Seroadaptive Strategies of Gay & Bisexual Men (GBM) with the Highest Quartile Number of Sexual Partners in Vancouver, Canada

被引:15
作者
Card, Kiffer G. [1 ,2 ]
Lachowsky, Nathan J. [1 ,3 ]
Cui, Zishan [1 ]
Sereda, Paul [1 ]
Rich, Ashleigh [1 ]
Jollimore, Jody [1 ,4 ]
Howard, Terry [1 ,5 ]
Birch, Robert [6 ]
Carter, Allison [1 ,2 ]
Montaner, Julio [1 ]
Moore, David [1 ,3 ]
Hogg, Robert S. [1 ,2 ]
Roth, Eric Abella [6 ,7 ]
机构
[1] BC Ctr Excellence HIV AIDS, 505-1200 Burrard St, Vancouver, BC V6Z 2C7, Canada
[2] Simon Fraser Univ, Fac Hlth Sci, Vancouver, BC, Canada
[3] Univ British Columbia, Fac Med, Vancouver, BC, Canada
[4] Hlth Initiat Men, Vancouver, BC, Canada
[5] Posit Living Soc BC, Vancouver, BC, Canada
[6] Univ Victoria, Dept Anthropol, Victoria, BC, Canada
[7] Univ Victoria, Ctr Addict Res British Columbia, Victoria, BC, Canada
关键词
Strength-based; Seroadaptive; HIV; Gay and bisexual men; Highly sexually active men; HIV-POSITIVE MEN; ANAL INTERCOURSE; ACTIVE GAY; RISK; BEHAVIORS; TRANSMISSION; INFECTION; PREVENTION; SAMPLE; HISTORY;
D O I
10.1007/s10461-016-1510-y
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Despite continued research among men with more sexual partners, little information exists on their seroadaptive behavior. Therefore, we examined seroadaptive anal sex strategies among 719 Vancouver gay and bisexual men (GBM) recruited using respondent-driven sampling. We provide descriptive, bivariable, and multivariable adjusted statistics, stratified by HIV status, for the covariates of having ae<yen>7 male anal sex partners in the past 6 months (Population fourth quartile versus < 7). Sensitivity Analysis were also performed to assess the robustness of this cut-off. Results suggest that GBM with more sexual partners are more likely to employ seroadaptive strategies than men with fewer partners. These strategies may be used in hopes of offsetting risk, assessing needs for subsequent HIV testing, and balancing personal health with sexual intimacy. Further research is needed to determine the efficacy of these strategies, assess how GBM perceive their efficacy, and understand the social and health impacts of their widespread uptake.
引用
收藏
页码:1452 / 1466
页数:15
相关论文
共 55 条
[41]   Expansion of HAART Coverage Is Associated with Sustained Decreases in HIV/AIDS Morbidity, Mortality and HIV Transmission: The "HIV Treatment as Prevention'' Experience in a Canadian Setting [J].
Montaner, Julio S. G. ;
Lima, Viviane D. ;
Harrigan, P. Richard ;
Lourenco, Lillian ;
Yip, Benita ;
Nosyk, Bohdan ;
Wood, Evan ;
Kerr, Thomas ;
Shannon, Kate ;
Moore, David ;
Hogg, Robert S. ;
Barrios, Rolando ;
Gilbert, Mark ;
Krajden, Mel ;
Gustafson, Reka ;
Daly, Patricia ;
Kendall, Perry .
PLOS ONE, 2014, 9 (02)
[42]   HIV Community Viral Load and Factors Associated With Elevated Viremia Among a Community-Based Sample of Men Who Have Sex With Men in Vancouver, Canada [J].
Moore, David M. ;
Cui, Zishan ;
Lachowsky, Nathan ;
Raymond, Henry F. ;
Roth, Eric ;
Rich, Ashleigh ;
Sereda, Paul ;
Howard, Terry ;
McFarland, Willi ;
Lal, Allan ;
Montaner, Julio ;
Corneil, Trevor ;
Hogg, Robert S. .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2016, 72 (01) :87-95
[43]   CONCURRENT PARTNERSHIPS AND TRANSMISSION DYNAMICS IN NETWORKS [J].
MORRIS, M ;
KRETZSCHMAR, M .
SOCIAL NETWORKS, 1995, 17 (3-4) :299-318
[44]   HIV prevention altruism and sexual risk behavior in HIV-Positive men who have sex with men [J].
O'Dell, Brennan L. ;
Rosser, B. R. Simon ;
Miner, Michael H. ;
Jacoby, Scott M. .
AIDS AND BEHAVIOR, 2008, 12 (05) :713-720
[45]   Syndemic Production and Sexual Compulsivity/Hypersexuality in Highly Sexually Active Gay and Bisexual Men: Further Evidence for a Three Group Conceptualization [J].
Parsons, Jeffrey T. ;
Rendina, H. Jonathon ;
Moody, Raymond L. ;
Ventuneac, Ana ;
Grov, Christian .
ARCHIVES OF SEXUAL BEHAVIOR, 2015, 44 (07) :1903-1913
[46]   Sexual harm reduction practices of HIV-seropositive gay and bisexual men:: serosorting, strategic positioning, and withdrawal before ejaculation [J].
Parsons, JT ;
Schrimshaw, EW ;
Wolitski, RJ ;
Halkitis, PN ;
Purcell, DW ;
Hoff, CC ;
Gómez, CA .
AIDS, 2005, 19 :S13-S25
[47]   PREEJACULATORY FLUID AS POTENTIAL VECTOR FOR SEXUAL TRANSMISSION OF HIV-1 [J].
PUDNEY, J ;
ONETA, M ;
MAYER, K ;
SEAGE, G ;
ANDERSON, D .
LANCET, 1992, 340 (8833) :1470-1470
[48]   Sensual, Erotic, and Sexual Behaviors of Women from the"Kink'' Community [J].
Rehor, Jennifer Eve .
ARCHIVES OF SEXUAL BEHAVIOR, 2015, 44 (04) :825-836
[49]   Developing a Conceptual Framework of Seroadaptive Behaviors in HIV-Diagnosed Men Who Have Sex With Men [J].
Roenn, Minttu ;
White, Peter J. ;
Hughes, Gwenda ;
Ward, Helen .
JOURNAL OF INFECTIOUS DISEASES, 2014, 210 :S586-S593
[50]   DEVELOPMENT OF THE ALCOHOL-USE DISORDERS IDENTIFICATION TEST (AUDIT) - WHO COLLABORATIVE PROJECT ON EARLY DETECTION OF PERSONS WITH HARMFUL ALCOHOL-CONSUMPTION .2. [J].
SAUNDERS, JB ;
AASLAND, OG ;
BABOR, TF ;
DELAFUENTE, JR ;
GRANT, M .
ADDICTION, 1993, 88 (06) :791-804