Ongoing Risk Behavior Among Persons With HIV in Medical Care

Golden, Matthew R.; Wood, Robert; Buskin, Susan E.; Fleming, Mark T.; Harrington, Robert D.

doi:10.1007/s10461-007-9244-5

Cited by 50 publications

(32 citation statements)

References 32 publications

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“…We surveyed almost 50% of the HIV-infected population in Croatia, however, and had a low refusal rate and wide inclusion criteria, which allowed us to generalize our findings to the entire HIV-infected population of about 400 persons under medical care in Croatia. Our findings were similar to behavioral data reported from recent studies in other settings (Golden et al 2007;Morin et al 2007), which showed that MSM were more likely to report risky sexual behavior than were MSW or women. Such studies have led to the development of national behavioral surveillance systems for HIV/ AIDS patients (Malitz and Eldred 2007).…”

Section: Discussionsupporting

confidence: 91%

“…Heterosexual patients of both sexes were more likely than MSM to expose their main partners to HIV and to report no casual non-concordant, unprotected sex in that period, a finding not reported in similar studies (Golden et al 2007;Morin et al 2007). There also was evidence of sero-sorting among MSW and women with casual partners.…”

Section: Discussionmentioning

confidence: 55%

“…There was a lower percentage of risky behavior among Croatian MSM than among MSM in other settings, who engaged more often in casual sex and in casual sex with partners of unknown HIV status (Chen et al 2006;Golden et al 2007;Morin et al 2007). The absolute number of MSM who reported inconsistent or no use of condoms in the last 6 months with casual partners of unknown HIV status was low.…”

Section: Discussionmentioning

confidence: 87%

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Unsafe Sexual Behavior Among HIV-Infected Patients in Croatia, 2006: Prevalence and Associated Factors

Zekan

Novotny²,

Begovać

2008

AIDS Behav

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Information about risky sexual behavior among people living with HIV/AIDS is important to prevent the spread of the disease. Using an anonymous, self-administrated questionnaire, we surveyed 185 HIV-infected patients about risk behaviors at the University Hospital for Infectious Diseases in Croatia. Unprotected anal or vaginal sex in the preceding 6 months with partners of uninfected/ unknown HIV status was reported by 20% of men who have sex with men (MSM), about half of whom reported multiple casual partners of unknown HIV status; 6% of heterosexual men; and 3% of women. Heterosexual patients were potentially more likely to expose regular partners to HIV but reported no risk behaviors with casual, non-concordant partners. MSM reported more risk behaviors, which were strongly associated with having ≥2 sexual partners in the last 6 months and both insertive and receptive anal sex. Educational interventions in Croatia should target MSM to prevent high rates of HIV transmission KeywordsMen who have sex with men; Risk factors; Condom use; Croatia; HIV

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 87%

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Unsafe Sexual Behavior Among HIV-Infected Patients in Croatia, 2006: Prevalence and Associated Factors

Zekan

Novotny²,

Begovać

2008

AIDS Behav

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“…For illicit drugs, club drugs and 'sex-associated' substances (e.g. erectile dysfunction medication and amyl nitrite), we also found a significant relationship between drug consumption and sexual risk behaviour, concordant with previous findings in HIV-positive MSM samples [31,34,35]. As in previous studies [37,42,43], substance use in the direct context of sexual activity significantly increased sexual risk behaviour.…”

Section: Discussionsupporting

confidence: 91%

Substance use and sexual risk behaviour among HIV‐positive men who have sex with men in specialized out‐patient clinics

