Psychosocial and Behavioral Predictors of Partner Notification After HIV and STI Exposure and Infection Among MSM

Mimiaga, Matthew J.; Reisner, Sari L.; Tetu, Ashley M.; Cranston, Kevin; Bertrand, Thomas; Novak, David S.; Mayer, Kenneth H.

doi:10.1007/s10461-008-9424-y

Cited by 19 publications

(12 citation statements)

References 40 publications

(32 reference statements)

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“…Other studies have also documented an association between UAS and being less educated and having a lower socioeconomic status. [61][62][63][64][65][66][67] Given that 86% of the current sample of exclusively Black MSM and between 33% and 67% of other mixed race/ethnicity MSM samples in Massachusetts have less than or equal to a high school diploma/ GED, 27,28 findings suggest that socioeconomically disadvantaged Black MSM are a subgroup in need of structural interventions to support HIV prevention efforts.…”

Section: Discussionmentioning

confidence: 99%

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Sexual Mixing Patterns and Partner Characteristics of Black MSM in Massachusetts at Increased Risk for HIV Infection and Transmission

et al. 2009

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Black men who have sex with men (MSM) are at increased risk for HIV infection in the United States compared to other MSM. The aim of this study was to investigate Black MSM's sexual mixing patterns and partner characteristics in relation to sexual risk taking, as a possible explanation for this observed increase in HIV incidence. Between January and July 2008, 197 Black MSM were recruited via modified respondent-driven sampling and completed optional pretest and post-test HIV serological testing, counseling, and a demographic, behavioral, and psychosocial assessment battery. Bivariate and multivariable logistic regression procedures were used to examine predictors of risky sex across partner types. Overall, 18% of the sample was HIV-infected; 50% reported unprotected intercourse with men, 30% with women, and 5% with transgender partners. Fifty-three percent identified as bisexual or straight, although all reported oral or anal sex with another man in the prior 12 months. Significant predictors of engaging in at least one episode of: (1) serodiscordant unprotected anal sex (UAS) with a male partner in the past 12 months: individuals at risk for social isolation (AOR=4.23; p=0.03), those with unstable housing (AOR=4.19; p=0.03), and those who used poppers at least weekly during sex (AOR=5.90; p=0.05); (2) UAS and/or unprotected vaginal intercourse with a female partner in the past 12 months: those with unstable housing (AOR=4.85; p=0.04), those who used cocaine at least weekly during sex (AOR=16.78; p=0.006), being HIV-infected (AOR=0.07; p=0.02), and feeling social norms favor condom use (AOR=0.60; p=0.05); (3) UAS with the participants' most recent nonmain male sex partner: use of alcohol and drugs during last sex by participant (AOR=4.04; p=0.01), having sex with a Hispanic/ Latino male (AOR=2.71; p=0.04) or a Black male (AOR=0.50; p=0.05) compared to a White male, and lower education (AOR=1.31; p=0.02). Findings suggest that sexual risk behaviors of Black MSM differ across partner type and by the characteristics of their sexual networks and that this subpopulation of MSM are at high risk for HIV acquisition and transmission. Effective prevention strategies need to address the distinct sexual and behavioral risk patterns presented by different sexual partnerships reported by Black MSM.

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Section: Discussionmentioning

confidence: 99%

“…Recruitment The study utilized a modified RDS method, 25 used successfully in prior studies of MSM in Massachusetts, 27,28 to recruit a diverse sample of men. Eight study participants were selected to function as recruiter "seeds," four at each of the participating study sites (MAC and JRI).…”

Section: Samplementioning

confidence: 99%

Sexual Mixing Patterns and Partner Characteristics of Black MSM in Massachusetts at Increased Risk for HIV Infection and Transmission

et al. 2009

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“…A modified RDS method (Heckathorn, 1997), used successfully in prior studies of MSM in Massachusetts (Mimiaga, Goldhammer, Belanoff, Tetu, & Mayer, 2007;, Mimiaga, Reisner, Tetu et al, 2009, was utilized to recruit a diverse sample of men. Participants were recruited to function as recruiter "seeds" at each of the participating study sites.…”

