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Table 5 Sexual behaviours, risk perception, and sexual health outcomes reported by men who have sex exclusively with women (MSEW), all men who have sex with men (MSM), and MSM who identified as gay in Natsal-3

From: The health and well-being of men who have sex with men (MSM) in Britain: Evidence from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)

  MSEW All MSM   MSM who identified as gayb  
Denominators: a 5069, 6257 190, 191   107, 99  
  % [95 % CI] % [95 % CI] p-value* % [95 % CI] p-value**
Sexual behaviours      
 ≥10 partnersc, past year 1.2 [0.9–1.5] 13.4 [8.0–21.6]   19.6 [10.5–33.7]  
  aAOR [95 % CI]d 1.00 11.69 [6.06–22.54] <0.001 15.91 [7.10–35.66] <0.001
 Non-use of condoms at first sex with any of the three most recent partnersc, past year 10.1 [9.3–11] 15.2 [9.7–23.1]   6.0 [3.2–10.9]  
  aAOR [95 % CI]d 1.00 1.50 [0.91–2.49] 0.114 0.66 [0.35–1.24] 0.198
 Condomless sex with ≥2 partnersc, past year 8.1 [7.3–8.9] 24.6 [17.1–34.1]   13.0 [6.6–24.3]  
  aAOR [95 % CI]d 1.00 3.52 [2.13–5.83] <0.001 1.86 [0.85–4.07] 0.120
 Concurrent partnersc, past 5 years 15.6 [14.5–16.7] 52.4 [43.5–61.1]   41.6 [29.7–54.5]  
  aAOR [95 % CI]d 1.00 5.65 [3.85–8.30] <0.001 3.66 [2.23–6.00] <0.001
 Taken drugs to assist sexual performance, past year 6.5 [5.7–7.3] 19.1 [12.6–27.7]   18.4 [9.8–31.7]  
  aAOR [95 % CI]d 1.00 3.50 [2.06–5.93] <0.001 3.72 [1.74–7.94] 0.001
STI/HIV risk perception      
 Self-perceived STI risk      
  Not at all at risk 73.6 [72.2–74.9] 31.5 [23.7–40.7]   33.6 [22.4–46.9]  
  Not very much 23 [21.7–24.3] 51.1 [42.3–59.8]   45.8 [34.1–58.0]  
  Quite a lot 2.6 [2.2–3] 11.9 [7.1–19.5]   15.7 [8.6–27.0]  
  Greatly at risk 0.9 [0.7–1.2] 5.4 [2.3–12.4]   4.9 [1.7–13.4]  
  AOR [95 % CI]e 1.00 5.60 [3.28–9.56] <0.001 7.04 [3.69–13.43] <0.001
 Self-perceived HIV risk      
  Not at all at risk 76.0 [74.7–77.3] 35.0 [27.0–43.9]   39.2 [28.2–51.5]  
  Not very much 21.0 [19.8–22.3] 50.6 [41.6–59.5]   44.5 [33.0–56.7]  
  Quite a lot 1.9 [1.6–2.4] 9.5 [5.9–14.9]   10.9 [6.0–19.1]  
  Greatly at risk 1.1 [0.8–1.4] 4.9 [2.1–11.2]   5.3 [2.0–13.7]  
  AOR [95 % CI]e 1.00 5.44 [3.26–9.08] <0.001 6.42 [3.67–11.23] <0.001
Sexual health outcomes      
 Sexual health clinic attendance, past year 14.1 [12.5–16] 33.0 [24.8–42.4]   31.9 [22.0–43.7]  
  AOR [95 % CI]e 1.00 4.71 [2.58–8.58] <0.001 4.53 [2.30–8.94] <0.001
 Tested for HIV, past year 3.4 [2.9–4] 17.0 [12.0–23.4]   21.7 [14.9–30.4]  
  AOR [95 % CI]e 1.00 6.08 [3.92–9.41] <0.001 9.44 [5.59–15.96] <0.001
 STI diagnosis, past year 0.9 [0.7–1.2] 4.9 [2.6–9.2]   6.3 [2.9–13.3]  
  AOR [95 % CI]e 1.00 5.67 [2.67–12.04] <0.001 7.85 [3.27–18.83] <0.001
 Lowest quintile of distribution of scores for Natsal-SFf 19.7 [18.4–21.1] 36.2 [28.2–45.2]   28.0 [17.9–40.9]  
  AOR [95 % CI]e 1.00 2.28 [1.57–3.33] <0.001 1.60 [0.95–2.69] 0.079
 Feel distressed/worried about sex life 10.2 [9.3–11.2] 14.1 [9.0–21.2]   12.7 [6.3–24.1]  
  AOR [95 % CI]e 1.00 1.39 [0.85–2.27] 0.194 1.14 [0.57–2.29] 0.703
 Sought professional help/advice for sex life, past year 7.1 [6.3–7.9] 16.5 [11.0–24.0]   14.2 [8.1–23.7]  
  AOR [95 % CI]e 1.00 2.70 [1.65–4.42] <0.001 3.04 [1.62–5.68] 0.001
 Experienced attempted non-volitional sex, ever 4.3 [3.7–5.0] 22.8 [16.0–31.4]   24.6 [15.1–37.4]  
  AOR [95 % CI]e 1.00 6.51 [4.22–10.06] <0.001 6.30 [3.66–10.83] <0.001
  1. All estimates are age-standardised
  2. *p-value for comparing all MSM to MSEW
  3. **p-value for comparing MSM who identified as gay in Natsal-3 to MSEW. Note that MSM who identify as gay are a subset of all MSM
  4. aUnweighted, weighted denominators defined as participants who reported at least one sexual partner in the 5 years prior to interview
  5. bMSM who identified as gay in Natsal-3 are a subset of all MSM
  6. cPartners of either gender
  7. dAge-adjusted odds ratio (aAOR) for reporting response relative to MSEW
  8. eAOR - odds ratio for reporting response relative to MSEW adjusted for age, reporting recreational drug use, being treated depression (past year), educational attainment, smoking status, ethnicity, health condition that has affected sexual activity, and total partners numbers in the past 5 years
  9. fAmong men reporting sex in the past year [14]