Determinants of Recent HIV Infection Among Seattle-Area Men Who Have Sex with Men
- 1 April 2009
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 99 (S1), S157-S164
- https://doi.org/10.2105/ajph.2006.098582
Abstract
Objectives. We sought to identify HIV-infection risk factors related to partner selection and sexual behaviors with those partners among men who have sex with men (MSM) in King County, Washington. Methods. Participants were recruited from HIV testing sites in the Seattle area. Recent HIV infection status was determined by the Serologic Testing Algorithm for Recent HIV Seroconversion (STARHS) or a self-reported previous HIV-negative test. Data on behaviors with 3 male partners were collected via computer-based self-interviews. Generalized estimating equation models identified partnership factors associated with recent infection. Results. We analyzed data from 32 HIV-positive MSM (58 partners) and 110 HIV-negative MSM (213 partners). In multivariate analysis, recent HIV infection was associated with meeting partners at bathhouses or sex clubs, bars or dance clubs, or online; methamphetamine use during unprotected anal intercourse; and unprotected anal intercourse, except with HIV-negative primary partners. Conclusions. There is a need to improve efforts to promote condom use with casual partners, regardless of their partner's HIV status. New strategies to control methamphetamine use in MSM and to reduce risk behaviors related to meeting partners at high-risk venues are needed.Keywords
This publication has 49 references indexed in Scilit:
- Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: Results from the EDGE studyDrug and Alcohol Dependence, 2007
- Meta-analytic Examination of Online Sex-Seeking and Sexual Risk Behavior Among Men Who Have Sex With MenSexually Transmitted Diseases, 2006
- Crystal Methamphetamine Use Predicts Incident STD Infection Among Men Who Have Sex With Men Recruited Online: A Nested Case-Control StudyJournal of Medical Internet Research, 2004
- Audio‐computerized self‐interviewing versus face‐to‐face interviewing for research data collection at drug abuse treatment programsAddiction, 2004
- Sexually Transmitted Diseases and Human Immunodeficiency Virus–Discordant Partnerships among Men Who Have Sex with MenClinical Infectious Diseases, 2002
- Sexually Transmitted Disease and HIV Screening Guidelines for Men Who Have Sex With MenSexually Transmitted Diseases, 2001
- Detection of Early HIV Infection and Estimation of Incidence Using a Sensitive/Less-Sensitive Enzyme Immunoassay Testing Strategy at Anonymous Counseling and Testing Sites in San FranciscoJAIDS Journal of Acquired Immune Deficiency Syndromes, 1999
- Aids-risk behavior among homosexual males: The role of attitudes and substance abusePsychology & Health, 1989
- Alcohol and Drug Use During Sexual Activity and Compliance with Safe Sex Guidelines for AIDS: The AIDS Behavioral Research ProjectHealth Education Quarterly, 1986