7.5 Sex with non-steady male
partners in the past 12 months
Non-steady partners were defined as partners other than
steady partners. Overall, 67% of respondents reported
sex with non-steady sex partners in the past 12 months
(median 74%; range 63–83%). Eleven per cent reported one
non-steady partner, 40% 2–5 partners, 19% 6–10 partners
and 30% 11 or more non-steady partners.
The proportion of men reporting 11 or more non-steady
partners in the past 12 months varied widely by country,
from 7% to 43% (median 23%). Seventeen per cent of the
respondents who had had sex with non-steady partners
did not have anal intercourse (AI), 44% had AI and used
condoms consistently and 39% reported UAI with at least
one partner (median 40%; range 29–62%). The associa-
tions between non-steady UAI, age group and settlement
size were marginal. Men with lower levels of education
were more likely to report UAI with non-steady partners
than men with higher levels of education (42% vs. 36%;
AOR=1.37; 95%-CI: 1.33–1.40). Men diagnosed with HIV
infection were more likely to report UAI with non-steady
partners than men who had not tested HIV positive (65% vs.
36%; AOR=3.53; 95%-CI: 3.38–3.69). Finally, non-steady
UAI was more common in South-East Europe (both EU and
non-EU) and less common in Central-East and Central-West
Europe (sub-region range 37–50%; Figure 7.7).
Similar to the analyses with steady partners, a new vari-
able was constructed that distinguished HIV-concordant
UAI from non-concordant UAI (ncUAI). Twenty-five per cent
of men who had a non-steady partner had had ncUAI with
a non-steady partner in the previous year (median 25%;
range 16–47%). Age group, educational level and settle-
ment size were not associated with this measure, but HIV
positive men were more likely to report non-steady ncUAI
than men who had not tested HIV positive (45% vs. 23%;
AOR=3.03; 95%-CI: 2.91–3.17). The highest levels of ncUAI
were reported in South-East Europe (EU and non-EU) and
the lowest in Central-East and Central-West Europe (sub-
region range 21–35%; Figure 7.
Respondents were asked which sexual practices they had
engaged in with non-steady partners in the past 12 months.
Mutual masturbation and oral sex were very common (≥90%)
with non-steady partners. Sixty-five per cent of respondents
reported licking a man’s anus and 76% reported having
had their anus licked by a man. Regarding anal intercourse,
74% reported insertive anal intercourse and 73% recep-
tive anal intercourse. Fist-fucking was less common: 17%
reported fist-fucking another man, while 11% reported
being fist-fucked by another man.