Sexual Identity and Condomless Sex Among Mexican MSM
The Overlooked Role of Heterosexual-Identified MSM
Dados Bibliográficos
| ID | 10209759 |
|---|---|
| Autores | Fernando Macías-González (0000-0002-4731-3384, Clinical Research Consortium), Santiago Aguilera-Mijares (0000-0002-7354-1698, University of British Columbia), Piñeirúa-Menéndez Alicia (Clinical Research Consortium), Alicia Piñeirúa-Menendez (CISIDAT, Health Research Consortium), Sergio Bautista-Arredondo (0000-0001-8910-3011, Instituto Nacional de Salud Pública), Heleen Vermandere (0000-0003-1274-8537, Instituto Nacional de Salud Pública, autor correspondente) |
| Ano | 2026 |
| Volume | 63 |
| Fascículo | 7 |
| Páginas | 1-11 |
| Data de publicação | 2026-01-06 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | The Journal of Sex Research (JOURNAL) |
| Identificadores do periódico | ISSN: 0022-4499 • E-ISSN: 1559-8519 |
| Editora | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/00224499.2025.2607596 |
| PMID | 41493137 |
| OpenAlex | W7118983568 |
| Idioma | EN |
| Referências citadas | 47 |
HIV prevention efforts in Mexico often overlook heterosexual-identified men who have sex with men (H-MSM), a subgroup at elevated risk for HIV. Using data from the 2021-2022 National Survey on Sexual and Gender Diversity (ENDISEG), we examined condomless sex among cisgender MSM, categorizing participants by sexual identity (heterosexual vs. gay, bisexual, or other non-heterosexual), sexual behavior (only male partners vs. both male and female), and their combinations: H-MSM, H-MSMW, GB+MSM, and GB+MSMW. Among cisgender men, 3.9% ( n = 775) reported a male sexual partner in the past year, and 41% of them identified as heterosexual. Condomless sex was reported by 63.8% of MSM overall and was most common among H-MSM (74.4%). Probit regression analysis showed significantly lower probabilities of condomless sex among H-MSMW (-19.8%), GB+MSM (-14.8%), and GB+MSMW (-15.9%) compared to H-MSM. Additional risk factors included older age, lower education, and depression. These findings underscore the limitations of considering MSM as one group and reveal a sizable, high-risk subgroup that may be missed by current HIV programs. Effective prevention strategies must integrate sexual identity and behavior and be adapted to Mexico's sociocultural context. Identity-sensitive approaches, particularly for H-MSM and H-MSMW, are essential to reduce HIV transmission in this population
Ethnic group · Human immunodeficiency virus (HIV · Men who have sex with men · Reproductive health · Sexual behavior · Sexual identity · Sexual orientation · Sociocultural evolution · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy
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Recruiting and Engaging Heterosexual-Identified Men Who have Sex with Men
Male Bisexuality and Condom Use at Last Sexual Encounter
Reframing HIV prevention for gay men in the United States
Rethinking Sexual Initiation
Sexual Behaviors of Non-gay Identified Non-disclosing Men Who Have Sex with Men and Women
Stability of Bisexual Behavior and Extent of Viral Bridging Behavior Among Men Who Have Sex with Men and Women
HIV Acquisition and Transmission Potential Among African American Men Who Have Sex with Men and Women in Three U.S. Cities
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Sexual Orientation and Social Attitudes
Bud-sex, Dude-sex, and Heteroflexible Men
But Do Not Identify as Gay
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |