Erectile Dysfunction Medication Prescription and Condomless Intercourse in HIV-Infected Men Who have Sex with Men in the United States

被引：6

作者：

Lin, Xia ^{[1
,2
]}

Mattson, Christine L. ^{[2
]}

Freedman, Mark ^{[2
]}

Skarbinski, Jacek ^{[2
]}

机构：

[1] Ctr Dis Control & Prevent CDC, Epidem Intelligence Serv, Atlanta, GA USA

[2] CDC, Div HIV AIDS Prevent, Natl Ctr HIV AIDS Viral Hepatitis STD & TB Preven, Atlanta, GA 30333 USA

来源：

AIDS AND BEHAVIOR | 2017年 / 21卷 / 04期

关键词：

Erectile dysfunction medication; HIV-infected persons; Men who have sex with men; Condomless anal intercourse; ANTIRETROVIRAL THERAPY; RISK BEHAVIOR; SUBSTANCE USE; GAY; PREVALENCE; VIAGRA; HYPOGONADISM; TRANSMISSION; COMBINATIONS; PARTNERS;

D O I：

10.1007/s10461-016-1552-1

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Using nationally representative data, we assessed the prevalence of erectile dysfunction medication (EDM) prescription, and its association with insertive condomless anal intercourse (CAI) with an HIV-serodiscordant partner among sexually-active HIV-infected men who have sex with men (MSM) receiving medical care in the United States. Overall, 14 % (95 % CI 12-16) were prescribed EDM and 21 % (95 % CI 19-23) engaged in serodiscordant CAI. MSM who were prescribed EDM were more likely to engage in insertive CAI with a serodiscordant casual partner than those not prescribed EDM after adjusting for illicit drug use before or during sex (adjusted prevalence ratio = 1.38; 95 % CI 1.01-1.88). We found no association with main partners. Only 40 % (95 % CI 36-44) of MSM prescribed EDM received risk-reduction counseling from healthcare professionals. Risk-reduction counseling should be provided at least annually to all HIV-infected persons as recommended, especially at the time of EDM prescription.

引用

页码：1129 / 1137

页数：9

共 48 条

[1]

[Anonymous], 2012, HIV SURVEILL S

[2]

[Anonymous], DISORDERS, DOI [DOI 10.1016/J.JAD.2008.06.026, DOI 10.1016/J.JAD.2008.06.026]]

[3]

[Anonymous], 2010, DIST PUBL HLTH RES P

[4]

[Anonymous], 2014, PREEXP PROPH PREV HI

[5]

[Anonymous], SUDAAN 10 0 1

[6]

[Anonymous], BEH CLIN CHAR PERS R

[7]

[Anonymous], BEH CLIN CHAR PERS R

[8] Sexual dysfunction in HIV-positive men is multi-factorial: A study of prevalence and associated factors [J].

Asboe, D. ;

Catalan, J. ;

Mandalia, S. ;

Dedes, N. ;

Florence, E. ;

Schrooten, W. ;

Noestlinger, C. ;

Colebunders, R. .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2007, 19 (08) :955-965

[9]

Blair JM, 2014, MMWR SURVEILL SUMM, V63, P1

[10] Disparities in prevalence of key chronic diseases by gender and race/ethnicity among antiretroviral-treated HIV-infected adults in the US [J].

Buchacz, Kate ;

Baker, Rose K. ;

Palella, Frank J., Jr. ;

Shaw, Lauren ;

Patel, Pragna ;

Lichtenstein, Kenneth A. ;

Chmiel, Joan S. ;

Vellozzi, Claudia ;

Debes, Rachel ;

Henry, Keith ;

Overton, E. Turner ;

Bush, Timothy J. ;

Tedaldi, Ellen ;

Carpenter, Charles ;

Mayer, Kenneth H. ;

Brooks, John T. .

ANTIVIRAL THERAPY, 2013, 18 (01) :65-75

← 1 2 3 4 5 →