Anal Intercourse Without Condoms Among HIV-Positive Men Who Have Sex With Men Recruited From a Sexual Networking Web site, United States
The changing landscape of HIV prevention in the United States underscores the need to improve our ability to efficiently reach HIV-positive men who have sex with men (MSM) who engage in behaviors that could transmit HIV. We examined the prevalence of anal intercourse (AI) without condoms with HIV-ne...
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| Veröffentlicht in: | Sexually transmitted diseases 2014-12, Vol.41 (12), p.749-755 |
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| creator | Margolis, Andrew D. Joseph, Heather Hirshfield, Sabina Chiasson, Mary Ann Belcher, Lisa Purcell, David W. |
| description | The changing landscape of HIV prevention in the United States underscores the need to improve our ability to efficiently reach HIV-positive men who have sex with men (MSM) who engage in behaviors that could transmit HIV.
We examined the prevalence of anal intercourse (AI) without condoms with HIV-negative or unknown serostatus partners ("at-risk partners") among 1319 HIV-positive adult male members of a sexual networking Web site for MSM. Sexual behaviors and substance use were measured over a 60-day recall period. Logistic regression was used to identify correlates of insertive and receptive AI without condoms with at-risk partners.
Approximately 25% of the men had been diagnosed as having HIV 12 months or less before study enrollment. Overall, 32% of men engaged in AI without condoms with at-risk partners. Multiple logistic regression identified behavioral predictors of insertive AI without condoms with at-risk partners, including HIV diagnosis within the last 12 months, sex with multiple male partners, substance use in conjunction with sex, and use of phosphodiesterase type 5 inhibitors. Receptive AI without condoms with at-risk partners was associated with younger age (19-24 years), residing outside metropolitan cities, substance use in conjunction with sex, and having multiple male partners.
High levels of sexual risk were found among these MSM. Increased Internet-based HIV prevention marketing efforts and prevention strategies should be considered to efficiently reach HIV-positive MSM who engage in serodiscordant AI without condoms. |
| doi_str_mv | 10.1097/OLQ.0000000000000206 |
| format | Article |
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We examined the prevalence of anal intercourse (AI) without condoms with HIV-negative or unknown serostatus partners ("at-risk partners") among 1319 HIV-positive adult male members of a sexual networking Web site for MSM. Sexual behaviors and substance use were measured over a 60-day recall period. Logistic regression was used to identify correlates of insertive and receptive AI without condoms with at-risk partners.
Approximately 25% of the men had been diagnosed as having HIV 12 months or less before study enrollment. Overall, 32% of men engaged in AI without condoms with at-risk partners. Multiple logistic regression identified behavioral predictors of insertive AI without condoms with at-risk partners, including HIV diagnosis within the last 12 months, sex with multiple male partners, substance use in conjunction with sex, and use of phosphodiesterase type 5 inhibitors. Receptive AI without condoms with at-risk partners was associated with younger age (19-24 years), residing outside metropolitan cities, substance use in conjunction with sex, and having multiple male partners.
High levels of sexual risk were found among these MSM. Increased Internet-based HIV prevention marketing efforts and prevention strategies should be considered to efficiently reach HIV-positive MSM who engage in serodiscordant AI without condoms.</description><identifier>ISSN: 0148-5717</identifier><identifier>EISSN: 1537-4521</identifier><identifier>DOI: 10.1097/OLQ.0000000000000206</identifier><identifier>PMID: 25581813</identifier><identifier>CODEN: STRDDM</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, a business of Wolters Kluwer Health</publisher><subject>Adult ; Condoms - utilization ; Disease prevention ; Gays & lesbians ; Health Knowledge, Attitudes, Practice ; HIV ; HIV Infections - prevention & control ; HIV Infections - psychology ; Homosexuality, Male - psychology ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Male ; Men ; Middle Aged ; Prevalence ; Risk Factors ; Sexual behavior ; Sexual Behavior - psychology ; Sexual Behavior - statistics & numerical data ; Sexual Partners ; Social networks ; Social Support ; The Real World of STD Prevention ; United States - epidemiology ; Unsafe Sex - psychology ; Unsafe Sex - statistics & numerical data</subject><ispartof>Sexually transmitted diseases, 2014-12, Vol.41 (12), p.749-755</ispartof><rights>Copyright © 2014 American Sexually Transmitted Diseases Association</rights><rights>Copyright Lippincott Williams & Wilkins Dec 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-ac514fac595035329f148c95bf8cc905be943bf5535bab294bc24f9d68f68fe23</citedby><cites>FETCH-LOGICAL-c390t-ac514fac595035329f148c95bf8cc905be943bf5535bab294bc24f9d68f68fe23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48511860$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48511860$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>315,781,785,804,27929,27930,31004,58022,58255</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25581813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Margolis, Andrew D.</creatorcontrib><creatorcontrib>Joseph, Heather</creatorcontrib><creatorcontrib>Hirshfield, Sabina</creatorcontrib><creatorcontrib>Chiasson, Mary Ann</creatorcontrib><creatorcontrib>Belcher, Lisa</creatorcontrib><creatorcontrib>Purcell, David W.</creatorcontrib><title>Anal Intercourse Without Condoms Among HIV-Positive Men Who Have Sex With Men Recruited From a Sexual Networking Web site, United States</title><title>Sexually transmitted diseases</title><addtitle>Sex Transm Dis</addtitle><description>The changing landscape of HIV prevention in the United States underscores the need to improve our ability to efficiently reach HIV-positive men who have sex with men (MSM) who engage in behaviors that could transmit HIV.
