Paul H Denning1, Michael L Campsmith. 1. Centers for Disease Control and Prevention, 1600 Clifton Road, Mail Stop E-46, Atlanta, GA 30333, USA. pdenning@cdc.gov
Abstract
OBJECTIVES: We sought to determine the prevalence and predictors of unprotected anal intercourse (UAI) among HIV-positive men who have a single steady male partner with negative or unknown HIV serostatus. METHODS: We analyzed behavioral surveillance data from HIV-positive men who have sex with men (MSM) interviewed in 12 states between 1995 and 2000. RESULTS: Of 970 HIV-positive MSM who had a single steady male sex partner with negative or unknown serostatus, 278 (29%) reported UAI during the previous year. In a subset of 674 men who were aware of their infection, 144 (21%) had UAI. Among the men who were aware of their infection, factors found to be predictive of UAI in multivariate modeling were heterosexual self-identification, crack cocaine use, no education beyond high school, and a partner with unknown serostatus. CONCLUSIONS: Even after learning of their infection, one fifth of HIV-positive MSM who had a single steady male partner with negative or unknown serostatus engaged in UAI, underscoring the need to expand HIV prevention interventions among these men.
OBJECTIVES: We sought to determine the prevalence and predictors of unprotected anal intercourse (UAI) among HIV-positive men who have a single steady male partner with negative or unknown HIV serostatus. METHODS: We analyzed behavioral surveillance data from HIV-positive men who have sex with men (MSM) interviewed in 12 states between 1995 and 2000. RESULTS: Of 970 HIV-positive MSM who had a single steady male sex partner with negative or unknown serostatus, 278 (29%) reported UAI during the previous year. In a subset of 674 men who were aware of their infection, 144 (21%) had UAI. Among the men who were aware of their infection, factors found to be predictive of UAI in multivariate modeling were heterosexual self-identification, crack cocaine use, no education beyond high school, and a partner with unknown serostatus. CONCLUSIONS: Even after learning of their infection, one fifth of HIV-positive MSM who had a single steady male partner with negative or unknown serostatus engaged in UAI, underscoring the need to expand HIV prevention interventions among these men.
Authors: Sean C Beougher; Deepalika Chakravarty; Carla C Garcia; Lynae A Darbes; Torsten B Neilands; Colleen C Hoff Journal: AIDS Care Date: 2012-01-31
Authors: Sean C Beougher; Anja E Bircher; Deepalika Chakravarty; Lynae A Darbes; Carmen Gómez Mandic; Torsten B Neilands; Carla C Garcia; Colleen C Hoff Journal: Arch Sex Behav Date: 2014-12-31
Authors: Pilgrim S Spikes; David W Purcell; Kim M Williams; Ying Chen; Helen Ding; Patrick S Sullivan Journal: Am J Public Health Date: 2009-04-16 Impact factor: 9.308