Trends in condom use among MSM in the United States: the role of antiretroviral therapy and seroadaptive strategies
OBJECTIVE:Evaluate changes in condomless anal sex at last sex among men who have sex with men (MSM) and assess if these changes are associated with the adoption of serosorting and biomedical prevention. DESIGN:The National HIV Behavioral Surveillance is a crosssectional survey done in up to 21 citie...
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| Veröffentlicht in: | AIDS (London) 2016-07, Vol.30 (12), p.1985-1990 |
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| container_end_page | 1990 |
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| container_issue | 12 |
| container_start_page | 1985 |
| container_title | AIDS (London) |
| container_volume | 30 |
| creator | Paz-Bailey, Gabriela Mendoza, Maria C.B Finlayson, Teresa Wejnert, Cyprian Le, Binh Rose, Charles Raymond, Henry Fisher Prejean, Joseph |
| description | OBJECTIVE:Evaluate changes in condomless anal sex at last sex among men who have sex with men (MSM) and assess if these changes are associated with the adoption of serosorting and biomedical prevention.
DESIGN:The National HIV Behavioral Surveillance is a crosssectional survey done in up to 21 cities in 2005, 2008, 2011 and 2014.
METHODS:MSM were recruited through venue-based sampling. Among men reporting at least one male partner, we evaluated changes in condomless anal sex at last sex with a partner with (1) HIV-concordant (proxy for serosorting) or (2) HIV-discordant (discordant/unknown) status. We hypothesized that if concordant condomless sex was increasing while discordant was stable/declining, the increases could be driven by more men attempting to serosort. We used generalized estimating equations assuming a Poisson distribution and robust variance estimator to explore whether temporal changes in the outcomes varied by selected characteristics. We also assessed changes in condomless anal sex by antiretroviral therapy (ART) use among HIV-positive MSM.
RESULTS:Among 5371 HIV-positive MSM, there were increases in concordant (19% in 2005 to 25% in 2014, P |
| doi_str_mv | 10.1097/QAD.0000000000001139 |
| format | Article |
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DESIGN:The National HIV Behavioral Surveillance is a crosssectional survey done in up to 21 cities in 2005, 2008, 2011 and 2014.
METHODS:MSM were recruited through venue-based sampling. Among men reporting at least one male partner, we evaluated changes in condomless anal sex at last sex with a partner with (1) HIV-concordant (proxy for serosorting) or (2) HIV-discordant (discordant/unknown) status. We hypothesized that if concordant condomless sex was increasing while discordant was stable/declining, the increases could be driven by more men attempting to serosort. We used generalized estimating equations assuming a Poisson distribution and robust variance estimator to explore whether temporal changes in the outcomes varied by selected characteristics. We also assessed changes in condomless anal sex by antiretroviral therapy (ART) use among HIV-positive MSM.
RESULTS:Among 5371 HIV-positive MSM, there were increases in concordant (19% in 2005 to 25% in 2014, P < 0.001) and discordant condomless sex (15 to 19%, P < 0.001). The increases were not different by ART use. Among 30 547 HIV-negative MSM, concordant (21 to 27%, P < 0.001) and discordant condomless sex (8 to 13%, P < 0.001) increased.
CONCLUSION:Our data suggest that condom use decreased among MSM and that the trends are not explained by serosorting or ART. Promotion of condoms and increased access to preexposure prophylaxis are vital to ensure that the benefits of ART in reducing transmission of HIV are not undermined.</description><identifier>ISSN: 0269-9370</identifier><identifier>EISSN: 1473-5571</identifier><identifier>DOI: 10.1097/QAD.0000000000001139</identifier><identifier>PMID: 27149088</identifier><language>eng</language><publisher>England: Copyright Wolters Kluwer Health, Inc</publisher><subject>Adolescent ; Adult ; AIDS/HIV ; Anti-Retroviral Agents - therapeutic use ; Condoms - utilization ; Disease Transmission, Infectious - prevention & control ; HIV Infections - drug therapy ; HIV Infections - prevention & control ; Homosexuality, Male ; Human immunodeficiency virus ; Humans ; Lentivirus ; Male ; Middle Aged ; Retroviridae ; Sexual Behavior ; Surveys and Questionnaires ; United States ; Young Adult</subject><ispartof>AIDS (London), 2016-07, Vol.30 (12), p.1985-1990</ispartof><rights>Copyright © 2016 Wolters Kluwer Health, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3939-25fa9e81cbff0bbe124a9f7ccc534253e05e4bcb3b8a25ee2bd7c2a026e0d2233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27149088$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paz-Bailey, Gabriela</creatorcontrib><creatorcontrib>Mendoza, Maria C.B</creatorcontrib><creatorcontrib>Finlayson, Teresa</creatorcontrib><creatorcontrib>Wejnert, Cyprian</creatorcontrib><creatorcontrib>Le, Binh</creatorcontrib><creatorcontrib>Rose, Charles</creatorcontrib><creatorcontrib>Raymond, Henry Fisher</creatorcontrib><creatorcontrib>Prejean, Joseph</creatorcontrib><creatorcontrib>NHBS Study Group</creatorcontrib><title>Trends in condom use among MSM in the United States: the role of antiretroviral therapy and seroadaptive strategies</title><title>AIDS (London)</title><addtitle>AIDS</addtitle><description>OBJECTIVE:Evaluate changes in condomless anal sex at last sex among men who have sex with men (MSM) and assess if these changes are associated with the adoption of serosorting and biomedical prevention.