et al. 2012

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ObjectivesUnprotected sexual intercourse between men who have sex with men (MSM) is the most common route of HIV infection in Germany. Approximately 70% of newly infected people are MSM. Substance use is a determinant of sexual risk behaviour in the general population, but also in the MSM subpopulation. There are only a few studies, from the USA, on the correlation between substance use and sexual risk behaviour in HIV-infected MSM in specialized care. MethodsIn a German sample of 445 HIV-infected MSM treated in specialized out-patient clinics, the influence of substance use on sexual risk behaviour was investigated. Information was obtained from subjects using self-report questionnaires and a structured interview. ResultsRecreational drug use was common. The prevalences of cannabis addiction (4.5%), harmful use of cannabis (4.3%) and harmful use of dissociative anaesthetics (0.4%) were higher than in the general German male population. A substantial proportion of patients reported unprotected insertive (32.9%) and receptive (34.6%) anal intercourse during the last 12 months. Use of cannabis, amyl nitrite, dissociative anaesthetics, cocaine, amphetamines and erectile dysfunction medication was significantly correlated with unprotected sexual contacts. Substance use in the context of sexual activity significantly increased sexual risk behaviour. ConclusionsSubstance use, especially in the context of sexual activity, should be taken into account when developing new prevention and intervention programmes aimed at reducing sexual risk behaviour in HIV-infected MSM currently in specialized care.Keywords: alcohol, HIV infection, illicit drugs, men who have sex with men, prevention, substance use Accepted 7 February 2012 IntroductionThe prevalence and incidence of HIV infection in men who have sex with men (MSM) are persistently high in some Western countries. Therefore, it is of importance to identify determinants of risky sexual behaviour in this group. Sexual risk behaviour, defined as unprotected receptive or insertive anal intercourse among HIV-positive MSM, was investigated in several studies. A meta-analysis of 30 studies on sexual risk behaviour among HIV-positive MSM found a prevalence of 43% for any unprotected anal intercourse. Prevalence was 30% for unprotected anal Correspondence: Prof. Dr Norbert Scherbaum, LVR-Klinikum, Hospital of the University of Virchowstr. 174, 45 147 Essen, norbert.scherbaum@uni-due.de DOI: 10.1111/j.1468-1293.2012.01005.x © 2012 British HIV Association HIV Medicine (2012 [5,6]. The consumption of psychoactive substances has been suggested to be an important factor influencing sexual risk behaviour [7,8]. Compared with the general population, MSM are a group with an increased prevalence of substance use and substance-related disorders. A metaanalytic review of studies on psychiatric disorders among MSM showed that MSM had a 1.51-fold higher risk for the 12-month prevalence of alcohol abuse and a 2.4-fold higher risk for illicit drug abuse, according to the criteria of the DSM-I...

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“…Rates of the virus are alarmingly high among Black and Latina women, who accounted for 24% of US women and 82% of AIDS diagnoses in 2005 (CDC 2008). Although many women living with HIV/AIDS (WLH/A) practice safe sex, many also have risky sex, with roughly one-third having reported unprotected sex with their male partners (Aidala et al 2006;Golden et al 2007;Wilson et al 2004). Prevention programs for WLH/A can play an integral role in helping women adopt safer and healthier sex lives to protect their partners from acquiring HIV; protect themselves from acquiring sexually transmitted infections (STIs) or other strains of HIV/AIDS; and obtain emotional support as they cope with difficult intimacy or sexual concerns (Collins et al 2000;Kalichman 2004).…”

Section: Introductionmentioning

confidence: 99%

A Mixed Methods Evaluation of the Effect of the Protect and Respect Intervention on the Condom Use and Disclosure Practices of Women Living with HIV/AIDS

et al. 2009

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This mixed methods study evaluated the efficacy of an intervention to increase HIV status disclosure and condom use among 184 women living with HIV/AIDS (WLH/A). Participants were recruited from an HIV clinic and randomly assigned to: (1) a comparison group, who received brief messages from their health care providers (HCPs), or; (2) an intervention group, who received messages from HCPs, a group-level intervention, and peer-led support groups. Participants completed risk surveys at baseline, 6-, 12-, and 18-months. Quantitative analyses using hierarchical generalized linear models within a repeated measures framework indicated that intervention participants had significantly higher odds of reporting condom use with sexual partners in months 6 and 18. Grounded Theory-based qualitative analyses suggested that the opportunity to discuss the social context of their lives in addition to HIV/AIDS, including continued stigma and fear related to disclosure, are also essential components of a prevention strategy for WLH/A.

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Ongoing Risk Behavior Among Persons With HIV in Medical Care

Cited by 50 publications

References 32 publications

Unsafe Sexual Behavior Among HIV-Infected Patients in Croatia, 2006: Prevalence and Associated Factors

Unsafe Sexual Behavior Among HIV-Infected Patients in Croatia, 2006: Prevalence and Associated Factors

Substance use and sexual risk behaviour among HIV‐positive men who have sex with men in specialized out‐patient clinics

A Mixed Methods Evaluation of the Effect of the Protect and Respect Intervention on the Condom Use and Disclosure Practices of Women Living with HIV/AIDS

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