An event-level analysis of condomless anal intercourse with a HIV-discordant or HIV status- unknown partner among black men who have sex with men from a multi-site study

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Yang, Cui ; Latkin, Carl ; Tobin, Karin ; Seal, David ; Koblin, Beryl ; Chander, Geetanjali ; Siconolfi, Daniel ; Flores, Stephen ; Spikes, Pilgrim
• Description:
  Despite the high HIV incidence and prevalence among black men who have sex with men (BMSM), little research has examined partner characteristics, partner seeking venue, sexual position, substance use, and sexual risk behavior at the sex event-level among BMSM. Using the baseline data from a multi-site study of 807 BMSM stratified by their HIV status, the goal of this study was to conduct a detailed event-level analysis of 1577 male anal sex events to assess the factors associated with condomless anal intercourse (CLAI) with a HIV-discordant or HIV status-unknown partner. We found CLAI with an HIV-discordant or unknown HIV status partner among HIV-negative BMSM was negatively associated with having sex with a main partner, and was positively associated with taking both receptive and insertive sexual positions during sex. As compared to a sex partner met at bar, night club or dance club, HIV-positive BMSM were less likely to engage in CLAI with HIV-discordant and unknown HIV status partner met at party or friend's house or at community organizations. HIV-positive BMSM had lower odds of engaging in CLAI with HIV-discordant and unknown HIV status partner if they had insertive sexual position or both receptive and insertive sexual positions. These results underscore the importance of delineating unique sex event-level factors associated with sexual risk behavior depending on individuals' HIV status. Our findings suggest event-level partner characteristics, sexual position, and partner seeking venues may contribute to disparities in HIV incidence.
• Subjects:
  Adolescent Adult Black People HIV Infections HIV Seronegativity HIV Seropositivity Homosexuality, Male Humans Longitudinal Studies Male Risk Factors Sexual Behavior Sexual Partners Substance-Related Disorders Survival Analysis Unsafe Sex Young Adult

  More +
• Source:
  AIDS Behav. 22(7):2224-2234
• Pubmed ID:
  29779160
• Pubmed Central ID:
  PMC6021207
• Document Type:
  Journal Article
• Funding:
  R34 MH116725/MH/NIMH NIH HHS/United States ; k99/R00AA020782/National Institute on Alcohol Abuse and Alcoholism/ ; R34MH116725/National Institute of Mental Health/ ; 5UR6PS000355-03/Centers for Disease Control and Prevention/ ; 5UR6PS000434-03/Centers for Disease Control and Prevention/ ; R00 AA020782/AA/NIAAA NIH HHS/United States ; UR6 PS000429/PS/NCHHSTP CDC HHS/United States ; UR6 PS000355/PS/NCHHSTP CDC HHS/United States ; UR6 PS000434/PS/NCHHSTP CDC HHS/United States ; 5UR6PS000429-03/Centers for Disease Control and Prevention/ ; 5UR6PS000437-03/Centers for Disease Control and Prevention/ ; UR6 PS000437/PS/NCHHSTP CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  22
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:553f04212775256f64f6d83db20772f34e0c34499b304b7647bb7507daf03edb
• Download URL:
  https://stacks.cdc.gov/view/cdc/56567/cdc_56567_DS1.pdf
• File Type:
  [PDF - 124.11 KB ]