Behavior Change Following Diagnosis with Acute/Early HIV Infection—A Move to Serosorting with Other HIV-Infected Individuals. The NIMH Multisite Acute HIV Infection Study: III

Steward, Wayne T.; Remien, Robert H.; Higgins, Jenny A.; Dubrow, Robert; Pinkerton, Steven D.; Sikkema, Kathleen J.; Truong, Hong‐Ha M.; Johnson, Mallory O.; Hirsch, Jennifer S.; Brooks, Ronald A.; Morin, Stephen F.

doi:10.1007/s10461-009-9582-6

Cited by 94 publications

(86 citation statements)

References 27 publications

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“…This is largely due to individuals serving as possible links for viral transmission between their concurrent partners, particularly if safer sex is not always practiced. It has also been suggested that sexual concurrency can involve frequent switching between partners, which may allow viruses to spread quickly before individuals become aware of having been infected [5][6][7]. HIV, for example, is highly infectious when it is newly acquired [8].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of Sexual Partner Concurrency Among Australian Gay Men Aged 18–39 Years

Lyons

Hosking

2013

AIDS Behav

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Mathematical models predict higher rates of HIV and sexually transmitted infections (STIs) in populations with higher rates of concurrent sexual partnerships. Although gay men and other men who have sex with men (MSM) have disproportionately high rates of HIV/STIs, little is known about the prevalence and correlates of sexual concurrency in these populations. This paper reports findings from a national community-based survey of 1,034Australian gay-identified men aged 18-39 years, who gave detailed information about their sexual partners over the past 12 months. In all, 237 (23%) reported two or more concurrent sexual partners. For their most recent period of concurrency, 44% reported three or more partners and 66% reported unprotected sex with one or more of their partners. A multivariate logistic regression found sexual concurrency was significantly more likely among men on higher incomes (P=0.02), who first had anal sex at a relatively young age (P=0.03), and who reported a large number of partners in the past 12 months (P<0.001). Age, education, HIV status, and other sociodemographic and sexual behavior variables were not significant correlates. However, men who reported sexual concurrency were significantly more likely to have been diagnosed with an STI in the past 12 months (P=0.04). Findings from this study suggest sexual concurrency is common among younger Australian gay men. With many of these men not always using condoms, health agencies should consider the potential impact of concurrency on HIV/STI epidemics among gay men and other MSM. KeywordsSexual concurrency; concurrent sexual partnerships; gay men; men who have sex with men;HIV; sexually transmitted infections 3

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Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of Sexual Partner Concurrency Among Australian Gay Men Aged 18–39 Years

Lyons

Hosking

2013

AIDS Behav

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“…These studies have documented that persons entering correctional facilities report high rates of HIV sex risk behaviors (e.g., mean number of partners 36.1; unprotected sex at last sex 70 %; 66 % with at-risk partner) before incarceration [13,32,33]. Prior research has documented that learning of one's HIV infection is associated with reductions in HIV risk behavior [34][35][36]. The majority of our study participants had become aware of their HIV infection before this incarceration and may have already reduced their sex risk behaviors.…”

Section: Discussionmentioning

confidence: 99%

Positive Transitions (POST): Evaluation of an HIV Prevention Intervention for HIV-Positive Persons Releasing from Correctional Facilities

et al. 2014

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People with HIV who are released from custody frequently do not maintain the viral suppression and other health benefits achieved while incarcerated. This study was conducted to provide preliminary evidence of efficacy of an intervention to reduce HIV risk behaviors and increase use of HIV medical services following release from custody. People with HIV were recruited from San Francisco County jails, San Quentin State Prison and the California Medical Facility (Vacaville, CA), and randomly assigned to the "standard of care" or POST intervention. POST consisted of 4 sessions pre-release and 2 sessions post-release, focusing on HIV prevention and access to care. Behavioral data were obtained for the 3 months before incarceration and 3 months after release. Although POST participants reported a statistically significant increase in receiving health care at HIV clinics (62.5-84.4 %), there were no significant differences between the POST and control participants with respect to any primary outcomes.

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“…During AHI, the HIV-transmission risk is sharply elevated, and up to 40% of new HIV infections are attributed to transmission during this brief period of time [2]. Previous research has demonstrated that some individuals diagnosed with AHI continue to engage in sexual activity, including unprotected sex, suggesting that interventions beyond post-test counseling are needed to reduce forward transmission [3, 4]. Currently, no guidelines are available on the prevention of forward transmission of HIV during AHI and no behavioral interventions for individuals with AHI have been evaluated and published, to our knowledge.…”

Section: Introductionmentioning

confidence: 99%

HPTN 062: A Feasibility and Acceptability Pilot Intervention to Reduce HIV Transmission Risk Behaviors Among Individuals with Acute and Early HIV Infection in Lilongwe, Malawi

Corneli¹,

Pettifor

Kamanga

et al. 2014

AIDS Behav

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Acute HIV infection (AHI) is a relatively brief period when individuals are highly infectious and the opportunity to intervene to prevent forward transmission is extremely limited. HPTN 062 partnered with CHAVI 001 to evaluate the feasibility and acceptability of a motivational interviewing (MI)-based counseling intervention to reduce HIV-transmission risk behaviors among individuals with acute and early HIV infection in Lilongwe, Malawi. Participants were randomized to receive either (1) brief education sessions about HIV and AHI; or (2) the same brief education sessions plus an MI-based counseling intervention called Uphungu Wanga. Although Uphungu Wanga was determined to be feasible and acceptable, few major differences existed between the two arms with regard to acceptability, feasibility, and self-reported sexual behaviors. We therefore conclude that an additional MI-based counseling intervention may not be needed during the short period of AHI. Instead, we recommend that individuals with AHI receive frequent, but brief, counseling immediately after diagnosis and then transition to receiving counseling at less frequent intervals until they can initiate antiretroviral therapy. Other recommendations are provided.

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Behavior Change Following Diagnosis with Acute/Early HIV Infection—A Move to Serosorting with Other HIV-Infected Individuals. The NIMH Multisite Acute HIV Infection Study: III

Cited by 94 publications

References 27 publications

Prevalence and Correlates of Sexual Partner Concurrency Among Australian Gay Men Aged 18–39 Years

Prevalence and Correlates of Sexual Partner Concurrency Among Australian Gay Men Aged 18–39 Years

Positive Transitions (POST): Evaluation of an HIV Prevention Intervention for HIV-Positive Persons Releasing from Correctional Facilities

HPTN 062: A Feasibility and Acceptability Pilot Intervention to Reduce HIV Transmission Risk Behaviors Among Individuals with Acute and Early HIV Infection in Lilongwe, Malawi

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