We examined the prevalence of anal intercourse (AI) without condoms with HIV-negative or unknown serostatus partners ("at-risk partners") among 1319 HIV-positive adult male members of a sexual networking Web site for MSM. Sexual behaviors and substance use were measured over a 60-day recall period. Logistic regression was used to identify correlates of insertive and receptive AI without condoms with at-risk partners.
Approximately 25% of the men had been diagnosed as having HIV 12 months or less before study enrollment. Overall, 32% of men engaged in AI without condoms with at-risk partners. Multiple logistic regression identified behavioral predictors of insertive AI without condoms with at-risk partners, including HIV diagnosis within the last 12 months, sex with multiple male partners, substance use in conjunction with sex, and use of phosphodiesterase type 5 inhibitors. Receptive AI without condoms with at-risk partners was associated with younger age (19-24 years), residing outside metropolitan cities, substance use in conjunction with sex, and having multiple male partners.
High levels of sexual risk were found among these MSM. Increased Internet-based HIV prevention marketing efforts and prevention strategies should be considered to efficiently reach HIV-positive MSM who engage in serodiscordant AI without condoms.</description><subject>Adult</subject><subject>Condoms - utilization</subject><subject>Disease prevention</subject><subject>Gays & lesbians</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>Homosexuality, Male - psychology</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Male</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Sexual Partners</subject><subject>Social networks</subject><subject>Social Support</subject><subject>The Real World of STD Prevention</subject><subject>United States - epidemiology</subject><subject>Unsafe Sex - psychology</subject><subject>Unsafe Sex - statistics & numerical data</subject><issn>0148-5717</issn><issn>1537-4521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkdFO2zAUhi00BIXxBoAsccMFYXZsJ_ZlVcFaqYxtDHoZOe7JSGniYjvbeAMeG6dlaOJqluWj4_Od3_L5ETqk5JwSlX-6nn47J_-ulGRbaEAFyxMuUvoBDQjlMhE5zXfRnvcL0ueE7qDdVAhJJWUD9Dxs9RJP2gDO2M55wLM63Nsu4JFt57bxeNjY9iceT-6Sr9bXof4F-ApaPLu3eKxjcgN_1j3r2-9gXFcHmONLZxus-2oXH_gC4bd1D3VUmkGJow6c4dt2Td4EHcB_RNuVXno4eI376Pby4sdonEyvP09Gw2limCIh0UZQXsVTCcIES1UV_2SUKCtpjCKiBMVZWQnBRKnLVPHSpLxS80xWcUPK9tHpRnfl7GMHPhRN7Q0sl7oF2_mCZoJnucq4-h80ZUrmjET05B26iNOMo-0pxmWW87wX5BvKOOu9g6pYubrR7qmgpOhNLaKpxXtTY9vxq3hXNjB_a_rrYgSONsDCB-ve6lwKSmVG2AtBeKUJ</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Margolis, Andrew D.</creator><creator>Joseph, Heather</creator><creator>Hirshfield, Sabina</creator><creator>Chiasson, Mary Ann</creator><creator>Belcher, Lisa</creator><creator>Purcell, David W.</creator><general>Lippincott Williams & Wilkins, a business of Wolters Kluwer Health</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>20141201</creationdate><title>Anal Intercourse Without Condoms Among HIV-Positive Men Who Have Sex With Men Recruited From a Sexual Networking Web site, United States</title><author>Margolis, Andrew D. ; Joseph, Heather ; Hirshfield, Sabina ; Chiasson, Mary Ann ; Belcher, Lisa ; Purcell, David W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-ac514fac595035329f148c95bf8cc905be943bf5535bab294bc24f9d68f68fe23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Condoms - utilization</topic><topic>Disease prevention</topic><topic>Gays & lesbians</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>HIV</topic><topic>HIV Infections - prevention & control</topic><topic>HIV Infections - psychology</topic><topic>Homosexuality, Male - psychology</topic><topic>Homosexuality, Male - statistics & numerical data</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Male</topic><topic>Men</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Sexual behavior</topic><topic>Sexual Behavior - psychology</topic><topic>Sexual Behavior - statistics & numerical data</topic><topic>Sexual Partners</topic><topic>Social networks</topic><topic>Social Support</topic><topic>The Real World of STD Prevention</topic><topic>United States - epidemiology</topic><topic>Unsafe Sex - psychology</topic><topic>Unsafe Sex - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Margolis, Andrew D.