Risk behaviours in HIV-positive men who have sex with men participating in an intervention in a primary care setting

Bachmann, Laura H.; Grimley, Diane M.; H, Chen; Aban, Inmaculada; Hu, Jie; Zhang, S; Waithaka, Yvonne; Hook, Edward W.

doi:10.1258/ijsa.2009.009030

Cited by 11 publications

(9 citation statements)

References 25 publications

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“…1 Interestingly, the high burden of STIs and HIV found in the black MSM population, when compared to other MSM populations, cannot simply be explained by increased sexual risk behaviors practiced by this population and will require innovative approaches to STI prevention in order to address this problem. 20,21 Younger age was also associated with incident syphilis in this study. Over the past several years, CDC data has reported the highest syphilis rates in those in the 30-39 year old age range.…”

Section: Discussionsupporting

confidence: 61%

New Syphilis Cases and Concurrent STI Screening in a Southeastern U.S. HIV Clinic: A Call to Action

Baffi

Aban²,

Willig³

et al. 2010

AIDS Patient Care and STDs

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Syphilis outbreaks in the United States have been reported since 2000 with highest rates in the South and many cases among HIV-infected individuals. We evaluated incident syphilis cases and concurrent gonorrhea and chlamydia screening at a southern HIV clinic. A retrospective cohort study included HIV-infected patients with at least one reactive plasma reagin (test for serum reagin antibodies to cardiolipin-cholesterol-lecithin antigen) and primary care visit from July 2004 to June 2007. Primary, secondary, and early latent syphilis cases were identified as incident syphilis and evaluation for gonorrhea and chlamydia within 1 month were described. Logistic regression was performed to determine factors associated with incident syphilis. Among 1544 patients, 40 incident syphilis cases were identified (5 primary, 29 secondary, and 6 early latent). The majority of patients were not virologically suppressed and only 25% had gonorrhea and chlamydia testing. In adjusted analyses, younger age (0.57 per 10 years, 95% confidence interval [CI] 0.41-0.80) and minority race (2.26, 95% CI 1.12-4.59) were associated with incident syphilis. Among 40 incident syphilis cases, only 1 in 4 were further tested for gonorrhea and chlamydia. These low rates are concerning as concurrent sexually transmitted infections (STIs) increase risk for HIV transmission. HIV care provider education with emphasis on STI testing in the setting of incident syphilis is key in prevention.

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Section: Discussionsupporting

confidence: 61%

New Syphilis Cases and Concurrent STI Screening in a Southeastern U.S. HIV Clinic: A Call to Action

Baffi

Aban²,

Willig³

et al. 2010

AIDS Patient Care and STDs

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show abstract

“…Substance-using MSM are at especially elevated risk for HIV, attributable to having sex under the influence of drugs (Catania et al, 2001; Celentano et al, 2006; Harawa et al, 2008; Koblin et al, 2006; Mansergh et al, 2008; McKirnan, Vanable, Ostrow, & Hope, 2001; Mimiaga et al, 2010), as well as exchanging sex for money or drugs, and lower condom use (Bachmann et al, 2009; Colfax et al, 2005; Crosby, Stall, Paul, Barrett, & Midanik, 1996; Garfein, Metzner, Cuevas, Bousman, & Patterson, 2010; Gorbach, Murphy, Weiss, Hucks-Ortiz, & Shoptaw, 2009; Reisner et al, 2010; F. Rhodes et al, 1999; Semple, Strathdee, Zians, & Patterson, 2010; Stall et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

An examination of places where African American men who have sex with men (MSM) use drugs/drink alcohol: A focus on social and spatial characteristics

