Project Objectives • To learn more about the behaviors that put MN gay and bisexual men at risk for HIV and other STDs • To assess HIV testing behaviors among gay/bisexual men in MN • To assess exposure to, use, and impact of prevention services among gay/bisexual men in MN Data Source: Twin Cities Men’s Health Survey How Was the Project Conducted? Based on a convenience sample of men attending 2004 Twin Cities GLBT Pride Festival Men were randomly approached and asked to participate Males 18 years of age or older were eligible to participate Face-to-face interviews were conducted using handheld computers 966 persons were asked to participate in the survey. Of these, 418 accepted and were eligible. A total of 379 completed the interview. Data Source: Twin Cities Men’s Health Survey How Will Project Results Be Used? To help inform the MN HIV community planning process - Contribute to the statewide HIV Prevention Plan To help guide the development and implementation of MN HIV and STD prevention programs Data Source: Twin Cities Men’s Health Survey Participant Characteristics (N=379) Age (years) 19 and under 20 – 29 30 – 39 40 – 49 50 and older Data Source: Twin Cities Men’s Health Survey Number 18 121 101 97 42 Percent 5% 32% 27% 26% 11% Participant Characteristics (N=379) Race / Ethnicity Number Percent White 306 81% Black 22 6% Multi-racial 25 7% Other* 24 6% Hispanic# 17 4% * Other includes American Indian, Asian/Pacific Islander, and Other # Hispanic includes all races Data Source: Twin Cities Men’s Health Survey Participant Characteristics (N=379) Sexual Identity Gay Bisexual Heterosexual Data Source: Twin Cities Men’s Health Survey Number 304 27 48 Percent 80% 7% 13% Participant Characteristics (N=379) Education 9th – 11th grade High School graduate Some college College degree Graduate school Data Source: Twin Cities Men’s Health Survey Number 7 53 128 121 70 Percent 2% 14% 34% 32% 18% Participant Characteristics (N=379) County of Residence Number Percent Hennepin 236 62% Ramsey 34 9% Other metro* 30 8% Greater MN 37 10% Not MN Resident 38 10% 4 1% Unknown * Other metro counties includes Anoka, Carver, Dakota, Scott and Washington Data Source: Twin Cities Men’s Health Survey Participant Characteristics (N=379) Country of Origin United States Other* Number 353 26 Percent 93% 7% *‘Other represents 22 countries including England, Germany, Italy, Russia, South Africa, Togo, Columbia, Costa Rica, and Panama Data Source: Twin Cities Men’s Health Survey Gender of Sexual Partners in the past 12 months (N=378) Number 32 % 8% Female Partners only 46 12% Male Partners only 286 76% Both Male and Female Partners 14 4% No Partners Data Source: Twin Cities Men’s Health Survey Number of Male Sexual Partners in the past 12 months (N=379) Number 78 % 21% Single Partner 112 30% Multiple Partners 189 50% No Male Partners 2 - 4 partners 96 (25%) 5 - 9 partners 41 (11%) 10 or more partners 52 (14%) Data Source: Twin Cities Men’s Health Survey Type & HIV status of Partner during last sexual encounter MSM with Single Partner MSM with Multiple Partners N = 112 N = 189 Number % Number % 95 17 0 0 85% 15% --- 78 106 3 2 41% 56% 2% 1% 100 11 1 0 89% 10% < 1% -- 147 14 1 27 78% 7% < 1% 14% Type of Partner Steady Casual Exchange* Unknown Partner HIV status Negative Positive Never tested Unknown *‘Exchange partner is someone the participant had sex with in exchange for money, drugs, housing, or transportation. Data Source: Twin Cities Men’s Health Survey Drug use before or during sex at last sexual encounter None Alcohol or Drugs Both Alcohol and Drugs Data Source: Twin Cities Men’s Health Survey MSM with Single Partner MSM with Multiple Partners N = 112 N = 189 Number 95 15 2 % 85% 13% 2% Number 127 57 4 % 68% 30% 2% Anal Sex among MSM in past 12 months & during last sexual encounter MSM with Single Partner N = 112 Number % MSM with Multiple Partners N = 189 Number % Past 12 months Anal Sex 86 77% 155 82% Last sexual encounter Insertive anal sex Receptive anal sex 41 30 37% 27% 85 64 45% 34% Data Source: Twin Cities Men’s Health Survey Venues for Meeting Sexual Partners in past 12 months Bar or Club Circuit Party Internet Phone Chat Line Park / Other Public area Adult Bookstore / Theater Bathhouse or Sex Club Private Sex Party None of the above* MSM with Single Partner MSM with Multiple Partners N = 112 N = 189 Number % Number % 17 1 17 3 2 2 --70 15% < 1% 15% 3% 2% 2% --62% 89 9 98 27 26 8 21 21 -- 47% 5% 52% 14% 14% 4% 11% 11% -- * Choice available to single partner only Data Source: Twin Cities Men’s Health Survey Drug Use (N=379) Ever injected drugs Injected drugs in last 12 months Non-injection drugs in past 12 months Data Source: Twin Cities Men’s Health Survey Number 26 % 7% 4 1% 145 38% Frequency of Non-Injection Drug Use in the past 12 months (N=145) Number 15 % 10% Once a week or more, less than once a day 31 21% Once a month or more, less than once a week 37 26% Less than once a month 62 43% Once a day or more Data Source: Twin Cities Men’s Health Survey Type of Non-Injection Drugs Used in past 12 months (N=145) Respondents chose all that applied Crystal, Amphetamines Crack Cocaine Oxycotin, Vicodin, Pain killers Ecstasy Marijuana Poppers Mushrooms Viagra Data Source: Twin Cities Men’s Health Survey Number % 17 10 19 15 13 116 50 21 23 12% 7% 13% 10% 9% 80% 34% 14% 16% HIV Testing History (N=379) Number 335 % 88% Received HIV Test in 2004 137 41% Result of most recent HIV test Positive Negative Pending Never picked up result 26 300 6 3 8% 89% 2% 1% Ever tested for HIV Data Source: Twin Cities Men’s Health Survey Prevention Services Received and Utilized in the past 12 months (N=379) Received… If received, Used… Number % Number % Free condoms 268 71% 168 63% HIV / STD Prevention Literature 265 70% 237 89% Referral for HIV testing 54 14% 29 62% Referral for STD testing 43 11% 24 56% Data Source: Twin Cities Men’s Health Survey Project Limitations Results are based on men attending 2004 Pride and do not necessarily represent all gay/bi-sexual men in Minnesota Did not collect information on non-participants; Potential for bias exists if participants and non-participants have different characteristics and behaviors Data Source: Twin Cities Men’s Health Survey Comments Compared to those with a single partner, MSM with multiple partners were more likely to use the internet and bars to meet partners Majority of men surveyed had been tested for HIV (88% had ever been tested) Free condoms and prevention literature most common prevention activities Majority of men who received prevention services used them Data Source: Twin Cities Men’s Health Survey