Section: Recruitmentmentioning

confidence: 99%

Pathways to Embodiment of HIV Risk: Black Men Who Have Sex with Transgender Partners, Boston, Massachusetts

Reisner

Mimiaga²,

Bland³

et al. 2012

AIDS Education and Prevention

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“…Between January and July 2008, 197 participants were recruited via modified respondent-driven sampling, 14,15,46 and completed a quantitative assessment with a trained interviewer, which included open-ended questions, and were offered voluntary HIV counseling and testing. The study was a joint collaboration between Fenway Community Health, 47 the Multicultural AIDS Coalition (MAC), the Justice Resource Institute ( JRI), and the Massachusetts Department of Public Health (MDPH) Office of HIV=AIDS.…”

Section: Design and Settingmentioning

confidence: 99%

Health System and Personal Barriers Resulting in Decreased Utilization of HIV and STD Testing Services among At-Risk Black Men Who Have Sex with Men in Massachusetts

Mimiaga

Reisner

Bland

et al. 2009

AIDS Patient Care and STDs

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Testing for HIV and other sexually transmitted diseases (STD) remains a cornerstone of public health prevention interventions. This analysis was designed to explore the frequency of testing, as well as health system and personal barriers to testing, among a community-recruited sample of Black men who have sex with men (MSM) at risk for HIV and STDs. Black MSM (n = 197) recruited via modified respondent-driven sampling between January and July 2008 completed an interviewer-administered assessment, with optional voluntary HIV counseling and testing. Logistic regression procedures examined factors associated with not having tested in the 2 years prior to study enrollment for: (1) HIV (among HIV-uninfected participants, n = 145) and (2) STDs (among the entire mixed serostatus sample, n = 197). The odds ratios and their 95% confidence intervals obtained from this analysis were converted to relative risks. (1) HIV: Overall, 33% of HIV-uninfected Black MSM had not been tested for HIV in the 2 years prior to study enrollment. Factors uniquely associated with not having a recent HIV test included: being less educated; engaging in serodiscordant unprotected sex; and never having been HIV tested at a community health clinic, STD clinic, or jail. (2) STDs: Sixty percent had not been tested for STDs in the 2 years prior to study enrollment, and 24% of the sample had never been tested for STDs. Factors uniquely associated with not having a recent STD test included: older age; having had a prior STD; and never having been tested at an emergency department or urgent care clinic. Overlapping factors associated with both not having had a recent HIV or STD test included: substance use during sex; feeling that using a condom during sex is "very difficult"; less frequent contact with other MSM; not visiting a health care provider (HCP) in the past 12 months; having a HCP not recommend HIV or STD testing at their last visit; not having a primary care provider (PCP); current PCP never recommending they get tested for HIV or STDs. In multivariable models adjusting for relevant demographic and behavioral factors, Black MSM who reported that a HCP recommended getting an HIV test (adjusted relative risk [ARR] = 0.26; p = 0.01) or STD test (ARR = 0.11; p = 0.0004) at their last visit in the past 12 months were significantly less likely to have not been tested for HIV or STDs in the past 2 years. Many sexually active Black MSM do not regularly test for HIV or STDs. HCPs play a pivotal role in encouraging testing for Black MSM. Additional provider training is warranted to educate HCPs about the specific health care needs of Black MSM, in order to facilitate access to timely, culturally competent HIV and STD testing and treatment services for this population.

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Psychosocial and Behavioral Predictors of Partner Notification After HIV and STI Exposure and Infection Among MSM

Cited by 19 publications

References 40 publications

Sexual Mixing Patterns and Partner Characteristics of Black MSM in Massachusetts at Increased Risk for HIV Infection and Transmission

Sexual Mixing Patterns and Partner Characteristics of Black MSM in Massachusetts at Increased Risk for HIV Infection and Transmission

Pathways to Embodiment of HIV Risk: Black Men Who Have Sex with Transgender Partners, Boston, Massachusetts

Health System and Personal Barriers Resulting in Decreased Utilization of HIV and STD Testing Services among At-Risk Black Men Who Have Sex with Men in Massachusetts

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