Hep C & Sex for Gay, Bi and Queer Men

**This resource contains explicit sexual information about rough sex.**

Since 2000, groups of gay, bi and queer men in different parts of the world have been getting Hep C through sex.1 2 3 This is a new trend, and while sharing injection drug use equipment remains the most common way that people get Hep C in Canada, ACT and CATIE felt it important to start educating gay, bi and queer men about the sexual transmission of Hep C.

The issue is particularly important for men already living with HIV who are choosing other men living with HIV to have sex without condoms.

Due to this concerning trend, this resource was created to explain the most recent evidence of the sexual transmission of Hep C in a context relevant to gay, bi and queer men – and in particular men living with HIV. It is inclusive of trans men as well.

Although the focus is on sex, the resource also provides information on substance use, sex and Hep C for gay, bi and queer men.




How Hep C is being passed on during sex in gay, bi and queer men: 4 5

The following factors have been linked to the sexual transmission of Hep C:
  • sex that causes bleeding
  • group sex
  • sex while using drugs
  • condomless sex between guys living with HIV (serosorting)
  • other sexually transmitted infections (STIs)

How to prevent Hep C during sex
  • use a new condom on dicks (flesh dicks or strap-on dicks) or dildos
  • use one glove for each fuckable partner (If it’s being put inside of you, find out if it has been shared with others, especially in a scene were others are having sex near you)
  • use lots of lube
  • use your own lube (that’s not shared with others)
  • check regularly for blood or injuries during rough fucking or fisting or during times when fucking or fisting is happening over a long period of time

Consider talking to your health care provider about getting tested for Hep C if you:
  • have rough anal sex
  • have group sex or sex in an area where others have group sex and may choose you as a partner
  • have HIV or another STI (like syphilis)
  • share sex toys or drug use equipment

Other Resources:
Hep C and Sex for Gay, Bi and Queer Men:

Hep C and Sex for Gay, Bi and Queer Men (2015).pdfHep C and Sex for Gay, Bi and Queer Men (2015).pdfHep C and Sex for Gay, Bi and Queer Men (FRENCH, 2015).pdfHep C and Sex for Gay, Bi and Queer Men (FRENCH, 2015).pdf

We would like to thank CATIE and the other AIDS service providers CATIE worked with to provide us with input in creating this resource: Gay Men’s Sexual Health Alliance (GMSH), the Health Initiative for Men (HiM) and RÉZO Santé.

Want to order large quantities of the brochure (in English or French)?

If you live within Canada:
Please visit the CATIE online ordering centre.
If you live outside of Canada:
Unfortunately, we do not have the resources to ship brochures internationally.

Citations

1 Burchell, A. Gardener S. Mazzulli T. et. Al., (2013). HCV serconversion among HIV-positive men who have sex with men with no history of injection drug use. Paper presented at Canadian Association for HIV Research Conference, April 11-14, 2013. Vancouver. British Columbia.

2 Burchell, A. Gardener S. Mazzulli T. et. Al., (2013). HCV serconversion among HIV-positive men who have sex with men with no history of injection drug use. Paper presented at Canadian Association for HIV Research Conference, April 11-14, 2013. Vancouver. British Columbia. p. 14.

3 Burchell, A. Gardener S. Mazzulli T. et. Al., (2013). HCV serconversion among HIV-positive men who have sex with men with no history of injection drug use. Paper presented at Canadian Association for HIV Research Conference, April 11-14, 2013. Vancouver. British Columbia. p. 3.

4 “Risk Factors for Hepatitis C Virus (HCV) Infections in an Well-Characterized Long-Term Cohort of Homosexual Men.” KJP Craib, CH Sherlock, RS Hogg, et al. Centre for Excellence in HIV/AIDS, Vancouver; University of British Columbia, Vancouver; Canada, Abstract 477, Session 139 Poster Abstract, 7th Annual Conference on Retroviruses and Opportunistic Infections, San Francisco, January-February 2000

5 Investigating an outbreak of hepatitis C virus among MSM without HIV. September 18, 2014. Canadian AIDS Treatment Information Exchange. www.catie.ca .Retrieved Nov 26, 2014 from http://www.catie.ca/en/catienews/2014-09-18/investigating-outbreak-hepatitis-c-virus-among-msm-without-hiv.

