Knowledge of sexual partner's HIV serostatus and serosorting practices in a California population-based sample of men who have sex with men

Xia, Qiang; Molitor, Fred; Osmond, Dennis; Tholandi, Maya; Pollack, Lance M.; Ruiz, Juan; Catania, Joseph A.

doi:10.1097/01.aids.0000247566.57762.b2

Cited by 91 publications

(69 citation statements)

References 35 publications

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“…[8][9][10] Negotiated safety agreements have been described among men who have sex with men (MSM) as strategies for selectively practicing condomless anal intercourse (CAI) while maintaining sexual pleasure and intimacy within relationships. [11][12][13][14][15][16][17] While intended to reduce HIV risk, such strategies may fail in practice due to factors such as inaccurate assessment of individual and partner serostatus, infrequent testing, failure to maintain the agreement, and lack of protection against STIs. [18][19][20][21] Shortcomings in assessing partner HIV risk have also been reported among heterosexuals.…”

Section: Introductionmentioning

confidence: 99%

Relationship Dynamics and Sexual Risk Reduction Strategies Among Heterosexual Young Adults: A Qualitative Study of Sexually Transmitted Infection Clinic Attendees at an Urban Chicago Health Center

Hotton¹,

French

Hosek

et al. 2015

AIDS Patient Care and STDs

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Few studies have examined risk-reduction alternatives to consistent condom use for HIV prevention among heterosexual young adults. We used qualitative methodology to explore risk reduction strategies and contextual factors influencing attempts to reduce risk in an urban, high morbidity sexually transmitted infection (STI) clinic. Focus groups were conducted October-December 2014 with heterosexually identified men (n = 13) and women (n = 20) aged 18-29 seeking STI screening at an urban clinic. Groups were audio recorded, transcribed verbatim, and analyzed for thematic content using Atlas.ti software. Quantitative information included sociodemographics, HIV/STI testing history, and 6-month sexual behaviors. Among 33 predominantly AfricanAmerican participants with a median age of 22, risk-reduction strategies included monogamy agreements, selective condom use with casual and high-risk partners, and frequent HIV/STI testing, though testing was commonly used as a post-hoc reassurance after risk exposure. Many men and women used implicit risk assessment strategies due to mistrust or difficulty communicating. Concurrency was common but rarely discussed within partnerships. Despite attempts to reduce risk, monogamy agreements were often poorly adhered to and not openly discussed. Alcohol and substance use frequently interfered with safer sexual decisions. Participants were aware of HIV/STI risk and commonly practiced risk-reduction strategies, but acknowledged faulty assumptions and poor adherence. This work provides insights into risk-reduction approaches that are already used and may be strengthened as part of effective HIV/STI prevention interventions.

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Section: Introductionmentioning

confidence: 99%

Relationship Dynamics and Sexual Risk Reduction Strategies Among Heterosexual Young Adults: A Qualitative Study of Sexually Transmitted Infection Clinic Attendees at an Urban Chicago Health Center

Hotton¹,

French

Hosek

et al. 2015

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

“…Some men restrict their UAI only to men whom they believe to be HIV seroconcordant (Parsons et al 2005; Van de Ven et al 1998;Mao et al 2006;Xia et al 2006), while between serodiscordant partners, some men use strategic positioning, whereby HIV-negative men take the insertive position and HIV-positive men take the receptive position during UAI (Parsons et al 2005; Van de Ven et al 2002). Use of such strategies depends on clear reliable knowledge of sexual partners' HIV serostatus.…”

Section: Introductionmentioning

confidence: 99%

Gay Men Who Engage in Group Sex are at Increased Risk of HIV Infection and Onward Transmission

et al. 2008

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Among 746 participants in the Three or More Study (TOMS) of gay men who engaged in group sex in the previous 6 months, 22.4% reported unprotected anal intercourse (UAI) with any partners they did not know to be the same HIV serostatus as themselves. Not knowing oneself to be HIV-negative, not having a clear intention to use condoms, and more frequent group sex were independently associated with UAI. This study shows that gay men who engage in group sex represent an important priority for targeted HIV prevention activities and research.

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“…Trends in unprotected anal intercourse with casual partners (UAIC) known (or assumed) to be of opposite HIVstatus (serodiscordant) have rarely been documented, mostly due to a lack of data about serostatus of casual sex partners, particularly among HIV-negative gay men. Among HIV-negative men, serodiscordant unprotected anal intercourse with casual partners, has usually involved very small numbers of men (Golden et al 2004;Xia et al 2006). Chen et al (2003) examined 'potentially' serodiscordant unprotected anal intercourse in San Francisco and reported an increase from 1999 to 2001 in 'unprotected anal intercourse with two or more partners of unknown HIV serostatus'.…”

Section: Introductionmentioning

confidence: 99%

“…Chen et al (2003) examined 'potentially' serodiscordant unprotected anal intercourse in San Francisco and reported an increase from 1999 to 2001 in 'unprotected anal intercourse with two or more partners of unknown HIV serostatus'. More recently, Xia et al (2006) explored serodiscordant unprotected anal intercourse with both primary and most recent secondary (casual) partners and found that no HIV-negative men reported serodiscordant unprotected anal intercourse with their most recent secondary partner. Serodiscordant unprotected anal intercourse remains self-evidently the practice of greatest risk for HIV transmission among MSM, but there is still a lack of evidence about this behaviour.…”

Section: Introductionmentioning

confidence: 99%

Increases in Unprotected Anal Intercourse with Serodiscordant Casual Partners Among HIV-Negative Gay Men in Sydney

et al. 2008

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Prevalence of unprotected anal intercourse between casual male partners (UAIC) has been increasing worldwide. We explored trends in serodiscordant UAIC and the associated factors among gay men in Sydney. Proportions of HIV-positive and negative men with serodiscordant casual partners increased during 2003-2006. Prevalence of serodiscordant UAIC increased among HIV-negative men. Age, number of partners, seeking partners online, drug use and esoteric practices were associated with serodiscordant UAIC. Increases in serodiscordant UAIC may be related to growing disclosure. These findings do not indicate a core group of high-risk men. More research is needed about the context in which serodiscordant UAIC happens.

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Knowledge of sexual partner's HIV serostatus and serosorting practices in a California population-based sample of men who have sex with men

Cited by 91 publications

References 35 publications

Relationship Dynamics and Sexual Risk Reduction Strategies Among Heterosexual Young Adults: A Qualitative Study of Sexually Transmitted Infection Clinic Attendees at an Urban Chicago Health Center

Relationship Dynamics and Sexual Risk Reduction Strategies Among Heterosexual Young Adults: A Qualitative Study of Sexually Transmitted Infection Clinic Attendees at an Urban Chicago Health Center

Gay Men Who Engage in Group Sex are at Increased Risk of HIV Infection and Onward Transmission

Increases in Unprotected Anal Intercourse with Serodiscordant Casual Partners Among HIV-Negative Gay Men in Sydney

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