TITLE

Examining Levels of Risk Behaviors among Black Men Who Have Sex with Men (MSM) and the Association with HIV Acquisition

AUTHOR(S)
Irvin, Risha; Vallabhaneni, Snigdha; Scott, Hyman; Williams, John K.; Wilton, Leo; Li, Xin; Buchbinder, Susan; null, null
PUB. DATE
February 2015
SOURCE
PLoS ONE;Feb2015, Vol. 10 Issue 2, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Seroadaptation is defined as the practice of modifying sexual behavior based on one’s own HIV serostatus, the perceived HIV serostatus of sexual partners, and differences in risk of HIV transmission by sexual acts. Because this definition implies intent, we use the term “seroprotection” to describe HIV negative participants reporting condomless anal sex (CAS) either exclusively with seronegative partners, or only as the insertive partner with HIV positive or unknown serostatus partners. Little is known about seroprotection in Black men who have sex with men (MSM). We evaluated the independent association of seroprotection and HIV acquisition among the 1144 HIV-negative Black MSM enrolled in HPTN 061 using Cox models; we stratified by city of enrollment, and controlled for number of partners, age, and drug use. Behaviors reported at 0, 6, and 12 months were assigned to three mutually exclusive categories: (1) No CAS; (2) Seroprotection; and (3) CAS without seroprotection. In 2,861 six-month intervals; 28 HIV seroconversions occurred. No CAS was reported at 33.3% of visits, seroprotection at 46.6% of visits, and CAS without seroprotection at 20.1% of visits. The seroconversion rate per 100 person-years for no CAS was 0.98 (95% CI: 0.27, 2.51), compared with 2.39 (95% CI: 1.03, 4.71) and 13.33 (95% CI: 7.62, 21.66) for seroprotection and CAS without seroprotection, respectively. Compared to CAS without seroprotection, intervals without CAS were associated with an 87% reduction (aHR: 0.13, 95% CI: 0.03–0.46) in HIV acquisition and intervals with seroprotection with a 78% reduction (aHR: 0.22, 95% CI: 0.09–0.57). No CAS is the safest behavior to prevent HIV acquisition. Seroprotective behaviors significantly reduced risk, but HIV incidence was still >2/100 person-years, suggesting that additional strategies, such as pre-exposure prophylaxis, are warranted for this population.
ACCESSION #
101319247

 

Related Articles

  • Characterizing Men Who Have Sex with Transgender Women in Lima, Peru: Sexual Behavior and Partnership Profiles. Long, Jessica E.; Ulrich, Angela; White, Edward; Dasgupta, Sayan; Cabello, Robinson; Sanchez, Hugo; Lama, Javier R.; Duerr, Ann // AIDS & Behavior;Mar2020, Vol. 24 Issue 3, p914 

    HIV prevalence is high among transgender women (TW), but how HIV is transmitted to this population is not well understood. This analysis aims to characterize sexual partners of TW (PTW) to understand how their behavior contributes to HIV risk among TW. We examined baseline data from TW, PTW, and...

  • INTENTIONAL HIV TRANSMISSION AMONG MEN WHO HAVE SEX WITH MEN: A SCOPING REVIEW. BREITFELLER, GABRIELA H.; KANEKAR, AMAR // Gay & Lesbian Issues & Psychology Review;2012, Vol. 8 Issue 2, p112 

    Barebacking is a term often used to describe men who engage in unprotected anal intercourse. Amongst some HIV negative gay men, this sexual practice is used as an intentional mode of seroconversion. Such men are often referred to both within the literature and within gay communities as 'bug...

  • Preference for and Maintenance of Anal Sex Roles Among Men Who Have Sex with Men: Sociodemographic and Behavioral Correlates. Wei, Chongyi; Raymond, H. Fisher // Archives of Sexual Behavior;Aug2011, Vol. 40 Issue 4, p829 

    Self-labeling of, and preference for, anal sex roles is an important aspect of identities and cultures among men who have sex with men (MSM) populations. In this article, we examined sociodemographic and behavioral correlates of preference for and maintenance of anal sex roles, and risk for HIV...

  • Mental health functioning among men who use the Internet specifically to find partners for unprotected sex. Klein, Hugh // Mental Illness (2036-7457);2013, Vol. 5 Issue 1, p18 

    Previous studies have shown a link between mental health functioning and involvement in HIV risk practices. The present research examines how well one specific group of men who have sex with other men (MSM) fare in terms of their mental health functioning, and then focuses on how mental health...

  • Sexual Networks and HIV Risk among Black Men Who Have Sex with Men in 6 U.S. Cities. Tieu, Hong-Van; Liu, Ting-Yuan; Hussen, Sophia; Connor, Matthew; Wang, Lei; Buchbinder, Susan; Wilton, Leo; Gorbach, Pamina; Mayer, Kenneth; Griffith, Sam; Kelly, Corey; Elharrar, Vanessa; Phillips, Gregory; Cummings, Vanessa; Koblin, Beryl; Latkin, Carl; null, null // PLoS ONE;8/4/2015, Vol. 10 Issue 8, p1 

    Background: Sexual networks may place U.S. Black men who have sex with men (MSM) at increased HIV risk. Methods: Self-reported egocentric sexual network data from the prior six months were collected from 1,349 community-recruited Black MSM in HPTN 061, a multi-component HIV prevention...

  • Pervasive Heavy Alcohol Use and Correlates of Increasing Levels of Binge Drinking among Men Who Have Sex with Men, San Francisco, 2011. Santos, Glenn-Milo; Jin, Harry; Raymond, H. // Journal of Urban Health;Aug2015, Vol. 92 Issue 4, p687 

    Heavy episodic drinking, 'binge drinking', is highly prevalent among men who have sex with men (MSM) and is associated with sexual risk behaviors and HIV seroconversion in this population. We characterized the magnitude of binge drinking and explored correlates of increasing levels of binge...

  • Complex Drug Use Patterns and Associated HIV Transmission Risk Behaviors in an Internet Sample of U.S. Men Who Have Sex with Men. Yu, Gary; Wall, Melanie; Chiasson, Mary; Hirshfield, Sabina // Archives of Sexual Behavior;Feb2015, Vol. 44 Issue 2, p421 

    Although the relationship between drug use and HIV risk among men who have sex with men (MSM) is well described, relatively few studies have employed empirical methods to assess underlying classes of drug use that may better predict the risk of HIV or sexually transmitted infections (STIs) among...

  • The Global View of MSMs & HIV. Roehr, Bob // Between the Lines (10807551);8/16/2012, Issue 2033, p12 

    The article focuses the HIV infections among men who have sex with men (MSMs). It mentions Johns Hopkins, epidemiologist on the view of showing stable pattern in the underdeveloped and developing nations, and mentions the increasing epidemics of HIV in the rich countries. It highlights the major...

  • Correlates of Unprotected Anal Intercourse: The Influence of Anal Sex Position Among Men Who Have Sex with Men in Beijing, China. Zhang, Heng; Lu, Hongyan; Pan, Stephen; Xia, Dongyan; Zhao, Yuejuan; Xiao, Yan; He, Xiong; Yue, Hai; Sun, Zheya; Xu, Yunan; Ruan, Yuhua; Shao, Yiming // Archives of Sexual Behavior;Feb2015, Vol. 44 Issue 2, p375 

    Understanding barriers to consistent condom use among men who have sex with men (MSM) requires consideration of the context in which risk behaviors occur. Anal sex position is one such context. This pooled cross-sectional study used survey data from 1,230 MSM and their 2,618 reported male sexual...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics