Unprotected sex in regular partnerships among homosexual men living with HIV: a comparison between sero-nonconcordant and seroconcordant couples (ANRS-EN12-VESPA Study)

Bouhnik, Anne-Déborah; Préau, Marie; Schiltz, Marie-Ange; Obadia, Yolande; Spire, Bruno

doi:10.1097/01.aids.0000255084.69846.97

Cited by 48 publications

(40 citation statements)

References 30 publications

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“…3 Many studies on sexual behaviors of HIV-positive persons suggest that the HIV status of an HIV-positive person's sex partner is one of the factors that might influence their sexual behavior. [4][5][6][7][8][9][10][11][12][13][14][15] The findings from these studies suggest that in some populations, HIV-positive persons may be adopting serosorting, in which unprotected sexual encounters are limited to partners who have the same HIV status.…”

Section: Introductionmentioning

confidence: 89%

Is Injection Serosorting Occurring among HIV-Positive Injection Drug Users? Comparison by Injection Partner’s HIV Status

et al. 2011

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Research needs to build evidence for the roles that HIV status of injection partners may or may not play in injection risk behaviors of injection drug users (IDUs). Using baseline data collected from a randomized controlled study (INSPIRE) conducted in four cities (Baltimore, Miami, New York, and San Francisco) from 2001 to 2005, we categorized 759 primarily heterosexual HIV-positive IDUs into four groups based on HIV serostatus of drug injection partners. Thirty-two percent of the sample injected exclusively with HIV-positive partners in the past 3 months and more than 60% had risky injection behavior with these partners. Eight percent injected exclusively with HIV-negative partners and 49% injected with any unknown status partners. The remaining 11% reported having both HIV-positive and -negative injection partners, but no partners of unknown HIV status. Riskier injection behavior was found among the group with mixed status partners. The risk among the group with any unknown status partners appeared to be driven by the greater number of injection partners. No major group differences were observed in socio-demographic and psychosocial factors. Our analysis suggests that serosorting appeared to be occurring among some, but not an overwhelming majority of HIV-positive IDUs, and knowledge of HIV status of all injection partners per se did not appear to be as important as knowledge of sexual partner's HIV status in its association with risk behavior.

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Section: Introductionmentioning

confidence: 89%

Is Injection Serosorting Occurring among HIV-Positive Injection Drug Users? Comparison by Injection Partner’s HIV Status

et al. 2011

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“…10 As a result, partner HIV serostatus is often a determining factor in sexual risk decision making. 11,12 Multiple caveats to serosorting do exist. For uninfected persons, the effectiveness of serosorting relies on complete and open HIV status disclosure among monogamous men.…”

Section: Introductionmentioning

confidence: 99%

Serosorting Sexual Partners and Risk for HIV Among Men Who Have Sex with Men

Eaton

Kalichman

Cain

et al. 2007

American Journal of Preventive Medicine

101

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Objective-The purpose of the current study was to assess whether or not men who have sex with men who limit their unprotected anal sexual partners to those who are of the same HIV status (serosort) differ in their risk for HIV transmission than MSM who do not serosort.Methods-Cross-sectional surveys administered at a large gay pride festival (80% response rate) were collected from MSM. Univariate and multivariate logistic regressions were used to identify predictors of serosorting.Results-Participants were self-identified as HIV negative MSM (N=628), about one third of whom engaged in serosorting (n=229). Men who serosort were more likely to believe that serosorting offered protection against HIV transmission, perceived themselves as being at no relatively higher risk for HIV transmission, and had more unprotected anal intercourse partners. Over half the sample reported their frequency of HIV testing as yearly or less frequently; this finding did not differ between serosorters and non-serosorters.Conclusions-Men who identify as HIV negative and serosort are no more likely to know their HIV status than men who do not serosort and are at higher risk for exposure to HIV. Interventions targeting MSM must address the limitations of serosorting.Human Immunodeficiency Virus (HIV) is the most destructive pandemic in history, with nearly 40 million people worldwide living with HIV 1 . In the US it is estimated that one million people are infected with HIV and there are over 40,000 new HIV infections in the US each year, the majority of which occur among men who have sex with men 2 . To reduce the likelihood of HIV transmission, many individuals seek out their own strategies of prevention. One such method is serosorting; the practice of limiting sexual partners to those who have the same HIV serostatus. Several studies have found that serosorting is commonly used among men who have sex with men 3-6 . For many HIV infected and uninfected persons, serosorting is believed to reduce concerns about HIV/AIDS and make condom use less necessary. Additionally, for various reasons, people tend to dislike using condoms [7][8][9] and practice behaviors they believe are protective, such as serosorting, to avoid condom use. Public health policy is also embracing serosorting as a viable alternative to condom use. 10 As a result, partner HIV serostatus is often a determining factor in sexual risk decision making. 11,12 Multiple caveats to serosorting do exist. For uninfected persons, the effectiveness of serosorting relies on complete and open HIV status disclosure among monogamous men. Unfortunately, fear of rejection, physical threat, alcohol or drug related impairment, and the lag between HIV tests can all affect the accuracy of knowing a sexual partner's HIV status. Moreover, HIV testing is not universal among men who have sex with men (MSM). 13 16 In light of these circumstances, serosorting may be limited for preventing HIV transmission.Beliefs about the protective benefits of serosorting are inextricably linked to risk per...

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“…The number of drinks on a typical drinking day was positively associated with unprotected sex in 321 methamphetamineusing, HIV-positive MSM (p<0.05) (Semple et al, 2010). In a sample of 478 AIDS-positive MSM, Bouhnik et al, (2007) found that unprotected sex with casual partners was widespread, and it was even more frequent with main partners than it is with casual partners, putting the regular partner at risk of HIV-infection. In comparison to their American counterparts, French MSM are more prone to unprotected sero-discordant sex following binge drinking (Bouhnik et al, 2007).…”

Section: Men Who Have Sex With Menmentioning

confidence: 88%

“…In a sample of 478 AIDS-positive MSM, Bouhnik et al, (2007) found that unprotected sex with casual partners was widespread, and it was even more frequent with main partners than it is with casual partners, putting the regular partner at risk of HIV-infection. In comparison to their American counterparts, French MSM are more prone to unprotected sero-discordant sex following binge drinking (Bouhnik et al, 2007). While protected sex is higher with casual partners than with regular partners, further evidence that alcohol consumption still lowers the likelihood of protected sex with a casual partner is provided by Folch et al (2009).…”

Section: Men Who Have Sex With Menmentioning

confidence: 99%

“…Like the American MSM, the French MSM are also more likely to engage in unprotected sero-discordant sex following binge alcohol consumption (Bouhnik et al, 2007). While protected sex is higher with casual partners than with regular partners for MSM, alcohol consumption further lowers the likelihood of protected sex with a casual partner Unprotected sex with casual partners is associated with a greater risk of frequent alcohol use before or during sex (OR 1.5, CI 1.03-2.24, p=0.037), (Folch et al, (2009 San Diego, California…”

Section: Men Who Have Sex With Men (Msm) (Table 4)mentioning

confidence: 99%

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The Relationship Between Alcohol Consumption and Human Immunodeficiency Virus Infection and Risk Behaviour: A Systematic Literature Review of High-Risk Groups, with a Focus on South Africa

Neuman¹,

Schneider²,

Nanau³

et al. 2012

Public Health - Social and Behavioral Health

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Unprotected sex in regular partnerships among homosexual men living with HIV: a comparison between sero-nonconcordant and seroconcordant couples (ANRS-EN12-VESPA Study)

Cited by 48 publications

References 30 publications

Is Injection Serosorting Occurring among HIV-Positive Injection Drug Users? Comparison by Injection Partner’s HIV Status

Is Injection Serosorting Occurring among HIV-Positive Injection Drug Users? Comparison by Injection Partner’s HIV Status

Serosorting Sexual Partners and Risk for HIV Among Men Who Have Sex with Men

The Relationship Between Alcohol Consumption and Human Immunodeficiency Virus Infection and Risk Behaviour: A Systematic Literature Review of High-Risk Groups, with a Focus on South Africa

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