Assessing sexual risk behaviour of young gay men in primary relationships: the incorporation of negotiated safety and negotiated safety compliance

Davidovich, Udi; Wit, de J.B.F.; Stroebe, Wolfgang

doi:10.1097/00002030-200004140-00009

Cited by 131 publications

(118 citation statements)

References 12 publications

Supporting

Mentioning

108

Contrasting

Unclassified

Order By: Relevance

“…When considering different sexual behaviour (anal and oral sex) related to different types of sexual partners in the last six months, similar patterns occur. As already well-established by other studies, the rates of condom use differ in relation to the kind of partners and sexual practices: protected sex with casual partners is more frequent than with a steady partner, and protected anal sex is more frequent than protected oral sex [27].…”

Section: Discussionsupporting

confidence: 56%

HIV bio-behavioural survey among men who have sex with men in Barcelona, Bratislava, Bucharest, Ljubljana, Prague and Verona, 2008-2009

Mirandola

Folch

Krampac³

et al. 2009

Eurosurveillance

View full text Add to dashboard Cite

1R e s e a r c h a r t i c l e s H I V b I o -b e H aV I o u r a l s u r V e y a m o n g m e n w H o H aV e s e x w I t H m e n I n b a r c e l o n a , b r at I s l aVa , b u c H a r e s t , l j u b l j a n a , P r a g u e a n d V e r o n a , 2 0 0 8 -2 0 0 9 Data from 23 European countries show that the annual number of HIV diagnoses in men who have sex with men (MSM) increased by 86% between 2000 and 2006. This paper reports the main preliminary results of a bio-behavioural survey in MSM with a specific focus on HIV prevalence and use of United Nations General Assembly Special Session (UNGASS) indicators in six cities in Southern and Eastern Europe. Time-location sampling (TLS) was used. A total number of 2,356 questionnaires and 2,241 oral fluid samples were collected (invalid samples 4.1%). The data show different socio-demographic patterns across countries regarding age, level of education, living conditions, living area and selfidentity. Southern European cities had the highest percentage of people who had tested for HIV and collected the result. More than 50% of respondents in the sample from Barcelona reported having used a condom last time they had anal sex (57.2%), whilst in all other cities this proportion was below 50%. The cities with the highest HIV prevalence in MSM were Barcelona (17.0%) and Verona (11.8%) whilst lower percentages were reported in Bratislava (6.1%), Bucharest (4.6%), Ljubljana (5.1%) and Prague (2.6%). The low prevalence in Eastern European cities is encouraging. However, with the level of high-risk sexual behaviour documented and the lower frequency of HIV test seeking behaviour, there is a clear risk of an increase in HIV transmission.

show abstract

Section: Discussionsupporting

confidence: 56%

HIV bio-behavioural survey among men who have sex with men in Barcelona, Bratislava, Bucharest, Ljubljana, Prague and Verona, 2008-2009

Mirandola

Folch

Krampac³

et al. 2009

Eurosurveillance

View full text Add to dashboard Cite

show abstract

“…35 Condom use has also been reported as lower among MSM partnerships that are considered "primary" than among those that are not, especially insertive UAI (46% versus 23%). 36 These behaviors have been linked to HIV acquisition; an ongoing or primary partner was reported to be the source in 50% of cases of seroconversion in a cohort of young men in Amsterdam 37 ; however, no independent confirmation of the source of infection was obtained, and many index cases reported multiple partners. In a study of 3,257 seronegative MSM in six cities, condom use was found to be significantly lower among men in a primary relationship with a single partner known or thought to be HIV-seronegative than among other men (52% vs. 14% never used condoms during receptive anal sex; 30% vs. 57% always used).…”

Section: Partnership Types Of Msmmentioning

confidence: 99%

Transmission of STIs/HIV at the Partnership Level: Beyond Individual-Level Analyses

Gorbach

Holmes

2003

Journal of Urban Health: Bulletin of the New York Academy of Me

View full text Add to dashboard Cite

show abstract

“…[8][9][10] Negotiated safety agreements have been described among men who have sex with men (MSM) as strategies for selectively practicing condomless anal intercourse (CAI) while maintaining sexual pleasure and intimacy within relationships. [11][12][13][14][15][16][17] While intended to reduce HIV risk, such strategies may fail in practice due to factors such as inaccurate assessment of individual and partner serostatus, infrequent testing, failure to maintain the agreement, and lack of protection against STIs. [18][19][20][21] Shortcomings in assessing partner HIV risk have also been reported among heterosexuals.…”

Section: Introductionmentioning

confidence: 99%

Relationship Dynamics and Sexual Risk Reduction Strategies Among Heterosexual Young Adults: A Qualitative Study of Sexually Transmitted Infection Clinic Attendees at an Urban Chicago Health Center

Hotton¹,

French

Hosek

et al. 2015

AIDS Patient Care and STDs

View full text Add to dashboard Cite

Few studies have examined risk-reduction alternatives to consistent condom use for HIV prevention among heterosexual young adults. We used qualitative methodology to explore risk reduction strategies and contextual factors influencing attempts to reduce risk in an urban, high morbidity sexually transmitted infection (STI) clinic. Focus groups were conducted October-December 2014 with heterosexually identified men (n = 13) and women (n = 20) aged 18-29 seeking STI screening at an urban clinic. Groups were audio recorded, transcribed verbatim, and analyzed for thematic content using Atlas.ti software. Quantitative information included sociodemographics, HIV/STI testing history, and 6-month sexual behaviors. Among 33 predominantly AfricanAmerican participants with a median age of 22, risk-reduction strategies included monogamy agreements, selective condom use with casual and high-risk partners, and frequent HIV/STI testing, though testing was commonly used as a post-hoc reassurance after risk exposure. Many men and women used implicit risk assessment strategies due to mistrust or difficulty communicating. Concurrency was common but rarely discussed within partnerships. Despite attempts to reduce risk, monogamy agreements were often poorly adhered to and not openly discussed. Alcohol and substance use frequently interfered with safer sexual decisions. Participants were aware of HIV/STI risk and commonly practiced risk-reduction strategies, but acknowledged faulty assumptions and poor adherence. This work provides insights into risk-reduction approaches that are already used and may be strengthened as part of effective HIV/STI prevention interventions.

show abstract

Assessing sexual risk behaviour of young gay men in primary relationships: the incorporation of negotiated safety and negotiated safety compliance

Cited by 131 publications

References 12 publications

HIV bio-behavioural survey among men who have sex with men in Barcelona, Bratislava, Bucharest, Ljubljana, Prague and Verona, 2008-2009

HIV bio-behavioural survey among men who have sex with men in Barcelona, Bratislava, Bucharest, Ljubljana, Prague and Verona, 2008-2009

Transmission of STIs/HIV at the Partnership Level: Beyond Individual-Level Analyses

Relationship Dynamics and Sexual Risk Reduction Strategies Among Heterosexual Young Adults: A Qualitative Study of Sexually Transmitted Infection Clinic Attendees at an Urban Chicago Health Center

Contact Info

Product

Resources

About