Ascertaining partner HIV status and its association with sexual risk behavior among internet-using men who have sex with men

Keith J. Horvath, Kate Nygaard, B. R.Simon Rosser

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

The aims of this study were to understand strategies and consistency of strategy used by HIV-negative and HIV-positive men who have sex with men (MSM) to ascertain the HIV status of their male sexual partners and their associations with unprotected anal intercourse (UAI) and serodiscordant UAI (SDUAI) in the past 3 months. Participants (n = 640) completed an online survey in December 2007. The most commonly reported strategy was checking online profiles (85%), followed by talking before sex (82%), talking after sex (42%), and guessing (29%). Adjusting for demographic and behavioral factors, guessing the HIV status of sex partners was associated with greater UAI and SDUAI partners, as was using an inconsistent strategy. Ascertaining HIV status before having sex was associated with fewer SDUAI partners. Prevention should target MSM who guess the HIV status of their sex partners and emphasize explicit safer sex agreements.

Original languageEnglish (US)
Pages (from-to)1376-1383
Number of pages8
JournalAIDS and Behavior
Volume14
Issue number6
DOIs
StatePublished - Dec 2010

Bibliographical note

Funding Information:
Acknowledgement Funding for this study was provided by the National Institute of Mental Health (Grant R01 MH063688-05). We express our appreciation to the study participants for their time and effort devoted to this research.

Keywords

  • HIV
  • HIV disclosure and ascertainment
  • HIV risk
  • Internet
  • Men who have sex with men

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