Please Sign In or Create an account
Predictors of phosphodiesterase type-5 inhibitor (PDE-5I) use in an Australian cohort of men who have sex with men (MSM)

Predictors of phosphodiesterase type-5 inhibitor (PDE-5I) use in an Australian cohort of men who have sex with men (MSM)

Phosphodiesterase type-5 inhibitors (PDE-5Is) have been successful in assisting men with erectile dysfunction (ED). Research has suggested that these medications are used recreationally in both heterosexual males and men who have sex with men (MSM). The current study was undertaken to assess the impact of ED and other factors on PDE-5I use in an Australian MSM population.

A cross-sectional internet based survey of Australian MSM was undertaken. Participants were asked to provide information on their use of PDE-5Is, demographic variables and to complete the MSM version International Index of Erectile Function (IIEF-MSM). The six item ED score (EF-6) was used in the analysis. Univariate and binary logistic regression (BLR) analyses were undertaken for those attempting active anal intercourse (GP 1, n=324) and those attempting all forms of sexual activity (GP 2, n=237). Independent variables included in the BLR were age, casual partner, regular partner, smoking and EF-6 score.

Univariate analysis of GP 1 and 2 found age, EF-6 and having sex with casual partners were associated with PDE-5I use. BLR analysis found significant models for both analyses [GP1: (N = 308, χ2 = 95.8, df = 2, p <0.0005; GP2: N= 227, χ2 = 73.44, df = 2, p < 0.0005]. Age [GP1: OR 1.07 (95%CI 1.05, 1.10); GP2: OR 1.07 (95% CI 1.06, 1.09)] and EF-6 [GP1: OR 0.90 (95% CI 0.86, 0.94); GP2: OR 0.89 (95% CI 0.85, 0.93)] were found to be predictors of PDE-5I use for both analyses.

The current results suggest that ED and age are the primary factors predicting PDE-5I use in this sample. While sex with a casual partner was associated with PDE-5I use in the uivariate analyses, which may suggest a contribution of recreational use or psycho-social factors, it did not remain significant in the multivariate analyses.

Speakers: Brendan Crozier
Conference: ASHM 2013
Areas of Interest / Categories: Erectile Dysfunction, Homosexuality

Homosexuality

Wired Sex: Service Provider Perspectives on Hookup Apps and Chemsex Among Canadian Men who Have Sex with Men

Understanding What Young Male Couples Need for HIV Prevention

Infection and Identity, Desire and Disease: Gay Men, HIV/AIDS and the History of Sexuality

Queer Sisterhood: Building Community For & With Queer Refugee Women.

Sexual Orientation Identity Development: Implications for the Psychological Adjustment of Gay and Bisexual Young Males in Japan

According to previous studies, lesbian, gay, and bisexual (LGB) people report lower levels of mental health relative to heterosexuals. Young LGB people especially suffer from poorer psychological adjustment. However, it remains unclear whether different developmental identity patterns have implications for the psychological adjustment of LGB youths. There is a possibility that the development of sexual orientation identity is related to the better mental health among young LGB people. This study examines whether different patterns of LGB identity formation and integration are associated with psychological adjustment. 

The Disincentives of Pregnancy & Needs toward Health Care Providers of Lesbian Females in Japan

In the Far East, as a social component, sociality put emphasis on getting married and starting a family. However, in most cases, the images of families are heterosexualized. Therefore, reproductive health issues/rights of lesbian females haven’t been noted. In a major survey in 2012, 5.2% of the population in Japan are from sexual minorities. Other says lesbian pregnancies exist but it is impossible to find out the number. In Medical field, knowledge of lesbian pregnancies is insufficient, and the disincentives of pregnancy and needs toward healthcare providers of lesbian females in Japan are not known. 

Silent, Silenced and Powerless – Resilience and Agency in Rural Gay Men

This paper presents “empowering alternatives” in a cohort of marginalized individuals who are usually considered to be silent, silenced and powerless: The gay men who have chosen to stay and live their lives in rural areas. It cites a largely unreported aptitude and adeptness by men to live contented lives in areas well away from urban cosmopolitan milieu. It argues that their resilience allows them to deploy a multiplicity of actions and reflective processes that, despite their apparent subordinate position in the rural communities, continues to give them, determination to live their lives as and where they choose.