TITLE

Sexual Risk Behaviors of HIV-Positive, HIV-Negative, and Serostatus-Unknown Black Men Who Have Sex with Men and Women

AUTHOR(S)
Lauby, Jennifer L.; Millett, Gregorio A.; LaPollo, Archana Bodas; Bond, Lisa; Murrill, Christopher S.; Marks, Gary
PUB. DATE
October 2008
SOURCE
Archives of Sexual Behavior;Oct2008, Vol. 37 Issue 5, p708
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Black men who have sex with men and women (MSMW) are at high risk for HIV infection and transmission. This study compared the sexual risk behaviors of Black MSMW who self-reported being HIV-positive with those who reported being HIV-negative and those who did not know their HIV status. Respondent-driven sampling (RDS) was used to recruit 1,154 Black MSM in Philadelphia and New York who completed an audio computer-assisted self-interview (ACASI). Of these men, 212 had engaged in anal sex with male partners and vaginal or anal sex with female partners in the past 3 months. A quarter (23.6%; n = 50) of MSMW self-reported testing positive for HIV at their last test, 59.4% ( n = 126) reported testing negative for HIV at their last test, and 17.0% ( n = 36) reported never having an HIV test. Multivariate logistic regression analysis revealed that HIV-positive MSMW were much less likely than HIV-negative men and never-tested men to have engaged in unprotected intercourse with main male and main female partners perceived to be HIV-negative or of unknown serostatus. However, HIV-positive men were equally as likely as HIV-negative men to have unprotected intercourse with non-main male and non-main female partners perceived as HIV-negative or of unknown serostatus. Our findings indicate that some HIV-positive MSMW engage in unprotected sex that places female and male partners at risk for HIV infection. However, MSMW who have never taken an HIV test, or who have not been recently tested, may be a greater source of HIV transmission to their female and male partners.
ACCESSION #
33952480

 

Related Articles

  • Barebacking Among Gay and Bisexual Men in New York City: Explanations for the Emergence of Intentional Unsafe Behavior. Halkitis, Perry N.; Parsons, Jeffrey T.; Wilton, Leo // Archives of Sexual Behavior;Aug2003, Vol. 32 Issue 4, p351 

    This study was undertaken to assess the frequency with which gay and bisexual men in New York City engage in intentional unprotected anal sex, or "barebacking," and to examine explanations about the emergence of barebacking. A total of 518 men completed a brief intercept survey. Of the 448 men...

  • Identifying 'high risk situations' for preventing AIDS. Zwi, Anthony B.; Cabral, Antonio Jorge R. // BMJ: British Medical Journal (International Edition);12/14/91, Vol. 303 Issue 6816, p1527 

    Examines the high risk of HIV infection. Rates of HIV infection and AIDS; Determination of the high risk situations of infections; Role of health services in determining HIV infections.

  • Internalized homonegativity/homophobia is associated with HIV-risk behaviours among Ugandan gay and bisexual men. Ross, M W; Kajubi, P; Mandel, J S; McFarland, W; Raymond, H F // International Journal of STD & AIDS;May2013, Vol. 24 Issue 5, p409 

    We investigated the relationship of internalized homonegativity/homophobia (IH) to sexual risk behaviours among 216 Ugandan gay and bisexual men, using the 7-item IH scale previously developed on this population. IH was significantly associated with unprotected anal intercourse, and more so with...

  • Beyond the Down Low: Sexual Risk, Protection, and Disclosure Among At-Risk Black Men Who Have Sex with Both Men and Women (MSMW). Dodge, Brian; Jeffries, William L.; Sandfort, Theo G. M. // Archives of Sexual Behavior;Oct2008, Vol. 37 Issue 5, p683 

    Little information is available about sexual risk, protective, and disclosure practices among Black bisexually active men and how these may be amenable to intervention when necessary. In-depth interviews were conducted with 30 at-risk urban Black men who have sex with both men and women (MSMW)....

  • HIV risk behaviour among public primary healthcare patients with tuberculosis in South Africa. Peltzer, K. // Southern African Journal of HIV Medicine;Sep2013, Vol. 14 Issue 3, p125 

    Objective. To identify factors associated with HIV in tuberculosis (TB) patients in a public primary healthcare (PHC) setting in South Africa (SA). Method. Among 4 900 consecutively selected TB patients (54.5% men; women 45.5%) from 42 public PHC clinics in 3 districts in SA, a cross-sectional...

  • Exploring perceptions of HIV risk and health service access among Zimbabwean migrant women in Johannesburg: A gap in health policy in South Africa? Munyewende, Pascalia; Rispel, Laetitia C.; Harris, Bronwyn; Chersich, Matthew // Journal of Public Health Policy;May2011, Vol. 32, pS152 

    We present qualitative data from a 2005 exploratory study, recently published studies, and an analysis of the Department of Health's strategic plan to highlight the need for a broader policy debate on health-care access for migrants in South Africa. We conducted in-depth interviews with 15...

  • Occupational Exposures to Potentially Infectious Material Among Guatemalan Health Care Workers. Samayoa, Blancca; Anderson, Matthew; Arathon, Eduard; Hernandez, Claudia; Bourque, Daniel; Vela, Carlos // Einstein Journal of Biology & Medicine;2006, Vol. 22 Issue 1, p49 

    The article reports on an investigation of the accidental exposure of health workers to potentially infectious material at the Hospital General San Juan de Dios in Guatemala City. The study focused on health care workers at the AIDS specialty clinic of the hospital. Results indicated that there...

  • Global Challenges for Clinical Pharmacology in the Developing World. Blaschke, T. F. // Clinical Pharmacology & Therapeutics;Jun2009, Vol. 85 Issue 6, p579 

    The increasing burden of HIV care threatens to overwhelm health-care providers and systems in the developing world. Clinical pharmacologists, applying the training that they possess in regulatory science, rational prescribing, and teaching therapeutics, could improve the delivery of care in that...

  • Cardiometabolic disease risk and HIV status in rural South Africa: establishing a baseline. Clark, Samuel J.; Gómez-Olivé, F. Xavier; Houle, Brian; Thorogood, Margaret; Klipstein-Grobusch, Kerstin; Angotti, Nicole; Kabudula, Chodziwadziwa; Williams, Jill; Menken, Jane; Tollman, Stephen // BMC Public Health;2015, Vol. 15 Issue 1, p1 

    Background: To inform health care and training, resource and research priorities, it is essential to establish how non-communicable disease risk factors vary by HIV-status in high HIV burden areas; and whether long-term anti-retroviral therapy (ART) plays a modifying role. Methods: As part of a...

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