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Title

Sexual risk behavior and viremia among MSM in the HIV Outpatient Study (HOPS), USA, 2007-2010

Authors

Durham MD, Buchacz K, Richardson J, Yang D, Wood K, Yangco B, Brooks JT; the HOPS Investigators.

Network Affiliation

 

Organization

 

Journal Name

JAIDS

Publication Date

2/1/2013

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/23422850

Link to full-text

 

PMID

 

Abstract

 

BACKGROUND:: Recent U.S. data on unsafe sexual behaviors among viremic HIV-infected men who have sex with men (MSM) are limited. METHOD:: Using data abstracted from medical records of participants in the HIV Outpatient Study (HOPS) and a supplemental behavioral survey, we calculated the frequency of high-risk sexual practices among HIV-infected MSM in care and examined factors associated with risky sexual practices. In a subset of MSM, we compared the frequency of unprotected anal sex (UAS) with HIV-negative or unknown serostatus partners among viremic (HIV viral load ≥ 400 copies/mL) versus virologically suppressed (HIV viral load < 400 copies/mL) MSM. RESULTS:: Among 902 HIV-infected MSM surveyed, 704 (78%) reported having sex in the past six months, of whom 54% reported UAS (37% insertive, 42% receptive) and 40% UAS with a male partner who was HIV-negative or of unknown serostatus (24% insertive, 31% receptive). In multivariable regression with an outcome of engaging in any UAS with a male partner who was HIV-negative or of unknown serostatus, MSM aged < 50 years, who reported injection drug use risk, had ≥ 2 sex partners, and who disclosed their HIV status to some but not all of their sex partners were more likely to report this practice. Among MSM who reported any UAS, 15% were viremic; frequency of UAS did not differ between viremic and virologically suppressed MSM. CONCLUSION:: The high frequency of UAS among HIV-infected MSM in care with HIV-negative or unknown status partners suggests the need for targeted prevention strategies for this population.

Keywords

 

Topic

Behavior; MSM; Substance Abuse

Attachments

Created at 2/22/2013 11:41 AM by Davis, Gregory P
Last modified at 2/22/2013 11:41 AM by Davis, Gregory P