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

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Lin, Xia ; Mattson, Christine L. ; Freedman, Mark ; Skarbinski, Jacek
• Description:
  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.
• Subjects:
  Adolescent Adult Article Condoms Erectile Dysfunction HIV Infections Humans Male Middle Aged Prevalence Risk Reduction Behavior Sexual And Gender Minorities Sexual Behavior Sexual Partners Unsafe Sex Urological Agents Young Adult

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• Source:
  AIDS Behav. 21(4):1129-1137.
• Pubmed ID:
  27637499
• Pubmed Central ID:
  PMC5344729
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  21
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:b11dd2fb7fae882346f1a95b161a459d85f09c44c991e265cddd80d04cbbd745
• Download URL:
  https://stacks.cdc.gov/view/cdc/44575/cdc_44575_DS1.pdf
• File Type:
  [PDF - 92.30 KB ]