Silence and Assumptions: Narratives on the Disclosure of HIV Status to Casual Sexual Partners and Serosorting in a Group of Gay Men in Barcelona

Fernández‐Dávila, Percy; Folch, Cinta; Lorca, Kati Zaragoza; Casabona, Jordi

doi:10.1080/19317611.2011.574785

Cited by 11 publications

(10 citation statements)

References 34 publications

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“…18 Suggesting that serosorting may have been occurring-or at least that the participants consider HIV-status disclosure as a viable prevention strategy-are our findings that respondents who stated they were HIV negative were (A) more likely to ask partners about their HIV status and (B) less willing to have sex with persons living with HIV. Such findings have been identified previously when participants reported that they base decisions about condom use on their partners' reported HIV status.…”

Section: Discussionmentioning

confidence: 81%

HIV status and sexual behaviour among gay men in Ottawa: considerations for public health

et al. 2014

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ObjectivesHIV prevention efforts, particularly among men who have sex with men (MSM), have not achieved maximum effectiveness. A survey of MSM in Ottawa, Canada was completed to ascertain whether there were differences in how the perceived HIV status of participants and their partners influenced sexual practices.MethodsSelf-directed surveys were administered to a convenience sample of 721 MSM in Ottawa, Canada from November 2011 through May 2012. Data collection occurred at 14 sites. The survey identified whether participants identified as HIV positive, negative or unsure of their HIV status.ResultsThe findings indicated variation between HIV-negative MSM and those who are unsure of their HIV status. Men who were unsure of their HIV status were less likely to report that they asked sexual partners or have had their partners ask about HIV status.ConclusionsThe results of this study indicate that some MSM may base decisions about HIV prevention on discussion about HIV status with their partners, rather than condom use. These practices may increase, rather than decrease, HIV transmission. Survey findings and extant literature demonstrate a need to inform MSM about the limitations of serosorting as a prevention strategy, and to provide facilitated access to sexually transmitted infection testing and treatment to further reduce onward HIV transmission.

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Section: Discussionmentioning

confidence: 81%

HIV status and sexual behaviour among gay men in Ottawa: considerations for public health

et al. 2014

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“…Studies may benefit from targeting non-romantic yet regular sexual relationships (e.g. colloquially known as “fuckbuddy” relationships [28]). Many longer “committed” homosexual male relationships may begin in this way [29].…”

Section: Discussionmentioning

confidence: 99%

Homosexual men in HIV serodiscordant relationships: implications for HIV treatment as prevention research

Bavinton

Jin

Mao

et al. 2015

Journal of the International AIDS Society

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IntroductionStudies in heterosexual HIV serodiscordant couples have provided critical evidence on the role of HIV treatments in reducing HIV transmission risk. However, there are limited data regarding the effect of treatment on HIV transmission in homosexual male couples. We examined features of male homosexual HIV serodiscordant relationships that may impact upon the design of HIV treatment and transmission studies.MethodsData were from a prospective cohort study of HIV-negative homosexual men in Sydney, Australia. Men were followed up with six-monthly interviews and annual testing for HIV. Characteristics of men in HIV serodiscordant and seroconcordant relationships at baseline were compared, and a longitudinal analysis performed of rate of relationship break-up and of HIV incidence.ResultsAt baseline, 5.5% of participants (n=79) had an HIV-positive partner. Most (80.8%) of these relationships were non-monogamous, and 36.7% of men reported recent unprotected anal intercourse (UAI) with casual partners. The rate of relationship break-up was 29.5 per 100 person-years. Half of men in serodiscordant relationships (49.4%) reported recent UAI with their regular partners. HIV incidence was 2.2 per 100 person-years. It was substantially higher in relationships of less than one year's duration (6.1 per 100 person-years) and in men who reported unprotected receptive anal intercourse with ejaculation with their regular partners (15.5 per 100 person-years).ConclusionsLevels of HIV transmission risk and incidence were high, particularly in early relationships. Rates of relationship break-up were high. These data suggest that studies of HIV treatments and transmission in homosexual serodiscordant couples should focus on early relationships so as not to underestimate risk, and sample sizes must allow for high rates of relationship break-up.

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“…Revelar el estado serológico respecto al VIH puede ser un indicador subyacente de responsabilidad 24 pero desde que se ha descrito que entre los HSH de España la comunicación o la revelación no suele ocurrir en un encuentro sexual 25,26 , el discurso de la responsabilidad individual emerge en el caso que se quiera tener PASC. En este caso este discurso esconde la elaboración de suposiciones sobre los conocimientos acerca de la transmisión del VIH, la percepción de riesgo y el estado serológico de la pareja sexual.…”

Section: Discussionunclassified

Discursos sobre la responsabilidad sexual en hombres VIH-positivos que tienen sexo con hombres

Fernández‐Dávila

Carmona

2013

Rev. Esp. Salud Publica

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Silence and Assumptions: Narratives on the Disclosure of HIV Status to Casual Sexual Partners and Serosorting in a Group of Gay Men in Barcelona

Cited by 11 publications

References 34 publications

HIV status and sexual behaviour among gay men in Ottawa: considerations for public health

HIV status and sexual behaviour among gay men in Ottawa: considerations for public health

Homosexual men in HIV serodiscordant relationships: implications for HIV treatment as prevention research

Discursos sobre la responsabilidad sexual en hombres VIH-positivos que tienen sexo con hombres

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