Sexual risk behavior and risk reduction beliefs among HIV-positive young men who have sex with men.

TitleSexual risk behavior and risk reduction beliefs among HIV-positive young men who have sex with men.
Publication TypePublication
Year of Publication2013
AuthorsBruce D, Harper GW, Suleta K
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalAIDS Behav
Volume17
Issue4
Pagination1515-23
Date Published2013 May
ISSN1573-3254
KeywordsAdolescent, Cross-Sectional Studies, Health Knowledge, Attitudes, Practice, HIV Infections, HIV Serosorting, Homosexuality, Male, Humans, Logistic Models, Male, Prevalence, Risk Factors, Risk Reduction Behavior, Risk-Taking, Secondary Prevention, Sexual Partners, Surveys and Questionnaires, United States, Unsafe Sex, Viral Load, Young Adult
Abstract

<p>With young men who have sex with men (YMSM) continuing to be disproportionately affected by the HIV/AIDS epidemic in the U.S., secondary prevention efforts with this population take on increasing significance. We surveyed 200 HIV-positive YMSM (ages 16-24, 66% Black, 18% Latino, 7% White, 7% Multiracial/Other) recruited from 14 HIV primary care sites to examine associations of unprotected anal intercourse (UAI) and partner HIV status with endorsement of serosorting, sexual positioning, and viral load beliefs. Proportions of participants engaging in UAI one or more times during the past three months were consistent across type of UAI (insertive or receptive) and partner status. Belief that an undetectable viral load reduces infectiousness was significantly associated with insertive UAI (p < .05) and receptive UAI (p < .05) with HIV-negative or unknown status partners and receptive UAI with HIV-positive partners (p < .01). Endorsement of belief in serosorting was significantly associated with receptive UAI (p < .01) and insertive UAI (p < .05) with HIV-positive male partners. Implications for sexual behavior and risk reduction beliefs in this population are discussed.</p>

DOI10.1007/s10461-012-0155-8
Alternate JournalAIDS Behav
PubMed ID22350830
PubMed Central IDPMC3361604
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
K01 MH089838 / MH / NIMH NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
5 U01 HD 40533 / HD / NICHD NIH HHS / United States
K01 MH089838-02 / MH / NIMH NIH HHS / United States
K01MH089838 / MH / NIMH NIH HHS / United States
5 U01 HD 40474 / HD / NICHD NIH HHS / United States