</creatorcontrib><creatorcontrib>Joseph, Heather</creatorcontrib><creatorcontrib>Hirshfield, Sabina</creatorcontrib><creatorcontrib>Chiasson, Mary Ann</creatorcontrib><creatorcontrib>Belcher, Lisa</creatorcontrib><creatorcontrib>Purcell, David W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>Sexually transmitted diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Margolis, Andrew D.</au><au>Joseph, Heather</au><au>Hirshfield, Sabina</au><au>Chiasson, Mary Ann</au><au>Belcher, Lisa</au><au>Purcell, David W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anal Intercourse Without Condoms Among HIV-Positive Men Who Have Sex With Men Recruited From a Sexual Networking Web site, United States</atitle><jtitle>Sexually transmitted diseases</jtitle><addtitle>Sex Transm Dis</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>41</volume><issue>12</issue><spage>749</spage><epage>755</epage><pages>749-755</pages><issn>0148-5717</issn><eissn>1537-4521</eissn><coden>STRDDM</coden><abstract>The changing landscape of HIV prevention in the United States underscores the need to improve our ability to efficiently reach HIV-positive men who have sex with men (MSM) who engage in behaviors that could transmit HIV.
We examined the prevalence of anal intercourse (AI) without condoms with HIV-negative or unknown serostatus partners ("at-risk partners") among 1319 HIV-positive adult male members of a sexual networking Web site for MSM. Sexual behaviors and substance use were measured over a 60-day recall period. Logistic regression was used to identify correlates of insertive and receptive AI without condoms with at-risk partners.
Approximately 25% of the men had been diagnosed as having HIV 12 months or less before study enrollment. Overall, 32% of men engaged in AI without condoms with at-risk partners. Multiple logistic regression identified behavioral predictors of insertive AI without condoms with at-risk partners, including HIV diagnosis within the last 12 months, sex with multiple male partners, substance use in conjunction with sex, and use of phosphodiesterase type 5 inhibitors. Receptive AI without condoms with at-risk partners was associated with younger age (19-24 years), residing outside metropolitan cities, substance use in conjunction with sex, and having multiple male partners.
High levels of sexual risk were found among these MSM. Increased Internet-based HIV prevention marketing efforts and prevention strategies should be considered to efficiently reach HIV-positive MSM who engage in serodiscordant AI without condoms.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins, a business of Wolters Kluwer Health</pub><pmid>25581813</pmid><doi>10.1097/OLQ.0000000000000206</doi><tpages>7</tpages></addata></record> |
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| ispartof | Sexually transmitted diseases, 2014-12, Vol.41 (12), p.749-755 |
| issn | 0148-5717 1537-4521 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing |
| subjects | Adult Condoms - utilization Disease prevention Gays & lesbians Health Knowledge, Attitudes, Practice HIV HIV Infections - prevention & control HIV Infections - psychology Homosexuality, Male - psychology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Male Men Middle Aged Prevalence Risk Factors Sexual behavior Sexual Behavior - psychology Sexual Behavior - statistics & numerical data Sexual Partners Social networks Social Support The Real World of STD Prevention United States - epidemiology Unsafe Sex - psychology Unsafe Sex - statistics & numerical data |
| title | Anal Intercourse Without Condoms Among HIV-Positive Men Who Have Sex With Men Recruited From a Sexual Networking Web site, United States |
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