Risk Factors Associated with Condom Use Among Men Who Have Sex with Men in Ukraine

Abstract

ABSTRACT In 2007, a large scale behavioral surveillance survey (N = 1764) was conducted in 10 Ukrainian cities using chain referral sampling to measure HIV risk behaviors and service utilization among men who have sex with men (MSM). The majority of MSM were 25 years or older, completed secondary school or higher, never married, and currently single. Just over a third of MSM reported not using a condom at last penetrative sex with a man. In a multivariate regression analysis controlling for several factors MSM had significantly higher odds of using a condom at last penetrative sex with another man if they were younger, had occasional partners in the past 6 months, ever had an HIV test and perceived themselves to be at high risk for HIV and significantly lower odds if they had sexual contact with a main male or with any female partner in the past 6 months and used alcohol in the past month. This article provides baseline data about MSM's sexual risk behaviors in Ukraine and discusses the need for essential...