HIV Status Disclosure and Condom Use Among HIV-Positive Men Who Have Sex With Men andHijras(Male-to-Female Transgender People) in India: Implications for Prevention

This study compared HIV-related attitudes and intentions by respondent HIV-status in a large sample of substance-using men who have sex with men (MSM) in the United States. Attitudes and intentions included self-efficacy for safer sex; difficulty communicating with sex partners about safer sex; intent to use condoms consistently and to not use substances before sex in the next 3 months; and less concern for HIV given effective antiviral treatments. Differences were found for behavior during the most recent anal sex encounter by HIV-status, including (a) insertive and (b) receptive anal sex risk behavior, and (c) substance use before or during the encounter. Self-efficacy for safer sex was associated with less risk behavior among HIV-negative men but not among HIV-positive men, suggesting that self-efficacy for safer sex continues to be a relevant issue to address in counseling uninfected MSM. HIV-positive men who reported less concern for HIV given treatments were more likely to report receptive risk behavior, as were HIV-negative men who reported difficulty communicating about safer sex. Implications are discussed for potentially heightened client desire and therapeutic opportunity to reduce future substance use during sex for clients who report recent substance use during sex.

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Facilitators and Barriers to HIV Status Disclosure Among HIV-Positive MSM Age 50 and Older

Journal of Gay & Lesbian Mental Health ◽

10.1080/19359705.2015.1033797 ◽

2015 ◽

Vol 20 (1) ◽

pp. 41-56 ◽

Cited By ~ 3

Author(s):

Molly J. Kingdon ◽

Staci Barton ◽

Jessica Eddy ◽

Perry N. Halkitis

Keyword(s):

Hiv Positive ◽

Hiv Status ◽

Facilitators And Barriers ◽

Hiv Status Disclosure ◽

Status Disclosure

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423. Self-Reported Screening for Rectal Sexually Transmitted Infections Among Men Who Have Sex with Men

Open Forum Infectious Diseases ◽

10.1093/ofid/ofz360.496 ◽

2019 ◽

Vol 6 (Supplement_2) ◽

pp. S212-S213

Author(s):

Timothy William. Menza ◽

Lauren Lipira ◽

Amisha Bhattarai ◽

Joseph Ramirez ◽

Roberto Orellana

Keyword(s):

Sexually Transmitted Infections ◽

Multivariable Analysis ◽

Prevalence Ratio ◽

Hiv Positive ◽

Sexually Active ◽

Hiv Status ◽

Sexually Transmitted ◽

Sex With Men ◽

Hiv Negative ◽

Hiv Positive Men

Abstract Background Rectal gonorrhea and Chlamydia are common and predict HIV acquisition among men who have sex with men (MSM); however, screening for rectal sexually transmitted infections (STIs) is not routine. Methods In 2017, we recruited sexually-active MSM in the Portland, Oregon metropolitan area through venue-based sampling. Our outcome of interest was self-reported rectal STI screening in the prior 12 months. Stratified by HIV status, we assessed the prevalence and demographic, healthcare, clinical, and behavioral predictors of screening. Results Of 448 participants, 168 (37.5%) reported rectal STI screening. One hundred twenty-seven (35.8%) of 355 HIV-negative men, 41 (58.6%) of 70 HIV-positive men, and none of 23 men who did not know their HIV status reported screening. Among HIV-negative men, having a healthcare provider who offered HIV testing (adjusted prevalence ratio [aPR]=2.09; 95% confidence interval [CI]: 1.43, 3.04), a syphilis diagnosis (aPR=1.32; 95% CI: 1.03, 1.69), use of pre-exposure prophylaxis (aPR=1.57; 95% CI 1.21, 2.04), and condomless anal sex with casual partners in the prior 12 months (aPR=1.74; 95% CI: 1.36, 2.22) independently predicted screening for rectal STI in multivariable analysis. HIV-positive men who reported having a provider who always or often initiates conversations about sex were significantly more likely to report screening compared with men who did not have such a provider (aPR=1.48; 95% CI: 1.06, 2.06). Conclusion Rectal STI screening is not universal in a venue-based sample of sexually-active MSM. Implementing innovative, acceptable, and accessible screening practices and improving provider comfort with talking about sex are paramount to increasing rectal STI screening. Disclosures All authors: No reported disclosures.

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HIV status disclosure by Nigerian men who have sex with men and transgender women living with HIV: a cross-sectional analysis at enrollment into an observational cohort

BMC Public Health ◽

10.1186/s12889-020-09315-y ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Abdulwasiu B. Tiamiyu ◽

◽

John Lawlor ◽

Fengming Hu ◽

Afoke Kokogho ◽

...

Keyword(s):

Hiv Status ◽

Cross Sectional ◽

Women Living With Hiv ◽

Nigerian Men ◽

Observational Cohort ◽

Sex With Men ◽

Hiv Status Disclosure ◽

Living With Hiv ◽

Sectional Analysis ◽

Status Disclosure

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Patterns of sexualised recreational drug use and its association with risk behaviours and sexual health outcomes in men who have sex with men in London, UK: a comparison of cross-sectional studies conducted in 2013 and 2016

Sexually Transmitted Infections ◽

10.1136/sextrans-2019-054139 ◽

2019 ◽

Vol 96 (3) ◽

pp. 197-203 ◽

Cited By ~ 2

Author(s):

Tyrone J Curtis ◽

Alison J Rodger ◽

Fiona Burns ◽

Anthony Nardone ◽

Andrew Copas ◽

...

