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Sexual partner characteristics, serodiscordant/serostatus unknown unprotected anal intercourse and disclosure among human immunodeficiency virus-infected and uninfected black men who have sex with men in New York City.
Sex Transm Dis. 2011 Jun; 38(6):548-54.ST

Abstract

OBJECTIVES

Black men who have sex with men (MSM) are disproportionately infected with human immunodeficiency virus (HIV) in the United States. This study describes sexual partner characteristics and disclosure of HIV serostatus and evaluates factors associated with sexual risk behaviors during last sex among black MSM.

DESIGN AND METHODS

Between 2008 and 2009, 328 black MSM who reported recent unprotected anal intercourse were enrolled in an HIV behavioral intervention study in New York City. Factors associated with serodiscordant/serostatus unknown UAI (defined as having UAI with a partner of different or unknown HIV serostatus) with a male partner during last sex were assessed using logistic regression.

RESULTS

A total of 205 HIV-infected and 123 uninfected men were enrolled in this study. Almost all men (91.6%) reported having a black male partner during last sex. About half (47.3%) of men used alcohol and 38.7% used other substances before or during last sex. About two-thirds (68.8%) of participants disclosed their HIV status to their last sex partner, while 57.2% of partners disclosed. In multivariate analysis, meeting a partner on the internet or chat line was associated with serodiscordant/serostatus unknown UAI during last sex among HIV-infected men. The only factor associated with serodiscordant/serostatus unknown UAI during last sex among HIV-uninfected men was the partner being a non-main partner.

CONCLUSIONS

A significant proportion of black MSM in this study did not disclose their HIV status. Our data highlight the need for more data on dyadic variables and sexual risk behaviors among black MSM, as well as interventions to encourage communication between partners.

Authors+Show Affiliations

Laboratory of Infectious Disease Prevention, Lindsley F. Kimball Research Institute, New York Blood Center, New York, NY, USA. htieu@nybloodcenter.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

21217419

Citation

Tieu, Hong-Van, et al. "Sexual Partner Characteristics, Serodiscordant/serostatus Unknown Unprotected Anal Intercourse and Disclosure Among Human Immunodeficiency Virus-infected and Uninfected Black Men Who Have Sex With Men in New York City." Sexually Transmitted Diseases, vol. 38, no. 6, 2011, pp. 548-54.
Tieu HV, Xu G, Bonner S, et al. Sexual partner characteristics, serodiscordant/serostatus unknown unprotected anal intercourse and disclosure among human immunodeficiency virus-infected and uninfected black men who have sex with men in New York City. Sex Transm Dis. 2011;38(6):548-54.
Tieu, H. V., Xu, G., Bonner, S., Spikes, P., Egan, J. E., Goodman, K., Stewart, K., & Koblin, B. A. (2011). Sexual partner characteristics, serodiscordant/serostatus unknown unprotected anal intercourse and disclosure among human immunodeficiency virus-infected and uninfected black men who have sex with men in New York City. Sexually Transmitted Diseases, 38(6), 548-54. https://doi.org/10.1097/OLQ.0b013e318203e2d7
Tieu HV, et al. Sexual Partner Characteristics, Serodiscordant/serostatus Unknown Unprotected Anal Intercourse and Disclosure Among Human Immunodeficiency Virus-infected and Uninfected Black Men Who Have Sex With Men in New York City. Sex Transm Dis. 2011;38(6):548-54. PubMed PMID: 21217419.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual partner characteristics, serodiscordant/serostatus unknown unprotected anal intercourse and disclosure among human immunodeficiency virus-infected and uninfected black men who have sex with men in New York City. AU - Tieu,Hong-Van, AU - Xu,Guozhen, AU - Bonner,Sebastian, AU - Spikes,Pilgrim, AU - Egan,James E, AU - Goodman,Krista, AU - Stewart,Kiwan, AU - Koblin,Beryl A, PY - 2011/1/11/entrez PY - 2011/1/11/pubmed PY - 2012/1/19/medline SP - 548 EP - 54 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 38 IS - 6 N2 - OBJECTIVES: Black men who have sex with men (MSM) are disproportionately infected with human immunodeficiency virus (HIV) in the United States. This study describes sexual partner characteristics and disclosure of HIV serostatus and evaluates factors associated with sexual risk behaviors during last sex among black MSM. DESIGN AND METHODS: Between 2008 and 2009, 328 black MSM who reported recent unprotected anal intercourse were enrolled in an HIV behavioral intervention study in New York City. Factors associated with serodiscordant/serostatus unknown UAI (defined as having UAI with a partner of different or unknown HIV serostatus) with a male partner during last sex were assessed using logistic regression. RESULTS: A total of 205 HIV-infected and 123 uninfected men were enrolled in this study. Almost all men (91.6%) reported having a black male partner during last sex. About half (47.3%) of men used alcohol and 38.7% used other substances before or during last sex. About two-thirds (68.8%) of participants disclosed their HIV status to their last sex partner, while 57.2% of partners disclosed. In multivariate analysis, meeting a partner on the internet or chat line was associated with serodiscordant/serostatus unknown UAI during last sex among HIV-infected men. The only factor associated with serodiscordant/serostatus unknown UAI during last sex among HIV-uninfected men was the partner being a non-main partner. CONCLUSIONS: A significant proportion of black MSM in this study did not disclose their HIV status. Our data highlight the need for more data on dyadic variables and sexual risk behaviors among black MSM, as well as interventions to encourage communication between partners. SN - 1537-4521 UR - https://www.unboundmedicine.com/medline/citation/21217419/Sexual_partner_characteristics_serodiscordant/serostatus_unknown_unprotected_anal_intercourse_and_disclosure_among_human_immunodeficiency_virus_infected_and_uninfected_black_men_who_have_sex_with_men_in_New_York_City_ L2 - http://dx.doi.org/10.1097/OLQ.0b013e318203e2d7 DB - PRIME DP - Unbound Medicine ER -