Gay Men's HIV Risk Reduction Practices: The Influence of Epistemic Communities in HIV Social and Behavioral Research

Holt, Martin

doi:10.1521/aeap.2014.26.3.214

Cited by 21 publications

(17 citation statements)

References 29 publications

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“…Thus, the rate of switching, or concurrency between, steady sexual partners may increase the risk of STI transmission even in the context of relationships that may be characterised by 'negotiated safety' and strategic positioning (e.g. assuming the insertive role in anal intercourse when HIV negative in a serodiscordant encounter), among other tools for management of risk in open relationships (Hickson et al, 1992;Holt, 2014). In contrast, having any non-steady partners, even without CAI, increased odds of last-year crystal meth use, and having two or more non-steady partners with CAI increased odds of last-year crystal meth use more than six times as much as having two or more steady CAI partners.…”

Section: Discussionmentioning

confidence: 99%

Predictors of crystal methamphetamine use in a community-based sample of UK men who have sex with men

Melendez‐Torres

Bonell

Hickson

et al. 2016

International Journal of Drug Policy

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Permanent WRAP URL:http://wrap.warwick.ac.uk/81602 Copyright and reuse:The Warwick Research Archive Portal (WRAP) makes this work by researchers of the University of Warwick available open access under the following conditions. Copyright © and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable the material made available in WRAP has been checked for eligibility before being made available.Copies of full items can be used for personal research or study, educational, or not-for-profit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way.

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Section: Discussionmentioning

confidence: 99%

Predictors of crystal methamphetamine use in a community-based sample of UK men who have sex with men

Melendez‐Torres

Bonell

Hickson

et al. 2016

International Journal of Drug Policy

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“…This could suggest that explanations for sexual risk behaviour in the face of risk of HIV transmission possibly ignore planned CAI, a finding that is reflected in qualitative research on the subject. 26,27 Moreover, CAI in the context of steady partnerships where partners are assumed to be seroconcordant-as in most of the encounters in class 1 -carry a much lower risk for HIV transmission. This is especially important because not all CAI is the same in terms of risk.…”

Section: Discussionmentioning

confidence: 99%

An initial typology of contexts of dyadic sexual encounters between men and associations with sexual risk and pleasure: findings from an observational study

et al. 2016

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(2016) An initial typology of contexts of dyadic sexual encounters between men and associations with sexual risk and pleasure : findings from an observational study. Sexual health, 13 (3). pp. 221-227. Permanent WRAP URL:http://wrap.warwick.ac.uk/81968 Copyright and reuse:The Warwick Research Archive Portal (WRAP) makes this work by researchers of the University of Warwick available open access under the following conditions. Copyright © and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable the material made available in WRAP has been checked for eligibility before being made available.Copies of full items can be used for personal research or study, educational, or not-for-profit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. Publisher's statement:Published version: http://dx.doi.org/10.1071/SH15218 A note on versions:The version presented here may differ from the published version or, version of record, if you wish to cite this item you are advised to consult the publisher's version. Please see the 'permanent WRAP URL' above for details on accessing the published version and note that access may require a subscription. estimated to determine an optimal class solution on the situational characteristics, and then pseudoimputation was used to estimate the association between class and both CAI and pleasure. Results: A three-class solution fit the data best, with a scaled relative entropy of 92.4%. Classes were characterised as featuring: regular steady partners in private locations with low drug use (class 1), casual partners with increased probability of sex occurring in a sex-on-premises venue (class 2), and high levels of polydrug use together with increased probability of casual partners (class 3). Encounters were different both in pairwise comparisons and overall on probability of CAI. They were different overall but not necessarily pairwise on pleasure. Conclusions: These initial findings demonstrate the possibility of understanding sexual encounters in terms of the contexts, or classes, within which they occur. This may have implications for tailoring HIV prevention to specific encounter types. Future research should seek to extend encounter-level typologies to specific drug use variables.Additional keywords: HIV risk behaviour, latent variable modelling, men who have sex with men, observational epidemiology.

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“…The efficacy of serosorting in reducing the risk of HIV transmission in HIV‐seronegative gay and bisexual men remains far inferior to consistent use of condoms (Paz‐Bailey et al., ; WHO, ). This inference can be made based on the most recent evidence provided by national and international health organizations and the findings of the current state of the science on the topic (van den Boom et al., ; Chen et al., ; Eaton, Kalichman, et al., ; Holt, ; Kurtz, Buttram, Surratt, & Stall, ; Zablotska et al., ).…”

Section: Discussion and Clinical Implicationsmentioning

confidence: 99%

“…In fact, researchers have suggested this practice is more commonly adhered to by HIV‐negative gay and bisexual men than consistent condom use (McFarland et al., ). Holt () asserts that serosorting research began appearing in the international HIV literature around 2006 and 2009. Calculating the exact number of MSM who engage in serosorting is difficult as a consequence of the inherit challenges that come with obtaining representative samples in research on gay and bisexual populations (Meyer & Wilson, ).…”

Section: Literature Review: Serosorting Among Gay and Bisexual Menmentioning

confidence: 99%

“…Public Health Nursing Volume 32 Number 5 September/October 2015 current state of the science on the topic (van den Boom et al, 2012;Chen et al, 2012;Holt, 2014;Kurtz, Buttram, Surratt, & Stall, 2012;Zablotska et al, 2009). There are no health authorities that recommend serosorting as advantageous to consistent use of condoms during sex.…”

Section: Serosorting Among Hiv-seronegative Menmentioning

confidence: 99%

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Serosorting Sexual Partners by Gay and Bisexual Men to Prevent HIV Infection: Implications for Public Health Clinicians

Blackwell

2015

Public Health Nursing

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The most recent Centers for Disease Control and Prevention epidemiological statistics in the United States demonstrate that gay and bisexual men are at most risk for acquiring new HIV infections. While public health campaigns aimed at gay and bisexual males have resulted in improved HIV screening and greater awareness of the need for safer sex practices, barebacking has become a practice of increasing incidence. This act carries the highest risk of HIV transmission and acquisition; and data suggest HIV disease burden is higher among ethnic minorities. Serosorting-purposely seeking HIV serocordant partners--to help lower risk of HIV infection is common. While this can be a positive step in preventing the spread of HIV, it carries serious threats that must be acknowledged. The purpose of this article was to explore the positive and negative aspects of serosorting in the prevention of HIV, describe ways in which health care providers can approach the topic with clients, provide clinical practice implications, and suggest some direction for future research.

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Gay Men's HIV Risk Reduction Practices: The Influence of Epistemic Communities in HIV Social and Behavioral Research

Cited by 21 publications

References 29 publications

Predictors of crystal methamphetamine use in a community-based sample of UK men who have sex with men

Predictors of crystal methamphetamine use in a community-based sample of UK men who have sex with men

An initial typology of contexts of dyadic sexual encounters between men and associations with sexual risk and pleasure: findings from an observational study

Serosorting Sexual Partners by Gay and Bisexual Men to Prevent HIV Infection: Implications for Public Health Clinicians

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