Percentage of men reporting the use of a condom the last time they had anal sex with a male partner
It measures progress in preventing exposure to HIV among men who have unprotected anal sex with a male partner.
Condoms can substantially reduce the risk of the sexual transmission of HIV. Consequently, consistent and correct condom use is important for men who have sex with men because of the high risk of HIV transmission during unprotected anal sex. In addition, men who have anal sex with other men may also have female partners, who could become infected as well. Condom use with their most recent male partner is considered a reliable indicator of longer-term behaviour.
Note: countries with generalized epidemics may also have a concentrated subepidemic among men who have sex with men. If so, it would be valuable for them to calculate and report on this indicator for this population.
Number of respondents who reported that a condom was used the last time they had anal sex
This includes both regular and non-regular partners, and both paid and unpaid sex. As with all indicators this indicator only provides a limited piece of information. For a comprehensive assessment of patterns of risk associated with male to male sex further information is needed, including information on the types and numbers of partners and whether the individual is the receptive or insertive partner.
Number of respondents who reported having had anal sex with a male partner in the last six months
For men who have sex with men, condom use at last anal sex with any partner gives a good indication of overall levels and trends of protected and unprotected sex in this population. This indicator does not give any idea of risk behaviour in sex with women among men who have sex with both women and men.
In countries where men in the subpopulation surveyed are likely to have partners of both sexes, condom
use with female as well as male partners should be investigated. In these cases, data on condom use should always be presented separately for female and male partners.
This indicator asks about male-to-male sex in the past six months. If you have data available on another
time period, such as the last 3 or 12 months, please include this additional data in the comments section of the reporting tool.
Surveying men who have sex with men can be challenging. Consequently, data obtained may not be based on a representative sample of the national, most-at-risk population being surveyed. If there are concerns that the data are not based on a representative sample, these concerns should be reflected in the interpretation of the survey data. Where different sources of data exist, the best available estimate should be used. Information on the sample size, the quality and reliability of the data, and any related issues should be included in the report submitted with this indicator.
To maximize the utility of these data, it is recommended that the same sample used for the calculation of
this indicator be used for the calculation of the other indicators related to these populations.