Behavior and Sexually Transmitted Infections in Young Men Who Have Sex with Men. Sex Transm Dis. 2018 Jun 1;45(6):387–93.

Spindola T, da Fonte VRF, da Silva Figueiredo Lima G, de Moraes PC, Martins

ERC, dos Santos Soares BG. Jóvenes universitarios de género masculino y el

uso del preservativo. Enfermería Global [Internet]. 2022 Jul 2 [cited 2022 Dec

;21(3):185–220.Available from:

https://revistas.um.es/eglobal/article/view/4894

Deogan C, Jacobsson E, Mannheimer L, Björkenstam C. Meeting Sexual Partners Online and Associations With Sexual Risk Behaviors in the Swedish Population. In: Journal of Sexual Medicine [Internet]. Elsevier B.V.; 2020 [cited 2020 Nov 7]. Available from: https://pubmed.ncbi.nlm.nih.gov/32873533/

García J, Owen E, Flórez-Alarcón L. Aplicación del modelo Precede-Proceed para el diseño de un programa de educación en salud. Psicol y Salud. 2014;15(1):135–51.

Whittemore APRN R, Knafl Elizabeth Gray Distinguished Professor KN, Knafl K. The integrative review: updated methodology. J Adv Nurs [Internet]. 2005 Dec 1 [cited 2021 Nov 29];52(5):546–53. Available from: https://onlinelibrary-wiley-com.sire.ub.edu/doi/full/10.1111/j.1365-2648.2005.03621.x

Dal K, Mendes S, Cristina De Campos R, Silveira P, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Context - Enferm [Internet]. 2008 Dec [cited 2021 Nov 29];17(4):758–64. Available from: http://www.scielo.br/j/tce/a/XzFkq6tjWs4wHNqNjKJLkXQ/?lang=pt&format=html

Melnyk BM, Fineout-Overholt E, Stillwell SB, Williamson KM. Evidence-based practice: step by step: the seven steps of evidence-based practice. Am J Nurs [Internet]. 2010 Jan [cited 2021 Dec 5];110(1):51–3. Available from: https://pubmed-ncbi-nlm-nih-gov.sire.ub.edu/20032669/

Ballester-Arnal R, Gil-Llario MD, Ruiz-Palomino E, Giménez-García C. Effectiveness of a Brief Multi-Component Intervention to HIV Prevention Among Spanish Youth. AIDS Behav [Internet]. 2017 Sep 1 [cited 2020 Nov 7];21(9):2726–35. Available from: https://link.springer.com/article/10.1007/s10461-017-1815-5

Martinez O, Muñoz-Laboy M, Levine EC, Starks T, Dolezal C, Dodge B, et al. Relationship Factors Associated with Sexual Risk Behavior and High-Risk Alcohol Consumption Among Latino Men Who Have Sex with Men: Challenges and Opportunities to Intervene on HIV Risk. Arch Sex Behav [Internet]. 2017 May 1 [cited 2020 Nov 6];46(4):987–99. Available from: https://pubmed.ncbi.nlm.nih.gov/27633063/

Lim RBT, Tham DKT, Cheung ONY, Tai BC, Chan R, Wong ML. What are the factors associated with human immunodeficiency virus/sexually transmitted infection screening behaviour among heterosexual men patronising entertainment establishments who engaged in casual or paid sex? - Results from a cross-sectional survey in an Asian urban setting. BMC Infect Dis [Internet]. 2016 Dec 19 [cited 2020 Nov 7];16(1). Available from: https://pubmed-ncbi-nlm-nih-gov.sire.ub.edu/27993135/

Ballester-Arnal R, Salmerón-Sánchez P, Gil-Llario MD, Castro-Calvo J. Male Sex Workers in Spain: What has Changed in the Last Lustrum? A Comparison of Sociodemographic Data and HIV Sexual Risk Behaviors (2010–2015). AIDS Behav [Internet]. 2017 Aug 1 [cited 2020 Nov 7];21(8):2295–305. Available from: https://pubmed-ncbi-nlm-nih-gov.sire.ub.edu/27448691/

Cordova D, Lua FM, Muñoz-Velázquez J, Street K, Bauermeister JA, Fessler K, et al. A multilevel mHealth drug abuse and STI/HIV preventive intervention for clinic settings in the United States: A feasibility and acceptability study. PLoS One. 2019 Aug 1;14(8).

Esser S, Krotzek J, Dirks H, Scherbaum N, Schadendorf D. Sexual risk behavior, sexually transmitted infections, and HIV transmission risks in HIV-positive men who have sex with men (MSM) - approaches for medical prevention. J Dtsch Dermatol Ges [Internet]. 2017 Apr [cited 2020 Nov 6];15(4):421–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28294529

Achterbergh RCA, Drückler S, van Rooijen MS, van Aar F, Slurink IAL, de Vries HJC, et al. Sex, drugs, and sexually transmitted infections: A latent class analysis among men who have sex with men in Amsterdam and surrounding urban regions, the Netherlands. Drug Alcohol Depend [Internet]. 2020 Jan 1 [cited 2020 Nov 6];206. Available from: https://pubmed.ncbi.nlm.nih.gov/31783312/

