AIDS and Behavior

, Volume 17, Issue 4, pp 1515–1523

Sexual Risk Behavior and Risk Reduction Beliefs Among HIV-Positive Young Men Who have Sex with Men

  • Douglas Bruce
  • Gary W. Harper
  • Katie Suleta
  • The Adolescent Medicine Trials Network for HIV/AIDS Interventions
Original Paper

Abstract

With young men who have sex with men (YMSM) continuing to be disproportionately affected by the HIV/AIDS epidemic in the U.S., secondary prevention efforts with this population take on increasing significance. We surveyed 200 HIV-positive YMSM (ages 16–24, 66% Black, 18% Latino, 7% White, 7% Multiracial/Other) recruited from 14 HIV primary care sites to examine associations of unprotected anal intercourse (UAI) and partner HIV status with endorsement of serosorting, sexual positioning, and viral load beliefs. Proportions of participants engaging in UAI one or more times during the past three months were consistent across type of UAI (insertive or receptive) and partner status. Belief that an undetectable viral load reduces infectiousness was significantly associated with insertive UAI (p < .05) and receptive UAI (p < .05) with HIV-negative or unknown status partners and receptive UAI with HIV-positive partners (p < .01). Endorsement of belief in serosorting was significantly associated with receptive UAI (p < .01) and insertive UAI (p < .05) with HIV-positive male partners. Implications for sexual behavior and risk reduction beliefs in this population are discussed.

Keywords

Young men who have sex with men (YMSM) HIV-positive Risk reduction Secondary prevention Serosorting 

Resumen

Los hombres jóvenes que mantienen relaciones sexuales con otros hombres (YMSM) continúan siendo afectados de manera desproporcionada por la epidemia del VIH/SIDA en los EE.UU. Por lo tanto, los esfuerzos de prevención secundaria con esta comunidad tienen una significación cada vez mayor. En este estudio, se encuestó a 200 YMSM seropositivos (de entre 16 y 24 anos, el 66% afro-americano, 18% hispano, 7% el blanco-americano, el 7% multirracial/otro grupo étnico) reclutados de 14 centros de atención primaria del VIH para examinar la correlación entre el sexo anal sin protección (UAI), el estado del VIH de la pareja sexual y la aprobación de “serosorting,” posición sexual y las creencias de la carga viral. Lo proporción de los participantes involucrados en el UAI una o más veces durante los últimos tres meses fue consistente independientemente del tipo de UAI (insertivo o receptivo) o del estado del VIH de la pareja sexual. La aprobación de la carga viral se asoció significativamente con el UAI insertivo (p < 0,05) y receptivo (p < 0,05), con el estado VIH-negativo o desconocido, y con el UAI receptivo con una pareja que es VIH positivó (p < 0,01). La aprobación de “serosorting” se asoció significativamente con el UAI receptivo (p < 0,01) e insertivo (p < 0,05) y con una pareja que es VIH positivo. Implicaciones para el comportamiento sexual y las creencias acerca de la reducción del riesgo en esta comunidad se presentan aquí.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Douglas Bruce
    • 1
  • Gary W. Harper
    • 3
  • Katie Suleta
    • 2
  • The Adolescent Medicine Trials Network for HIV/AIDS Interventions
  1. 1.Adolescent Community Health Research Group, Master of Public Health ProgramDePaul UniversityChicagoUSA
  2. 2.University of Illinois at Chicago School of Public HealthChicagoUSA
  3. 3.Adolescent Community Health Research Group, Master of Public Health Program, Department of PsychologyDePaul UniversityChicagoUSA

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