Sexual risk behaviors among apps-using young @entity1 who have sex with XXXX in Hong Kong.

@entity1 @entity146 @entity645 @entity2754 @entity285
UNASSIGNED: This study is among the first to examine the @entity146 and attendant factors of young @entity1 who have sex with @entity1 (YMSM) in Hong Kong using location-aware gay social networking mobile applications ("gay apps"). Among the 213 YMSM (Mage   =   21.52, SD   =   2.29 years, range 17-25) who reported their recent (past six months) sexual history with male partners and gay apps use, inconsistent condom use (ICU) during anal sex was fairly common (60.2% regular partners, 45.8% non-regular partners). One-fifth of the sample reported @entity2754 ( @entity2754 ) during anal sex (19.3% insertive, 19.8% receptive). Frequent "Grindr" and "Jack'd" users were less likely to report anal sex, and hence ICU, with regular [adjusted odds ratio (AOR)   =   0.72] and non-regular (AOR   =   0.62) partners, respectively. Sexual partnering via apps doubled the odds of ICU with both regular (AOR   =   1.99) and non-regular (AOR   =   2.17) partners. The odds of ICU with regular partners also increased with relationship status (AOR   =   2.86 exclusive, AOR   =   3.23 non-exclusive) but reduced for those who never had STI/ @entity645 testing (AOR   =   0.27). With non-regular partners, YMSM's likelihood of ICU increased with more recent partners (AOR   =   3.25) and drug use (AOR   =   3.79), but reduced with group sex (AOR   =   0.15). The odds of receptive @entity2754 increased with @entity285 consumption (AOR   =   4.04), non-exclusive relationship (AOR   =   4.10), and more recent partners (AOR   =   2.47), but reduced with group sex (AOR   =   0.15) and older age (AOR   =   0.84). For insertive @entity2754 , the odds increased with bisexual YMSM (AOR   =   2.89), exclusive relationship (AOR   =   3.97), and longtime apps-use (AOR   =   1.81). The findings identify meaningful differences among YMSM app-users that inform sexual health intervention and suggest attention on @entity285 or drug use during sex and condomless sex with non-exclusive regular partners.