González-Baeza A, Dolengevich-Segal H, Pérez-Valero I, Cabello A, Téllez MJ, Sanz J, et al. Sexualized Drug Use (Chemsex) Is Associated with High-Risk Sexual Behaviors and Sexually Transmitted Infections in HIV-Positive Men Who Have Sex with Men: Data from the U-SEX GESIDA 9416 Study. AIDS Patient Care STDS [Internet]. 2018 Mar 1 [cited 2020 Nov 7];32(3):112–8. Available from: https://pubmed-ncbi-nlm-nih-gov.sire.ub.edu/29620925/

Pitpitan E V., Semple SJ, Zians J, Strathdee SA, Patterson TL. Mood, Meth, Condom Use, and Gender: Latent Growth Curve Modeling Results from a Randomized Trial. AIDS Behav [Internet]. 2018 Sep 1 [cited 2020 Nov 8];22(9):2815–29. Available from: /pmc/articles/PMC6231985/?report=abstract

Maxwell S, Shahmanesh M, Gafos M. Chemsex behaviours among men who have sex with men: A systematic review of the literature. Int J Drug Policy [Internet]. 2019 Jan 1 [cited 2020 Nov 7];63:74–89. Available from: https://pubmed.ncbi.nlm.nih.gov/30513473/

George WH. Alcohol and Sexual Health Behavior: “What We Know and How We Know It.” Vol. 56, Journal of Sex Research. Routledge; 2019. p. 409–24.

Jones, Jamal; Salazar, Laura F;Crosby R. Contextual Factors and Sexual Risk Behaviors Among Young, Black Men. Am J Mens Health [Internet]. 2017 [cited 2020 Nov 8];11(3):508–17. Available from: https://www.cochranelibrary.com/central/doi/10.1002/central/CN-01602941/full

Bermúdez M de la P, Araújo LF de, Reyes AO, Hernández-Quero J, Teva I. Analysis of cognitive variables and sexual risk behaviors among infected and HIV-uninfected people from Spain. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV. 2016 Jul 2;28(7):890–7.

Platteau T, van Lankveld J, Ooms L, Florence E. Sexual Behavior and Sexually Transmitted Infections Among Swingers: Results From an Online Survey in Belgium. Vol. 43, Journal of Sex and Marital Therapy. Routledge; 2017. p. 709–19.

Reisner SL, Vetters R, White JM, Cohen EL, LeClerc M, Zaslow S, et al. Laboratory-confirmed HIV and sexually transmitted infection seropositivity and risk behavior among sexually active transgender patients at an adolescent and young adult urban community health center. https://doi-org.sire.ub.edu/101080/0954012120151020750 [Internet]. 2015 Aug 3 [cited 2022 Feb 13];27(8):1031–6. Available from: https://www-tandfonline-com.sire.ub.edu/doi/abs/10.1080/09540121.2015.1020750

Achterbergh RCA, van Rooijen MS, van den Brink W, Boyd A, de Vries HJC. Enhancing help-seeking behaviour among men who have sex with men at risk for sexually transmitted infections: the syn.bas.in randomised controlled trial. Sex Transm Infect [Internet]. 2020 Jul 31 [cited 2020 Nov 8];sextrans-2020-054438. Available from: https://pubmed.ncbi.nlm.nih.gov/32737210/

Llewellyn CD, Abraham C, Pollard A, Jones CI, Bremner S, Miners A, et al. A randomised controlled trial of a telephone administered brief HIV risk reduction intervention amongst men who have sex with men prescribed post-exposure prophylaxis for HIV after sexual exposure in the UK: Project PEPSE. PLoS One [Internet]. 2019 May 1 [cited 2020 Nov 8];14(5). Available from: /pmc/articles/PMC6532860/?report=abstract

Pharaon J, Bauch CT. The Impact of Pre-exposure Prophylaxis for Human Immunodeficiency Virus on Gonorrhea Prevalence. Bull Math Biol. 2020 Jul 1;82(7).

Traeger MW, Schroeder SE, Wright EJ, Hellard ME, Cornelisse VJ, Doyle JS, et al. Effects of Pre-exposure Prophylaxis for the Prevention of Human Immunodeficiency Virus Infection on Sexual Risk Behavior in Men Who Have Sex with Men: A Systematic Review and Meta-analysis. Clin Infect Dis [Internet]. 2018 Aug 16 [cited 2020 Nov 7];67(5):676–86. Available from: https://pubmed.ncbi.nlm.nih.gov/29509889/

Hoornenborg E, Coyer L, Van Laarhoven A, Achterbergh R, De Vries H, Prins M, et al. Change in sexual risk behaviour after 6 months of pre-exposure prophylaxis use: Results from the Amsterdam pre-exposure prophylaxis demonstration project. AIDS. 2018 Jul 17;32(11):1527–32.

Pan Y, Metsch LR, Gooden LK, Mantero AMA, Feaster DJ. The Disaggregated Repeated Measures Design: A Novel Approach to Assess Sexual Risk Behaviors. Arch Sex Behav [Internet]. 2020 [cited 2020 Nov 8]; Available from: https://pubmed.ncbi.nlm.nih.gov/32458301/

Published
02-04-2024
How to Cite
[1]
Lao-López, C. et al. 2024. Factors associated with the increase in sexually transmitted infections in men: an integrative review. Global Nursing. 23, 2 (Apr. 2024), 534–562. DOI:https://doi.org/10.6018/eglobal.568951.
Issue
Section
REVIEWS