Characteristics of 155 men who have sex with men at study inclusion of the syndemic-based intervention (syn.bas.in) study at the STI outpatient clinic in Amsterdam, 2016–2017
Intervention (n=76) | Control (n=79) | |
Demographics | ||
Age (years) | ||
Median (IQR) | 46 (35–52) | 42 (33–49) |
Country of origin | ||
The Netherlands | 54 (71%) | 49 (62%) |
Non-Dutch high-income country | 7 (9%) | 13 (16%) |
Other | 15 (20%) | 17 (22%) |
Educational level | ||
Low and middle | 15 (20%) | 22 (28%) |
High | 61 (80%) | 57 (72%) |
Sexual health/behaviour characteristics | ||
Number of sex partners (3 months) | ||
Median (IQR) | 15 (6.5–24.5) | 13 (6–26) |
Condomless anal sex (CAS) | ||
No CAS | 13 (17%) | 12 (15%) |
Insertive CAS only | 4 (5%) | 4 (5%) |
Receptive CAS only | 7 (9%) | 12 (15%) |
Insertive and receptive CAS | 52 (68%) | 50 (64%) |
Number of CAS acts with casual partners (3 months) | ||
Median (IQR) | 5.5 (2–16.5) | 5 (1–18) |
HIV status | ||
HIV-negative | 25 (33%) | 27 (34%) |
HIV-positive | 51 (67%) | 52 (66%) |
STI | ||
Chlamydia | 3 (4%) | 11 (14%) |
Gonorrhoea | 8 (11%) | 12 (15%) |
Syphilis (recent, stage 1 or 2) | 5 (7%) | 3 (4%) |
New HIV diagnosis | 0/24 (0%) | 1/27 (4%) |
Hepatitis C | 0 | 0 |
Any bacterial STI (chlamydia, gonorrhoea or syphilis) | 14 (19%) | 22 (28%) |
Substance use during sex in the past 3 months* | ||
Alcohol | 24 (33%) | 26 (34%) |
Amphetamine | 17 (24%) | 20 (26%) |
Cannabis | 20 (28%) | 25 (33% |
Cocaine | 16 (22%) | 14 (18%) |
Erectile dysfunction drugs | 53 (74%) | 49 (64%) |
GHB/GBL | 31 (43%) | 34 (45%) |
Ketamine | 9 (13%) | 19 (25%) |
Methamphetamine | 9 (13%) | 12 (16%) |
Mephedrone | 5 (7%) | 5 (7%) |
Nitrites | 52 (72%) | 53 (70%) |
XTC/MDMA | 34 (47%) | 33 (43%) |
Other | 1 (1%) | 0 (0%) |
Tobacco (in general) | 24 (33%) | 29 (38%) |
Mental health-related problem domains† | ||
Alcohol use disorder | ||
AUDIT score ≥8 | 19 (25%) | 28 (36%) |
Drug use disorder | ||
DUDIT score ≥8 | 36 (47%) | 40 (51%) |
Sexual compulsivity | ||
SCS score ≥24 | 17 (22%) | 11 (14%) |
Anxiety disorder or depression | ||
HADS depression score ≥8 | 11 (14%) | 15 (19%) |
HADS anxiety score ≥8 | 21 (28%) | 26 (33%) |
ADHD | ||
Score ≥4 | 8 (11%) | 6 (8%) |
Alexithymia | ||
Score 52–62 (possible indication) | 20 (26%) | 12 (15%) |
Score >62 (indication) | 12 (16%) | 11 (14%) |
Partner violence (yes) | 4 (5%) | 8 (10%) |
Childhood abuse (yes) | 9 (12%) | 8 (10%) |
Discrimination | ||
Median (IQR) | 13 (11–17) | 14 (10–17) |
Score indicates positive on at least one mental health-related issue | 59 (78%) | 69 (88%) |
Self-reported psychosocial care preceding year | 23 (30%) | 25 (32%) |
*Four missing in the intervention group, three in the control group.
†One missing in the control group.
ADHD, attention deficit hyperactivity disorder; AUDIT, Alcohol Use Dependency Identification Test; DUDIT, Drug Use Dependency Identification Test; GBL, gamma-butyrolactone; GHB, gamma-hydroxybutyric acid; HADS, Hospital Anxiety and Depression Scale; SCS, Sexual Compulsivity Scale; XTC, ecstasy.