Erectile Dysfunction Drug Receipt, Risky Sexual Behavior and Sexually Transmitted Diseases in HIV-infected and HIV-uninfected Men
- Robert L. Cook MD, MPH,
- Kathleen A. McGinnis MS,
- Jeffrey H. Samet MD,
- David A. Fiellin MD,
- Maria C. Rodriquez-Barradas MD,
- Kevin L. Kraemer MD, MSc,
- Cynthia L. Gibert MD, MSc,
- R. Scott Braithwaite MD, MSc, FACP,
- Joseph L. Goulet PhD, MS,
- Kristin Mattocks PhD, MPH,
- Stephen Crystal PhD,
- Adam J. Gordon MD, MPH,
- Krisann K. Oursler MD, ScM,
- Amy C. Justice MD, PhD
- … show all 14 hide
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Health care providers may be concerned that prescribing erectile dysfunction drugs (EDD) will contribute to risky sexual behavior.
To identify characteristics of men who received EDD prescriptions, determine whether EDD receipt is associated with risky sexual behavior and sexually transmitted diseases (STDs), and determine whether these relationships vary for certain sub-groups.
Two thousand seven hundred and eighty-seven sexually-active, HIV-infected and HIV-uninfected men recruited from eight Veterans Health Affairs outpatient clinics. Data were obtained from participant surveys, electronic medical records, and administrative pharmacy data.
EDD receipt was defined as two or more prescriptions for an EDD, risky sex as having unprotected sex with a partner of serodiscordant or unknown HIV status, and STDs, according to self-report.
Overall, 28% of men received EDD in the previous year. Eleven percent of men reported unprotected sex with a serodiscordant/unknown partner in the past year (HIV-infected 15%, HIV-uninfected 6%, P < 0.001). Compared to men who did not receive EDD, men who received EDD were equally likely to report risky sexual behavior (11% vs. 10%, p = 0.9) and STDs (7% vs 7%, p = 0.7). In multivariate analyses, EDD receipt was not significantly associated with risky sexual behavior or STDs in the entire sample or in subgroups of substance users or men who had sex with men.
EDD receipt was common but not associated with risky sexual behavior or STDs in this sample of HIV-infected and uninfected men. However, risky sexual behaviors persist in a minority of HIV-infected men, indicating ongoing need for prevention interventions.
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- Erectile Dysfunction Drug Receipt, Risky Sexual Behavior and Sexually Transmitted Diseases in HIV-infected and HIV-uninfected Men
Journal of General Internal Medicine
Volume 25, Issue 2 , pp 115-121
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- HIV infection
- risky sexual behavior
- phosphodiesterase inhibitors
- Industry Sectors
- Robert L. Cook MD, MPH (1)
- Kathleen A. McGinnis MS (2)
- Jeffrey H. Samet MD (3)
- David A. Fiellin MD (4)
- Maria C. Rodriquez-Barradas MD (5)
- Kevin L. Kraemer MD, MSc (6)
- Cynthia L. Gibert MD, MSc (7)
- R. Scott Braithwaite MD, MSc, FACP (8)
- Joseph L. Goulet PhD, MS (4) (9)
- Kristin Mattocks PhD, MPH (9)
- Stephen Crystal PhD (10)
- Adam J. Gordon MD, MPH (2) (6)
- Krisann K. Oursler MD, ScM (11)
- Amy C. Justice MD, PhD (4) (9)
- Author Affiliations
- 1. Departments of Epidemiology and Biostatistics and Medicine, University of Florida, PO Box 100231, Gainesville, FL, 32610, USA
- 2. Pittsburgh VA Healthcare System, Pittsburgh, PA, USA
- 3. Boston University, Boston, MA, USA
- 4. Yale University, New Haven, CT, USA
- 5. Michael E Debakey VA Medical Center and Baylor College of Medicine, Houston, TX, USA
- 6. University of Pittsburgh, Pittsburgh, PA, USA
- 7. Washington DC VAMC and George Washington University, Washington, DC, USA
- 8. New York University School of Medicine, New York, NY, USA
- 9. VA Connecticut Healthcare System, West Haven, CT, USA
- 10. Rutgers University, New Brunswick, NJ, USA
- 11. Baltimore VA and University of Maryland, Baltimore, MD, USA