Sexual risk behaviour and knowledge of HIV status among community samples of gay men in the UK

Williamson, Lisa; Dodds, Julie; Mercey, D; Hart, Graham; Johnson, Anne M

doi:10.1097/qad.0b013e3282f8af9b

Cited by 81 publications

(61 citation statements)

References 27 publications

(48 reference statements)

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“…Therefore, our findings, consistent with those reported in other research work, suggest that a fraction of MSM who believe themselves to be HIV seronegative could in fact be infected [26]. Recently, Williamson et al reported that 41% of men who tested HIV-seropositive were unaware of their status, although less than half of them reported having had a negative test in the previous 12 months [27]. This highlights one major problem related to serosorting, namely the difficulty of being certain of one's own HIV seronegativity.…”

Section: Discussionsupporting

confidence: 92%

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: Discussionsupporting

confidence: 92%

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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“…Second, respondents' HIV status, sexual behavior, and drug use were all self-reported. Prior research involving HIV status suggests that at least a small percentage of the men reporting to be HIV negative may in fact be HIV positive and unaware of it or may not have wanted to disclose their HIV-positive status (Pedrana et al, 2012;Williamson et al, 2008). If we were to apply the results of past research (CDC, 2010b) and assume that one third of those with HIV did not know that they were infected, as many as an additional 8.7% of the attendees at the event may be HIV positive but not know it.…”

Section: Discussionmentioning

confidence: 99%

Risk Behaviors Among HIV-Positive Gay and Bisexual Men at Party-Oriented Vacations

Fisher

Ramchand

Bana

et al. 2013

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: This study examined substance use (intended and actual), unprotected sex, and HIV disclosure practices (disclosure and questioning) among HIV-positive men who have sex with men (MSM) at two party-oriented vacations, where substance use and sexual risk may be heightened. Method: A random sample of 489 MSM attending one of two party-oriented vacations participated in PartyIntents, a short-term longitudinal survey. Nearly half (47%) completed a follow-up assessment at the event or online for up to 2 weeks after the event. We examined rates of baseline intentions to use substances, actual substance use, and unprotected intercourse among HIV-positive men in attendance. Rates among HIV-negative men were estimated for comparison. Multiple logistic regression was used to assess the impact of illegal drug use and HIV status on unprotected anal intercourse (UAI). Results: HIV-positive attendees (17%) were signifi cantly more likely than HIV-negative attendees to use nitrite inhalants (or "poppers") (24.3% vs. 10.7%). HIVpositive attendees were also signifi cantly more likely to have insertive UAI (64.3% vs. 34.1%) and receptive UAI (68.8% vs. 22.2%). Multivariate models showed associations between HIV status and illegal drug use with UAI (for HIV status, odds ratio [OR] = 4.5, p = .001; for any illegal drug use, OR = 16.4, p < .001). There was no evidence that the infl uence of drug use moderated risk by HIV status. Rates of HIV disclosure and questioning did not differ by HIV status. Conclusions: HIV-positive men attending these events engaged in higher rates of illegal drug use and sexual risk than HIV-negative men. Prevention campaigns targeting MSM at high-risk events should include messages geared toward HIVpositive men. (J. Stud. Alcohol Drugs, 74, 158-167, 2013)

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“…MSM particularly at risk in this respect are likely to include those engaging in unprotected anal intercourse with multiple partners, [30][31][32][33] especially those who do so in group sex contexts, 34 and MSM with an STI. 35 At the same time, since data are lacking on patterns of assortativity and dissortativity among MSM in New Zealand -which would help quantify the degree of sexual mixing between individuals with and without these characteristicsthe promotion of 'universal precautions' through condom use should remain a high priority. This paper has provided information on the MSM who have been most represented in new locally acquired HIV diagnoses, and this should also be used to guide prevention decisions.…”

Section: Discussionmentioning

confidence: 99%

Increase in HIV diagnoses among men who have sex with men in New Zealand from a stable low period

et al. 2011

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Sexual risk behaviour and knowledge of HIV status among community samples of gay men in the UK

Cited by 81 publications

References 27 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)

Risk Behaviors Among HIV-Positive Gay and Bisexual Men at Party-Oriented Vacations

Increase in HIV diagnoses among men who have sex with men in New Zealand from a stable low period

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