Risk behaviors and HIV infection among homosexual men in St. Petersburg

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Abstract

Objective. Assessment of the epidemiological significance of a group of homosexual men in the spread of HIV infection in St. Petersburg.

Materials and methods. An integrated biobehavioral study among 400 homosexual men was conducted in 2022 during outreach visits to leisure places specialized for the group and in medical clinics in St. Petersburg.

Results. HIV prevalence was 7.8%, which is comparable to previous studies among homosexual men. The incidence is estimated at 2.1%. The group is characterized by high levels of awareness about HIV infection, coverage with testing and preventive interventions, as well as self-treatment. At the same time, every fourth HIV-positive man is not informed about his status. At the same time, the homosexual group is still characterized by a wide range and high prevalence of various risky sexual practices.

Conclusion. Prevention programs for homosexual men should take into account their behavioral and cognitive characteristics, focus on gaps in awareness of specific prevention opportunities and behavior change. It is also advisable to include services in the field of mental health and addictive behavior in preventive programs.

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About the authors

Igor G. Piskarev

Center for AIDS and Infectious Diseases

Author for correspondence.
Email: igor-doctor@mail.ru

Head, Department of Prevention and Medical and Social Work

Russian Federation, Saint Petersburg

Ksenia Yu. Eritsyan

Herzen State Pedagogical University

Email: ksenia.eritsyan@gmail.com
ORCID iD: 0000-0002-4400-0593

Cand. Psychol, Sci., Researcher, Laboratory of Cognitive Research in Education

Russian Federation, Saint Petersburg

Alesya B. Shagina

St. Petersburg Charitable Foundation «Humanitarian Action»

Email: sagina@haf-spb.org

Program Manager

Russian Federation, Saint Petersburg

Veronika G. Petrova

Center for AIDS and Infectious Diseases

Email: veronikaepid@yandex.ru

Methodologist, Department of Prevention and Medical and Social Work

Russian Federation, Saint Petersburg

Tatyana N. Vinogradova

Center for AIDS and Infectious Diseases

Email: vino75@mail.ru
ORCID iD: 0000-0003-1995-4755

Cand. Med. Sci., Chief Physician

Russian Federation, Saint Petersburg

Nina M. Usacheva

St. Petersburg State University

Email: n.usacheva@spbu.ru
ORCID iD: 0000-0001-8722-3976

Chief Specialist, RC «Center for Applied Sociology»

Russian Federation, Saint Petersburg

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