Canadian Results From the European Men-Who-Have-Sex-With-Men Internet Survey (EMIS-2017)

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dc.contributor.authorBrogan, Nicola
dc.contributor.authorPaquette, Dana M.
dc.contributor.authorLachowsky, Nathan J.
dc.contributor.authorBlais, Martin
dc.contributor.authorBrennan, David J.
dc.contributor.authorHart, Trevor A.
dc.contributor.authorAdam, Barry
dc.date.accessioned2022-06-16T23:08:46Z
dc.date.available2022-06-16T23:08:46Z
dc.date.copyright2019en_US
dc.date.issued2019
dc.descriptionEuropean Men-who-have-sex-with-men Internet Survey (EMIS‑2017) was undertaken by Sigma Research at the London School of Hygiene and Tropical Medicine in association with the Robert Koch Institute in Berlin. The EMIS core team is made up of F Hickson, D Reid, AJ Schmidt and P Weatherburn at the London School of Hygiene and Tropical Medicine and U Marcus and SB Schink at the Robert Koch Institute. We especially thank AJ Schmidt for his continued and strong support of Canadian participation in EMIS-2017. We thank all of the men who took part in EMIS-2017 and our nongovernmental organization (NGO) partners, particularly the Health Initiative for Men, Rézo, the Gay Men’s Sexual Health Alliance of Ontario and Canadian AIDS Treatment Information Exchange (CATIE), who recruited participants through activities on Facebook and/or other social media and by placing EMIS banners on their websites. We thank all our partners for being part of something huge. We also would like to thank C Archibald for his advice prior to and throughout data collection and for his review of the manuscript.en_US
dc.description.abstractBackground: In 2017, the international European Men-who-have-sex-with-men Internet Survey (EMIS-2017) collected data from 50 countries, including Canada for the first time. Objective: To provide an overview of the Canadian EMIS-2017 data to describe the sexually transmitted and other bloodborne infection (STBBI) related needs of gay, bisexual and other men who have sex with men (gbMSM). Methods: The EMIS-2017 questionnaire was an updated version of EMIS-2010. It included self-reported sociodemographic data, experience of discrimination, mental health and substance use, knowledge of preexposure prophylaxis (PrEP) for HIV, sexual practices and history of STBBI testing and diagnosis. Analysis was largely descriptive. Results: Of the 6,059 respondents from Canada, 5,165 participants met the inclusion criteria for this analysis. The majority of participants were born in Canada (79.3%); and over half of the respondents (56.7%) were under the age of 39. In terms of discrimination related to their attraction to other men, participants reported high levels of intimidation (31.9%), verbal abuse (22.1%) and physical violence (1.5%) in the previous year. Regarding mental health, 23.9% had a moderate to severe depression/anxiety score. Almost two-thirds (64.1%) indicated substance use and one-fifth (21.5%) reported chemsex (or the use of stimulant drugs to make sex more intense or last longer). Only 8.4% of participants reported use of PrEP for HIV; however, 51.7% reported being likely to use PrEP if it was available and affordable. Sexual practices, such as condom use, varied by PrEP use with 91.3% of men using PrEP reporting condomless anal intercourse (CAI) compared with 71.5% of men not on PrEP. In terms of STBBI testing, 1.5% reported being diagnosed with hepatitis C and 9.0% reported an HIV diagnosis. Of those with an HIV diagnosis, most were on treatment (99.1%) and had an undetectable viral load (96.7%). Conclusion: gbMSM in Canada experienced stigma, discrimination and mental health problems; substance use was high as were high-risk sexual practices, such as CAI, among some groups of men. There was a gap between the proportion of men who were interested in PrEP and those who actually used it; and comprehensive STBBI testing was low. These findings can inform public health action and provide a baseline to examine the impact of current and new interventions.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipAs part of European Surveys and Trainings to Improve MSM Community Health project, EMIS-2017 was carried out under the service contract 2015 71 01 with the Consumers, Health, Agriculture and Food Executive Agency (Chafea), acting under powers delegated by the Commission of the European Union. Other financial contributions came from the Public Health Agency of Canada (PHAC) for recruitment in Canada. NJL is supported by a Scholar Award from the Michael Smith Foundation for Health Research (#16863). TAH is supported by an Endgame Leader Chair Award from the Ontario HIV Treatment Network. Promotion of the survey and recruitment of Canadian participants in EMIS-2017 was funded by the PHAC.en_US
dc.identifier.citationBrogan, N., Paquette, D. M., Lachowsky, N. J., Blais, M., Brennan, D. J., Hart, T. A., & Adam, B. (2019). “Canadian Results From the European Men-Who-Have-Sex- With-Men Internet Survey (EMIS-2017).” Canada Communicable Disease Report, 45(11), 271-282. https://doi.org/10.14745/ccdr.v45i11a01en_US
dc.identifier.urihttps://doi.org/10.14745/ccdr.v45i11a01
dc.identifier.urihttp://hdl.handle.net/1828/13982
dc.language.isoenen_US
dc.publisherCanada Communicable Disease Reporten_US
dc.subjectHIV
dc.subjectsexually transmitted infections
dc.subjectsexual risk practices
dc.subjectgay bisexual and other men who have sex with men
dc.subjectgbMSM
dc.subjectpreexposure prophylaxis
dc.subjectpostexposure prophylaxis
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleCanadian Results From the European Men-Who-Have-Sex-With-Men Internet Survey (EMIS-2017)en_US
dc.typeArticleen_US

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