Factors associated with unprotected anal intercourse between HIV-positive men and regular male partners in a Sydney cohort

Begley, Kim; Chan, Derek J; Jeganathan, S; Batterham, Marijka; Smith, Don

doi:10.1258/ijsa.2009.009137

Cited by 10 publications

(6 citation statements)

References 12 publications

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“…Studies have suggested a positive association between condom use in male-to-male anal intercourse and access to HIV preventives actions [19-26]. Our study also found that condom use in the last sexual intercourse were independently associated with HIV infection.…”

Section: Discussionsupporting

confidence: 79%

Factors associated with HIV infection among men who have sex with men in Henan Province, China: a cross-sectional study

Liu

Zhang

et al. 2013

BMC Public Health

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BackgroundHIV prevalence among men who have sex with men (MSM) has increased rapidly in China. Behavioral and biological interventions are key to controlling the spread of HIV in the MSM population and the primary strategy for reducing the spread of AIDS in China. The purpose of this study is to investigate the prevalence of HIV among MSM in Henan province and to assess their knowledge levels and risk behaviors related to HIV/AIDS.MethodA cross-sectional survey was conducted among 388 MSM in 2010 in Zhengzhou City, Henan province, China.ResultsOf the 388 respondents, 13.1% were infected with HIV and 10.3% were infected with syphilis. The results of multivariate analysis showed that participants who had a history of being infected by syphilis were more than 4 times more likely to be HIV positive (AOR=4.91; 95% CI: 1.70 to 12.02). For those who were residents from other provinces, the risk of HIV infection was 5.53 times higher (OR=5.53, 95% CI: 1.14, 6.25). Receipt of condoms (AOR = 0.15; 95% CI: 0.02 to 0.87), consistent condom use during last intercourse with a male (AOR=0.35; 95% CI: 0.14 to 0.87), and consistent condom use during last intercourse with a female (AOR=0.16; 95% CI: 0.08 to 0.90) were associated with a lower risk of HIV infection.ConclusionThe study suggests that some intervention strategies, including education intervention, condom promotion and distribution, and HIV counseling and testing are necessary to control HIV infection among MSM.

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Section: Discussionsupporting

confidence: 79%

Factors associated with HIV infection among men who have sex with men in Henan Province, China: a cross-sectional study

Liu

Zhang

et al. 2013

BMC Public Health

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“…Failure to find an association was also in contrast with the study’s own finding of an association between beliefs in reduced HIV infectiousness and risk of HIV transmission. The absence of an association between general treatment optimism and HIV risk was also observed in another study among HIV positive MSM from Begley et al [17]. In the study a scale of optimism-scepticism was used to measure treatment-related optimistic beliefs.…”

Section: Resultsmentioning

confidence: 71%

“…A majority (7 out of 10) of the available studies were conducted among HIV positive people [5, 16–21]. In addition, there is a heavy concentration of studies (5 out of 10) among men who have sex with men (MSMs) [17, 18, 22–24]. The pool of studies also appeared to be dominated by those from developed countries with only two studies from developing countries.…”

Section: Resultsmentioning

confidence: 99%

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Treatment-Related Optimistic Beliefs and Risk of HIV Transmission: A Review of Recent Findings (2009-2012) in an Era of Treatment as Prevention

Chen

2012

Curr HIV/AIDS Rep

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The promising outlook for HIV treatment as prevention (TasP) offered by the recent success in clinical trials has highlighted the need for effort against over-optimism toward anti-retroviral therapy (ART). It has been of a central concern that such optimistic beliefs may fuel an increase in risk behaviors to counter the protective effect of ART on reducing overall transmissibility of HIV. The current review was conducted to provide an updated look at the potential impact of treatment-related optimistic beliefs on the risk of HIV transmission. The review yielded a total of 14 studies published during the past 4 years that have examined the role of treatment-related optimistic beliefs in changing people’s adoption of sexual risk behaviors. Findings from quantitative studies were largely in support of an association between optimistic beliefs and risk of HIV transmission. Results from qualitative studies discovered additional information concealed under the numerical associations, and pointed to the need of more rigorous and comprehensive examination of the relationship between optimistic beliefs and HIV transmission risk. Gaps in the current literature were identified and suggestions for future research were provided.

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“…It was reported that peer education activities had a significant impact on sexual behavior at the community level. [32][33][34][35] Peer-implemented education was better accepted, as the messages were more adapted to individuals' needs. Peer-based interventions centered on MSM practices were more adapted to the needs of MSM and offered them a rare chance to have access to lubricants.…”

Section: Discussionmentioning

confidence: 99%

Factors That Influence Risky Sexual Behaviors Among Men Who Have Sex with Men in Liaoning Province, China: A Structural Equation Model

Liu

Guo

Sun

2011

AIDS Patient Care and STDs

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HIV prevalence among men who have sex with men (MSM) has increased rapidly in China. Behavioral and biologic interventions are the key to control the spreading of HIV in the MSM population and the primary strategy for reducing the spread of AIDS in China. The objective of this study is to explore the relationship among HIV-related knowledge, the basic information of respondents, service utilization and risky sexual behavior. Respondent-driven sampling was used to recruit 225 MSM in Fushun and Huludao in China. The results of univariate analysis showed that condom use in the past 6 months was associated with age, being more knowledgeable about HIV, accepting lubricant distribution, and peer education (p<0.05). The structural equation modeling (SEM) results was as following, χ(2)=863.45 (p<0.01); root mean square error of approximation (RMSEA)=0.04; goodness of fit (GFI)=0.94, which indicated the model fitted the data well. The factor loads of HIV-related knowledge, the basic information of respondents, service utilization and risky sexual behavior was -0.06, 0.07, -0.27, respectively, which indicated that service utilization was likely to be a major factor negatively impacting risky sexual behavior. For service utilization, the greatest item load was for distribution of lubricants and peer education, 0.69, 0.68, respectively. The factor load of HIV-related knowledge and service utilization was 0.15, which suggested that risky sexual behaviors might be indirectly reduced by improving HIV/AIDS knowledge to increase service utilization. Basic information (age, income, marital status, age at first sexual intercourse) had a greater impact on service utilization, with a load factor of 0.26. For basic information, the greatest item load was age (0.96). In terms of the intervention strategies, it is essential that public health education is provided for the young, to ultimately decrease risky behaviors in MSM.

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Factors associated with unprotected anal intercourse between HIV-positive men and regular male partners in a Sydney cohort

Cited by 10 publications

References 12 publications

Factors associated with HIV infection among men who have sex with men in Henan Province, China: a cross-sectional study

Factors associated with HIV infection among men who have sex with men in Henan Province, China: a cross-sectional study

Treatment-Related Optimistic Beliefs and Risk of HIV Transmission: A Review of Recent Findings (2009-2012) in an Era of Treatment as Prevention

Factors That Influence Risky Sexual Behaviors Among Men Who Have Sex with Men in Liaoning Province, China: A Structural Equation Model

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