DESIGN:The National HIV Behavioral Surveillance is a crosssectional survey done in up to 21 cities in 2005, 2008, 2011 and 2014.
METHODS:MSM were recruited through venue-based sampling. Among men reporting at least one male partner, we evaluated changes in condomless anal sex at last sex with a partner with (1) HIV-concordant (proxy for serosorting) or (2) HIV-discordant (discordant/unknown) status. We hypothesized that if concordant condomless sex was increasing while discordant was stable/declining, the increases could be driven by more men attempting to serosort. We used generalized estimating equations assuming a Poisson distribution and robust variance estimator to explore whether temporal changes in the outcomes varied by selected characteristics. We also assessed changes in condomless anal sex by antiretroviral therapy (ART) use among HIV-positive MSM.
RESULTS:Among 5371 HIV-positive MSM, there were increases in concordant (19% in 2005 to 25% in 2014, P < 0.001) and discordant condomless sex (15 to 19%, P < 0.001). The increases were not different by ART use. Among 30 547 HIV-negative MSM, concordant (21 to 27%, P < 0.001) and discordant condomless sex (8 to 13%, P < 0.001) increased.
CONCLUSION:Our data suggest that condom use decreased among MSM and that the trends are not explained by serosorting or ART. Promotion of condoms and increased access to preexposure prophylaxis are vital to ensure that the benefits of ART in reducing transmission of HIV are not undermined.</description><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Anti-Retroviral Agents - therapeutic use</subject><subject>Condoms - utilization</subject><subject>Disease Transmission, Infectious - prevention & control</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - prevention & control</subject><subject>Homosexuality, Male</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Lentivirus</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retroviridae</subject><subject>Sexual Behavior</subject><subject>Surveys and Questionnaires</subject><subject>United States</subject><subject>Young Adult</subject><issn>0269-9370</issn><issn>1473-5571</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUctuFDEQtBCILAt_gJCPXCb4MV6POSBFCS8pEUJJzpbH07Nr8NiL7dkof4-XDVHggOhLt6qrSt0qhF5SckyJkm--npwdkwdFKVeP0IK2kjdCSPoYLQhbqUZxSY7Qs5y_VZIgXfcUHTFJW1XHBcpXCcKQsQvYxjDECc8ZsJliWOOLy4s9XjaAr4MrMODLYgrkt7-gFD3gOGITiktQUty5ZPx-lcz2tsIDzpCiGcy2uB3gXFIVrx3k5-jJaHyGF3d9ia4_vL86_dScf_n4-fTkvLFccdUwMRoFHbX9OJK-B8pao0ZprRW8ZYIDEdD2tud9Z5gAYP0gLTP1aSADY5wv0buD73buJxgshHqC19vkJpNudTRO_7kJbqPXcadFxztOV9Xg9Z1Bij9myEVPLlvw3gSIc9a0o4q2lMn_oRIhVytWrZeoPVBtijknGO8vokTvo9U1Wv13tFX26uE396LfWVZCdyDcRF8g5e9-voGkN2B82fzb-yezVLKg</recordid><startdate>20160731</startdate><enddate>20160731</enddate><creator>Paz-Bailey, Gabriela</creator><creator>Mendoza, Maria C.B</creator><creator>Finlayson, Teresa</creator><creator>Wejnert, Cyprian</creator><creator>Le, Binh</creator><creator>Rose, Charles</creator><creator>Raymond, Henry Fisher</creator><creator>Prejean, Joseph</creator><general>Copyright Wolters Kluwer Health, Inc</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>7X8</scope><scope>7T2</scope><scope>7T5</scope><scope>7U2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>5PM</scope></search><sort><creationdate>20160731</creationdate><title>Trends in condom use among MSM in the United States: the role of antiretroviral therapy and seroadaptive strategies</title><author>Paz-Bailey, Gabriela ; Mendoza, Maria C.B ; Finlayson, Teresa ; Wejnert, Cyprian ; Le, Binh ; Rose, Charles ; Raymond, Henry Fisher ; Prejean, Joseph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3939-25fa9e81cbff0bbe124a9f7ccc534253e05e4bcb3b8a25ee2bd7c2a026e0d2233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS/HIV</topic><topic>Anti-Retroviral Agents - therapeutic use</topic><topic>Condoms - utilization</topic><topic>Disease Transmission, Infectious - prevention & control</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Infections - prevention & control</topic><topic>Homosexuality, Male</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Lentivirus</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retroviridae</topic><topic>Sexual Behavior</topic><topic>Surveys and Questionnaires</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paz-Bailey, Gabriela</creatorcontrib><creatorcontrib>Mendoza, Maria C.B</creatorcontrib><creatorcontrib>Finlayson, Teresa</creatorcontrib><creatorcontrib>Wejnert, Cyprian</creatorcontrib><creatorcontrib>Le, Binh</creatorcontrib><creatorcontrib>Rose, Charles</creatorcontrib><creatorcontrib>Raymond, Henry Fisher</creatorcontrib><creatorcontrib>Prejean, Joseph</creatorcontrib><creatorcontrib>NHBS Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Safety Science and Risk</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paz-Bailey, Gabriela</au><au>Mendoza, Maria C.B</au><au>Finlayson, Teresa</au><au>Wejnert, Cyprian</au><au>Le, Binh</au><au>Rose, Charles</au><au>Raymond, Henry Fisher</au><au>Prejean, Joseph</au><aucorp>NHBS Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in condom use among MSM in the United States: the role of antiretroviral therapy and seroadaptive strategies</atitle><jtitle>AIDS (London)</jtitle><addtitle>AIDS</addtitle><date>2016-07-31</date><risdate>2016</risdate><volume>30</volume><issue>12</issue><spage>1985</spage><epage>1990</epage><pages>1985-1990</pages><issn>0269-9370</issn><eissn>1473-5571</eissn><abstract>OBJECTIVE:Evaluate changes in condomless anal sex at last sex among men who have sex with men (MSM) and assess if these changes are associated with the adoption of serosorting and biomedical prevention.
DESIGN:The National HIV Behavioral Surveillance is a crosssectional survey done in up to 21 cities in 2005, 2008, 2011 and 2014.
METHODS:MSM were recruited through venue-based sampling. Among men reporting at least one male partner, we evaluated changes in condomless anal sex at last sex with a partner with (1) HIV-concordant (proxy for serosorting) or (2) HIV-discordant (discordant/unknown) status. We hypothesized that if concordant condomless sex was increasing while discordant was stable/declining, the increases could be driven by more men attempting to serosort. We used generalized estimating equations assuming a Poisson distribution and robust variance estimator to explore whether temporal changes in the outcomes varied by selected characteristics. We also assessed changes in condomless anal sex by antiretroviral therapy (ART) use among HIV-positive MSM.
RESULTS:Among 5371 HIV-positive MSM, there were increases in concordant (19% in 2005 to 25% in 2014, P < 0.001) and discordant condomless sex (15 to 19%, P < 0.001). The increases were not different by ART use. Among 30 547 HIV-negative MSM, concordant (21 to 27%, P < 0.001) and discordant condomless sex (8 to 13%, P < 0.001) increased.
CONCLUSION:Our data suggest that condom use decreased among MSM and that the trends are not explained by serosorting or ART. Promotion of condoms and increased access to preexposure prophylaxis are vital to ensure that the benefits of ART in reducing transmission of HIV are not undermined.</abstract><cop>England</cop><pub>Copyright Wolters Kluwer Health, Inc</pub><pmid>27149088</pmid><doi>10.1097/QAD.0000000000001139</doi><tpages>6</tpages></addata></record> |
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| ispartof | AIDS (London), 2016-07, Vol.30 (12), p.1985-1990 |
| issn | 0269-9370 1473-5571 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Journals@Ovid Complete |
| subjects | Adolescent Adult AIDS/HIV Anti-Retroviral Agents - therapeutic use Condoms - utilization Disease Transmission, Infectious - prevention & control HIV Infections - drug therapy HIV Infections - prevention & control Homosexuality, Male Human immunodeficiency virus Humans Lentivirus Male Middle Aged Retroviridae Sexual Behavior Surveys and Questionnaires United States Young Adult |
| title | Trends in condom use among MSM in the United States: the role of antiretroviral therapy and seroadaptive strategies |
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