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Unprotected anal intercourse among HIV-positive men who have a steady male sex partner with negative or unknown HIV serostatus

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  • Denning, P.H.
  • Campsmith, M.L.

Abstract

Objectives. We sought to determine the prevalence and predictors of unprotected anal intercourse (UAI) among HIV-positive men who have a single steady male partner with negative or unknown HIV serostatus. Methods. We analyzed behavioral surveillance data from HIV-positive men who have sex with men (MSM) interviewed in 12 states between 1995 and 2000. Results. Of 970 HIV-positive MSM who had a single steady male sex partner with negative or unknown serostatus, 278 (29%) reported UAI during the previous year. In a subset of 674 men who were aware of their infection, 144 (21%) had UAI. Among the men who were aware of their infection, factors found to be predictive of UAI in multivariate modeling were heterosexual self-identification, crack cocaine use, no education beyond high school, and a partner with unknown serostatus. Conclusions. Even after learning of their infection, one fifth of HIV-positive MSM who had a single steady male partner with negative or unknown serostatus engaged in UAI, underscoring the need to expand HIV prevention interventions among these men.

Suggested Citation

  • Denning, P.H. & Campsmith, M.L., 2005. "Unprotected anal intercourse among HIV-positive men who have a steady male sex partner with negative or unknown HIV serostatus," American Journal of Public Health, American Public Health Association, vol. 95(1), pages 152-158.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.017814_5
    DOI: 10.2105/AJPH.2003.017814
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    Cited by:

    1. Jeffy G. Mattathil & Asisa Volz & Olusegun O. Onabajo & Sean Maynard & Sandra L. Bixler & Xiaoying X. Shen & Diego Vargas-Inchaustegui & Marjorie Robert-Guroff & Celia Lebranche & Georgia Tomaras & Da, 2023. "Direct intranodal tonsil vaccination with modified vaccinia Ankara vaccine protects macaques from highly pathogenic SIVmac251," Nature Communications, Nature, vol. 14(1), pages 1-15, December.
    2. World Bank, 2009. "Kenya - HIV Prevention Response and Modes of Transmission Analysis," World Bank Publications - Reports 3044, The World Bank Group.
    3. Adam O Hill & Benjamin R Bavinton & Gregory Armstrong, 2018. "Prevalence and Factors Associated with Inconsistent Condom Use among Men Who Have Sex with Men (MSM) Who Use Mobile Geo-Social Networking Applications in Greater Tokyo," IJERPH, MDPI, vol. 15(12), pages 1-15, December.

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