AIDS and Behavior

, Volume 17, Issue 6, pp 2136–2142

Undetectable Viral Load and the Decision to Engage in Unprotected Anal Intercourse Among HIV-Positive MSM

Authors

    • Cluster Infectious Diseases, Department of ResearchPublic Health Service Amsterdam
  • Ineke G. Stolte
    • Cluster Infectious Diseases, Department of ResearchPublic Health Service Amsterdam
  • Robert Witlox
    • Dutch HIV Association
  • Theo Sandfort
    • Department of Psychiatry, HIV Center for Clinical and Behavioral StudiesColumbia University and New York State Psychiatric Institute
  • Maria Prins
    • Cluster Infectious Diseases, Department of ResearchPublic Health Service Amsterdam
    • Department of Infectious Diseases, Tropical Medicine and AIDS, CINIMAAcademic Medical Center
  • Udi Davidovich
    • Cluster Infectious Diseases, Department of ResearchPublic Health Service Amsterdam
Original Paper

DOI: 10.1007/s10461-013-0453-9

Cite this article as:
Van Den Boom, W., Stolte, I.G., Witlox, R. et al. AIDS Behav (2013) 17: 2136. doi:10.1007/s10461-013-0453-9

Abstract

We investigated how often HIV-positive MSM (n = 177) decide to engage in unprotected anal intercourse (UAI) because they have an undetectable viral load (UVL). We found that 20–57 % of the UAI acts were related to having UVL, varying by partner type and partner HIV status. Among HIV-concordant partners, consideration of UVL before engaging in UAI was more prevalent with sex buddies (55 %) than with casual partners (20 %), although marginally significant (p = 0.051). Among HIV-discordant partners, no significant difference was found in the frequency of UVL considerations before engaging in UAI: 40 % with sex buddies versus 57 % with casual partners. Interestingly, while the decision to engage in UAI based on UVL was frequently discussed with HIV-concordant partners (>91 %), it was only discussed with HIV-discordant partners in 13–25 % of the UAI cases (according to partner type), suggesting that the decision was mostly unilateral.

Keywords

Undetectable viral loadMen who have sex with menSexual behaviorUnprotected anal intercourse

Copyright information

© Springer Science+Business Media New York 2013