Nicole M C van Kesteren1, Harm J Hospers, Gerjo Kok. 1. Center for Research on HIV/AIDS Prevention and Education (Reshape), Department of Experimental Psychology, Maastricht University, The Netherlands. n.vankesteren@psychology.unimaas.nl
Abstract
OBJECTIVE: To review research on sexual risk behavior among HIV-positive men who have sex with men (MSM) after the year 2000. METHOD: The review included 53 published studies that reported on unprotected anal intercourse (UAI) in cross-sectional and longitudinal surveys of HIV-positive MSM and MSM of mixed HIV status. RESULTS: The findings indicate high levels of UAI among HIV-positive MSM, particularly with HIV-negative or HIV status unknown partners. In studies of MSM of mixed HIV status, we found that the rate of UAI among HIV-positive MSM was much higher than that of HIV-negative MSM. Furthermore, the prevalence of UAI among HIV-positive MSM has increased in recent years. CONCLUSION: Although studies indicate that HIV-positive MSM have adopted risk reduction strategies, roughly two in five HIV-positive MSM continue to engage in UAI, which represents a risk for continued HIV and STI (sexually transmitted infection) transmission. PRACTICE IMPLICATIONS: Prevention efforts targeting HIV-positive MSM to assist them in adopting and maintaining safer sexual behaviors need to be intensified.
OBJECTIVE: To review research on sexual risk behavior among HIV-positive men who have sex with men (MSM) after the year 2000. METHOD: The review included 53 published studies that reported on unprotected anal intercourse (UAI) in cross-sectional and longitudinal surveys of HIV-positive MSM and MSM of mixed HIV status. RESULTS: The findings indicate high levels of UAI among HIV-positive MSM, particularly with HIV-negative or HIV status unknown partners. In studies of MSM of mixed HIV status, we found that the rate of UAI among HIV-positive MSM was much higher than that of HIV-negative MSM. Furthermore, the prevalence of UAI among HIV-positive MSM has increased in recent years. CONCLUSION: Although studies indicate that HIV-positive MSM have adopted risk reduction strategies, roughly two in five HIV-positive MSM continue to engage in UAI, which represents a risk for continued HIV and STI (sexually transmitted infection) transmission. PRACTICE IMPLICATIONS: Prevention efforts targeting HIV-positive MSM to assist them in adopting and maintaining safer sexual behaviors need to be intensified.
Authors: Suzanne L Wenzel; Harmony Rhoades; Hsun-Ta Hsu; Daniela Golinelli; Joan S Tucker; David P Kennedy; Harold D Green; Brett Ewing Journal: AIDS Behav Date: 2012-10
Authors: J F G Monteiro; D J Escudero; C Weinreb; T Flanigan; S Galea; S R Friedman; B D L Marshall Journal: Epidemiol Infect Date: 2016-01-12 Impact factor: 2.451
Authors: Kathleen J Sikkema; Laurie Abler; Nathan B Hansen; Patrick A Wilson; Anya S Drabkin; Arlene Kochman; Jessica C MacFarlane; Allyson DeLorenzo; Gal Mayer; Melissa H Watt; William Nazareth Journal: AIDS Behav Date: 2014-09
Authors: Kimberly M Nelson; Jane M Simoni; Diane M Morrison; William H George; Emily Leickly; Liliana J Lengua; Stephen E Hawes Journal: Arch Sex Behav Date: 2014-01-24