Tobin

Latkin

Curriero

2014

International Journal of Drug Policy

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Background Drug and alcohol use are risk factors for HIV transmission. Much of the HIV behavioral research has focused on risk without consideration of the social and spatial context of the behavior. Yet, risk may be specific or unique to place. The purpose of this study was to examine the social and spatial characteristics of places where African American men who have sex with men (AA MSM) use drugs and/or alcohol. Specifically, we examined spatial intensity and clustering of drug/alcohol places and characteristics of their social networks at these places. Methods Participants were recruited using outreach, on-line advertisements and word-of-mouth referrals. Inclusion criteria were: age 18 or older and sex with a man in the prior 90 days. Participants (n=51) completed a socio-spatial inventory in which they provided addresses of n=187 places where they most recently used drugs and/or drank alcohol. Participants described characteristics of people who were at these places. Results The mean age of participants was 36.5 years (SD=10.9). Half (51%) identified as gay, 31% bisexual, 4% heterosexual and 10% as not sure/questioning and 27% self-reported HIV positive status. Drug/alcohol places were spatially concentrated in the inner part of the city and evidence of clustering by participant characteristics was present. Of n=187 places named where the participant drank alcohol or used drugs, 68% were described as a residence (participants or “someone one else's house”), 20% were bars/clubs or restaurants, 8% were outside places and 4% were miscellaneous (e.g. on the bus/car). There were differences in the characteristics of social network members by place-type. At residential places, a greater proportion of networks listed were sex partners or kin, compared to other place-types. A greater proportion of networks listed at bars/clubs/restaurants were gay, knew that the participant had sex with men, and were younger compared to other place-types. Conclusion AA MSM drink alcohol and use drugs in a variety of place-types and with various social network members. Little research has been done on factors that shape the geography of AA MSM substance use. Future research is needed to explore these complex associations.

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“…[1][2][3][4] Use of crack cocaine is The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention. strongly associated with having greater number of sexual partners, [5][6][7] including exchange sex partners, increased sexually transmitted diseases (STIs), and decreased condom use. 8,9 Disparities in HIV incidence, prevalence, and disease progression by race among men who have sex with men (MSM) have been well documented and are persistent, [10][11][12][13][14][15] with African American MSM (AA MSM) having higher HIV rates compared to white MSM (W MSM).…”

Section: Introductionmentioning

confidence: 99%

A Comparison of the Social and Sexual Networks of Crack-Using and Non-Crack Using African American Men who Have Sex with Men

Tobin

German

Spikes³

et al. 2011

J Urban Health

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The role of crack cocaine in accelerating the HIV epidemic among heterosexual populations has been well documented. Little is known about crack use as an HIV risk factor among African American men who have sex with men (AA MSM), a group disproportionately infected with HIV. We sought to compare the social and sexual network characteristics of crack-using and non-crack using AA MSM in Baltimore, MD, USA and to examine associations of crack use with sexual risk. Participants were recruited using streetbased and internet-based outreach, printed advertisements, and word of mouth. Inclusion criteria were being aged 18 years or older, African American or of black race/ethnicity, and having self-reported sex with another male in the prior 90 days. Crack use was operationalized as self-report of crack in the prior 90 days. Logistic regression was used to identify variables that were independently associated with crack use. Of 230 enrolled AA MSM, 37% (n=84) reported crack use. The sexual networks of crack-using AA MSM were composed of a greater number of HIV-positive sex partners, exchange partners, and partners who were both sex and drug partners and fewer networks with whom they always use condoms as compared to non-crack using AA MSM. Crack use was independently associated with increased odds of bisexual identity and networks with a greater number of exchange partners, overlap of drug and sex partners, and lesser condom use. Results of this study highlight sexual network characteristics of cracksmoking AA MSM that may promote transmission of HIV. HIV interventions are needed that are tailored to address the social context of crack-smoking AA MSM risk behaviors.

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Risk behaviours in HIV-positive men who have sex with men participating in an intervention in a primary care setting

Cited by 11 publications

References 25 publications

New Syphilis Cases and Concurrent STI Screening in a Southeastern U.S. HIV Clinic: A Call to Action

New Syphilis Cases and Concurrent STI Screening in a Southeastern U.S. HIV Clinic: A Call to Action

An examination of places where African American men who have sex with men (MSM) use drugs/drink alcohol: A focus on social and spatial characteristics

A Comparison of the Social and Sexual Networks of Crack-Using and Non-Crack Using African American Men who Have Sex with Men

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