Keyword(s):

Sexual Health ◽

Hiv Positive ◽

Risk Behaviours ◽

Hiv Status ◽

Cross Sectional ◽

The Past ◽

Unknown Status ◽

Sex With Men ◽

Hiv Negative ◽

Hiv Positive Men

ObjectiveLondon has one of the highest identified prevalence of chemsex (sexualised recreational drug use) among men who have sex with men (MSM) in Europe. We examine MSM’s patterns of chemsex and its association with HIV/STI risk behaviours, STI diagnoses and sexual healthcare-seeking behaviours, including if HIV testing behaviour met UK national guidelines (three monthly if engaging in chemsex).MethodsCross-sectional survey data from 2013 (n=905) and 2016 (n=739) were collected using anonymous, self-administered questionnaires from MSM recruited in commercial gay venues in London, UK. Descriptive and multivariable analyses, stratified by self-reported HIV status, were conducted. Adjusted prevalence ratios (aPR) with 95% CIs were calculated.ResultsComparing the 2013 and 2016 surveys, chemsex prevalence in the past year remained stable, in both HIV-negative/unknown-status MSM (20.9% in 2013 vs 18.7% in 2016, p=0.301) and HIV-positive MSM (41.6% in 2013 vs 41.7% in 2016, p=0.992). Combined 2013–2016 data showed that compared with other MSM, those reporting chemsex were more likely to report HIV/STI risk behaviours, including condomless anal intercourse with serodifferent HIV-status partners (HIV-negative/unknown-status men: aPR 2.36, 95% CI 1.68 to 3.30; HIV-positive men: aPR 4.19, 95% CI 1.85 to 9.50), and STI diagnoses in the past year (HIV-negative/unknown-status men: aPR 2.10, 95% CI 1.64 to 2.69; HIV-positive men: aPR 2.56, 95% CI 1.57 to 4.20). 68.6% of HIV-negative/unknown-status men reporting chemsex attended sexual health clinics and 47.6% had tested for HIV more than once in the past year.ConclusionsChemsex in London MSM remained stable but high, particularly among HIV-positive men. Irrespective of HIV status, chemsex was associated with engagement in HIV/STI risk behaviours. Frequency of HIV testing in the past year among HIV-negative/unknown-status men was below national recommendations. Promoting combination prevention strategies, including three monthly HIV/STI testing, access to pre-exposure prophylaxis/antiretroviral treatment and behavioural interventions among MSM reporting chemsex, remains vital to address sexual health inequalities in MSM.

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Sero-positive HIV result disclosure to sexual partner in Ethiopia: a systematic review and meta-analysis

BMC Public Health ◽

10.1186/s12889-019-8097-y ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Fantahun Ayenew Mekonnen ◽

Ayenew Molla Lakew ◽

Kindie Fentahun Muchie ◽

Destaw Fetene Teshome

Keyword(s):

Systematic Review ◽

Positive Result ◽

Sexual Partner ◽

Meta Analysis ◽

Outcome Variable ◽

Hiv Positive ◽

Hiv Status ◽

Previous Discussion ◽

Hiv Status Disclosure ◽

Status Disclosure

Abstract Background The infection of HIV continues to be an important public health problem in Ethiopia. Disclosing own HIV positive result is crucial, and considered as a good indicator of behavior change towards HIV/AIDs. A systematic review and meta-analysis was conducted to pool the prevalence of positive HIV status disclosure to sexual partners and determine the influence of selected factors. Methods This systematic review and meta-analysis was conducted in Ethiopia among HIV positive people receiving health care at health facilities. In this review, primary studies were searched in Medline via PubMed, Google scholar and Google up to November, 2018. Data on disclosure of HIV positive result, knowledge of partner’s HIV status and prior discussion on HIV were extracted, and effect sizes like proportion and odds ratios were pooled. Heterogeneity and publication bias were assessed by chi-square and I2, and Egger test, respectively. Results A total of 12 studies with 4528 participants were included in to this review to estimate the prevalence of disclosure of HIV positive result to sexual partner, and 10 and 7 studies were included to determine the associations of the outcome variable with knowledge of sexual partner’s HIV status and with prior discussion on HIV, respectively. The pooled prevalence of HIV status disclosure to sexual partner was 73% (95% CI: 64, 82%). Having the knowledge of sexual partner’s HIV status [OR: 95%CI; 17.63 (7.88, 39.45)], and previous discussion on HIV [OR: 95% CI; 9.24 (5.56, 15.37)] increased the disclosure of own HIV positive result to sexual partner. The sub-group analysis indicated a prevalence of 74% in Oromia, 86% in Southern Nations Nationalities and Peoples (SNNPR), 87% in Amhara, 73% in Addis Ababa, and 54% in Tigray. Conclusions Disclosure of HIV status to sexual partner is lower than expected. Knowledge of partner’s HIV status and previous discussion on HIV were strong predictors of HIV positive status disclosure. Strategies helpful for encouraging open HIV discussion need to be strengthened to increase HIV positive result disclosure. Furthermore, since the heterogeneity of studies is high, large nationally representative study is suggested.

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