Ongoing risk behavior among persons with HIV in medical care

被引:55
作者
Golden, Matthew R.
Wood, Robert W.
Buskin, Susan E.
Fleming, Mark
Harrington, Robert D.
机构
[1] Univ Washington, Harborview Med Ctr, Seattle, WA 98104 USA
[2] Univ Washington, Ctr AIDS & STD, Seattle, WA USA
关键词
HIV; AIDS; serosorting; internet; men who have sex with men; prevention;
D O I
10.1007/s10461-007-9244-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We surveyed randomly selected patients in the largest HIV clinic in Seattle, WA in 2005 and 2006. A total of 397 patients completed usable surveys. Twenty-seven percent of men who have sex with men (MSM) and 22% of women or heterosexual men reported having non-concordant unprotected anal or vaginal intercourse in the preceding year. Compared to 2005, more MSM in 2006 reported meeting a sex partner via the Internet (15% vs. 33%), and fewer met partners in bathhouses (23% vs. 13%). Twenty-four percent of MSM reported deciding not to have sex with a potential partner because he was HIV negative, and 31% of MSM reported that another man had decided not to have sex with them because they were HIV positive. Among all participants, 22% had told a sex partner they were HIV negative since their HIV diagnosis. These findings demonstrate the persistence of high-risk behavior among persons with HIV, a rapid increase in the use of the Internet among MSM to find sex partners, and provide direct evidence for serosorting among MSM.
引用
收藏
页码:726 / 735
页数:10
相关论文
共 35 条
[1]  
Aral S, 2004, CLIN INFECT DIS, V38, P104, DOI 10.1086/380131
[2]   Men who have met sex partners via the Internet: Prevalence, predictors, and implications for HIV prevention [J].
Benotsch, EG ;
Kalichman, S ;
Cage, M .
ARCHIVES OF SEXUAL BEHAVIOR, 2002, 31 (02) :177-183
[3]   Gay men who look for sex on the Internet: is there more HIV/STI risk with online partners? [J].
Bolding, G ;
Davis, M ;
Hart, G ;
Sherr, L ;
Elford, J .
AIDS, 2005, 19 (09) :961-968
[4]   Unsafe sexual behavior and correlates of risk in a probability sample of men who have sex with men in the era of highly active antiretroviral therapy [J].
Brewer, DD ;
Golden, MR ;
Handsfield, HH .
SEXUALLY TRANSMITTED DISEASES, 2006, 33 (04) :250-255
[5]   Sexual risk, nitrite inhalant use, and lack of circumcision associated with HIV seroconversion in men who have sex with men in the United States [J].
Buchbinder, SP ;
Vittinghoff, E ;
Heagerty, PJ ;
Celum, CL ;
Seage, GR ;
Judson, FN ;
McKirnan, D ;
Mayer, KH ;
Koblin, BA .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2005, 39 (01) :82-89
[6]  
*CDC, 2004, MMWR-MORBID MORTAL W, V53, P891
[7]  
Centers for Disease Control and Prevention (CDC), 2003, MMWR Recomm Rep, V52, P1
[8]  
COWEN S, 2006, 16 INT AIDS C TOR CA
[9]  
CREPAZ N, 2006, SEXUALLY TRANSMITTED
[10]  
DAWSON JM, 1994, AIDS, V8, P837, DOI 10.1097/00002030-199406000-00018