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The study population consisted of 646 men between 18 and 69 years old who were screened for HIV, syphilis, and gonorrhea at a single visit to the AIDS clinic. HPV prevalence was determined by HC2 testing. The U.S. Food and Drug Administration (FDA)-approved, self-collected, mailable, oral rinse sampling device (OraSure Technologies, Bethlehem, Pennsylvania) was utilized to collect oral rinse samples. Oral sex and anal sex behaviors were assessed with a question of “How often did you have oral sex in the past 3 months?” and “How often did you have anal sex in the past 3 months?” If the answer was “daily,” “almost daily,” “2 to 3 times a week,” “once a week,” “2 to 3 times a month,” or “once a month,” then the participant was considered to have engaged in oral sex behavior; if “never” or “rarely,” then it was considered not to have engaged in oral sex behavior. The same questionnaires were used to assess the frequency of other sexual behaviors (ever had oral sex, ever had anal sex, receptive oral sex, ejaculation during oral sex, ever had anogenital warts, and number of sexual partners in the past 6 months). A descriptive analysis was performed to characterize the study population. Multiple logistic regression was used to identify factors associated with HPV detection. All analyses were conducted using SAS software, version 9.3 (SAS Institute, Inc., Cary, North Carolina).
Conclusions: Current risk behaviors of MSM, as well as behavioral precursors to oral sex are important to understand the future of STI prevention. Vaccine acceptability and intention among MSM vary by risk, race and age. Future research should attempt to examine the role of specific oral sex behaviors in STI transmission or acquisition. Increased education regarding the importance of oral sex and the potential transmissibility of HIV is needed to increase vaccine acceptability.
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