‘Serosorting’ in casual anal sex of HIV-negative gay men is noteworthy and is increasing in Sydney, Australia

Mao, Limin; Crawford, June; Hospers, Harm J.; Prestage, Garrett; Grulich, Andrew E.; Kaldor, John; Kippax, Susan

doi:10.1097/01.aids.0000226964.17966.75

Cited by 125 publications

(76 citation statements)

References 14 publications

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“…This highlights one major problem related to serosorting, namely the difficulty of being certain of one's own HIV seronegativity. The practice of serosorting by HIV-seronegative individuals as an alternative to condom use for preventing HIV infection has been addressed in previous studies [11,28]. In populations with a high incidence of HIV infection, incorrect HIV serostatus assumptions are not that rare, even among individuals who have had frequent HIV screening tests during the previous year.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, sexual behaviours aiming at reducing the risk of HIV transmission have been reported: serosorting with casual partners, negotiated safety with regular partners, strategic positioning, withdrawal before ejaculation [10][11][12][13]. The first, serosorting, consists of engaging in unprotected anal sex only with partners of the same HIV serostatus as oneself.…”

Section: Introductionmentioning

confidence: 99%

“…Osmond et al showed that this strategy was used most frequently by the 18-29-year-olds [17]. This practice has also been described among HIV-negative men [11,[19][20][21][22]. To date, serosorting with casual partners has never been studied in France.…”

Section: Introductionmentioning

confidence: 99%

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Do men who have sex with men use serosorting with casual partners in France? Results of a nationwide survey (ANRS-EN17-Presse Gay 2004)

et al. 2009

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We examined whether men who have sex with men (MSM) in France have adopted serosorting with their casual partners, serosorting being one strategy to reduce the risk of HIV transmission. We expected to see the same predictors of this practice with casual partners in France as in other similar MSM communities (HIV-seropositive, Internet dating). Data from a cross-sectional survey was used, based on a self-administered questionnaire conducted among readers of the gay press and users of gay websites in 2004. The study population consisted of MSM who reported their HIV status, as well as the practice of unprotected anal intercourse (UAI) with a casual partner at least once during the previous 12 months. Among 881 respondents included in the analysis, 195 (22%) had practiced serosorting: 14% among HIV-seropositive men and 26% among HIV-seronegative men. Serosorting was independently associated with the use of cruising venues (AOR 0.28, p=0.001) and Internet dating (AOR 2.16, p=0.051) among HIV-seropositive men, whereas it was independently associated with the use of cruising venues (AOR 0.59, p=0.013) and the fact of having less partners (AOR 1.50, p=0.046) among HIV-seronegative men. Serosorting requires an up-to-date knowledge of HIV serostatus for MSM and their UAI casual partners, and does not prevent from acquiring other sexually transmitted infections. Prevention campaigns are needed to underline the risks associated with serosorting.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Do men who have sex with men use serosorting with casual partners in France? Results of a nationwide survey (ANRS-EN17-Presse Gay 2004)

et al. 2009

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“…Serosorting has undoubtedly contributed to the recent increase in STI among HIV-positive MSM in Western Europe and therefore needs to be monitored [12]. In addition, some HIVnegative men report serosorting with casual partners as a risk reduction strategy [13,14]. Since it is extremely difficult for HIVnegative men to establish seroconcordance reliably in a casual encounter, serosorting with casual partners among HIV-negative men presents a risk for HIV transmission.…”

Section: Partners Of the Same Hiv Statusmentioning

confidence: 99%

HIV and STI behavioural surveillance among men who have sex with men in Europe

et al. 2009

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This paper describes behavioural surveillance for HIV and sexually transmitted infections (STI) among men who have sex with men (MSM) in Europe, focusing on the methods and indicators used. In August 2008, questionnaires were sent to European Union Member States and European Free Trade Association countries seeking information on behavioural surveillance activities among eight population groups including MSM. Thirty-one countries were invited to take part in the survey and 27 returned a questionnaire on MSM. Of these 27 countries, 14 reported that there was a system of behavioural surveillance among MSM in their country while another four countries had conducted behavioural surveys of some kind in this subpopulation. In the absence of a sampling frame, all European countries used convenience samples for behavioural surveillance among MSM. Most European countries used the Internet for recruiting and surveying MSM for behavioural surveillance reflecting increasing use of the Internet by MSM for meeting sexual partners. While there was a general consensus about the main behavioural indicators (unprotected anal intercourse, condom use, number of partners, HIV testing), there was considerable diversity between countries in the specific indicators used. We suggest that European countries reach an agreement on a core set of indicators. In addition we recommend that the process of harmonising HIV and STI behavioural surveillance among MSM in Europe continues.

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“…Researchers who analyze the epidemics by the gender perspective argue that indications that circumcision may increase the risk among women cannot be ignored, especially considering the difficulties men have in remaining abstinent during the healing process, and advocate the expansion of investments in methods that protect everybody 44 . Advocates of the method claim that, in situations of generalized epidemics and with mainly heterosexual transmission, the protective effect among men would extend to the whole population at medium and long terms 45 . The literature also points out to important limitation in the available knowledge about the effects of new technologies on sexual practices.…”

Section: Resultsmentioning

confidence: 99%

Sex, human rights and AIDS: an analysis of new technologies for HIV prevention in the Brazilian context

Ferraz

Paiva

2015

Rev. bras. epidemiol.

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Worldwide, HIV prevention is challenged to change because clinical trials show the protective effect of technologies such as circumcision, preexposure prophylaxis, and the suppression of viral load through antiretroviral treatment. In the face of demands for their implementation on population levels, the fear of stimulating risk compensation processes and of increasing riskier sexual practices has retarded their integration into prevention programs. In this article, following a narrative review of the literature on risk compensation using the PubMed database, we offer a critical reflection on the theme using a constructionist approach of social psychology integrated to the theoretical framework of vulnerability and human rights. The use of biomedical technologies for prevention does not consistently induce its users to the increase of riskier practices, and variations on the specificity of each method need to be carefully considered. Alternatives to the theories of sociocognitive studies, such as social constructionist approaches developed in the social sciences and humanities fields, indicate more comprehensive interpretations, valuing the notions of agency and rights. The critical analysis suggests priority actions to be taken in the implementation process: development of comprehensive programs, monitoring and fostering dialog on sexuality, and technical information. We highlight the need to implement a human rights-based approach and to prioritize dialog, stressing how complementary these technologies can be to meet different population needs. We conclude by stressing the need to prioritize sociopolitical changes to restore participation, dialog about sexuality, and emphasis on human rights such as core elements of the Brazilian AIDS policy.

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‘Serosorting’ in casual anal sex of HIV-negative gay men is noteworthy and is increasing in Sydney, Australia

Cited by 125 publications

References 14 publications

Do men who have sex with men use serosorting with casual partners in France? Results of a nationwide survey (ANRS-EN17-Presse Gay 2004)

Do men who have sex with men use serosorting with casual partners in France? Results of a nationwide survey (ANRS-EN17-Presse Gay 2004)

HIV and STI behavioural surveillance among men who have sex with men in Europe

Sex, human rights and AIDS: an analysis of new technologies for HIV prevention in the Brazilian context

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