Other Research used to created the resource:

Studies investigate presence of hepatitis C virus among gay and bisexual men. Prevention in Focus, Fall 2014. Canadian AIDS Treatment Information Exchange. www.catie.ca. Retrieved Dec 12, 2014 from http://www.catie.ca/en/pif/fall-2014/studies-investigate-presence-hepatitis-c-virus-among-gay-and-bisexual-men

Investigating an outbreak of hepatitis C virus among MSM without HIV. September 18, 2014. Canadian AIDS Treatment Information Exchange. www.catie.ca .Retrieved Nov 26, 2014 from http://www.catie.ca/en/catienews/2014-09-18/investigating-outbreak-hepatitis-c-virus-among-msm-without-hiv .

Aurélie Briat, Emmanuel Dulioust, Julie Galimand et al. Hepatitis C virus in the semen of men coinfected with HIV-1: prevalence and origin. AIDS, 2005, vol. 19, no. 16. pp 1827-1835

Marek J Nowicki, Tomasz Laskus, Georgia Nikolopoulou et al. University of Southern California, Los Angeles; Mayo Clinic Scottsdale, AZ; St Joseph’s Hospital and Medical Center, Phoenix, AZ; Medical Academy Warsaw, Poland. Presence of Hepatitis C Virus (HCV) RNA in the Genital Tracts of HIC/HIV-1-Coinfected Women. Journal of Infectious Diseases, 2005; 192; 1557-65.

“CATIE News – Study confirms international outbreak of sexually transmitted hep C” Canadian AIDS Treatment Information Exchange. www.catie.ca, posted June 5, 2009.

Ndimbie OK1, Kingsley LA, Nedjar S, Rinaldo CR. (1996) Hepatitis C virus infection in a male homosexual cohort: risk factor analysis. Genitourin Med. 72(3):213-6.

Hsin-Yun Sun, Sui-Yuan Chang, Zong-Yu Yang, et al. (2012) Recent Hepatitis C Virus Infections in HIV-Infected Patients in Taiwan: Incidence and Risk Factors. J Clin Microbiol. 50(3): 781–787.

Urbanus AT, Van De Laar TJ, Geskus R, et al. (2014) Trends in hepatitis C virus infections among MSM attending a sexually transmitted infection clinic; 1995-2010. AIDS. 28(5):781-90.

Witt S. Seaberg E. Darilay A. et al. (2013). Incident hepatitis C virus infection in men who have sex with men : a prospective cohort analysis from 1984 to 2011. CID 2013:57 (1 July). P 80.

Rhonda Y. Kropp, Thomas Wong, et al. (2005) Sexually Transmitted Infections Emergence of lymphogranuloma venereum in Canada. CMAJ. 172(13): 1674–1676.

Burchell, A. Gardener S. Mazzulli T. et. Al., (2013). HCV serconversion among HIV-positive men who have sex with men with no history of injection drug use. Paper presented at Canadian Association for HIV Research Conference, April 11-14, 2013. Vancouver. British Columbia. p. 17.

Yaphe S. Bozinoff N. Kyle R. et. al. (2012). Incidence of Acute Hepatitis C Virus Infection Among Men who Have Sex With Men With and Without HIV Infection A Systematic Review. Sex Transm Infect. 2012;88(7):558-564.

Uncovering cases of early HCV infection in HIV-positive men. 16 September 2014 Retrieved Nov 26, 2014 from: http://www.catie.ca/en/catienews/2014-09-16/uncovering-cases-early-hcv-infection-hiv-positive-men .

Guide to Hepatitis C for people living with HIV. Oct. 2009. Retrieved Dec 29, 2014 from: http://www.treatmentactiongroup.org/hcv/publications/2009/hcv-guide p 29.

Van der Laar., T.J., et.al., Sexual Transmission of Hepatitis C Virus in Human Immunodeficiency Virus- negative men who have sex with men: A series of case reports. Sexually Transmitted Diseases, 2011; 38 (2): 102-104.

Van der Laar, T.J., et. al., Acute hepatitis C in HIV infected men who have sex with men: a prospective cohort analysis, 1984-2011. Clin Infect Dis, 2013. 57(1):p 77-841.

Hep C and Sex for Gay, Bi and Queer Men (2015).pdf285 (Kbytes)
Hep C and Sex for Gay, Bi and Queer Men (FRENCH, 2015).pdf308 (Kbytes)