Impact of HIV risk perception on both pre-exposure prophylaxis and condom use

2019 ◽  
pp. 135910531988392
Author(s):  
Marion Di Ciaccio ◽  
Luis Sagaon-Teyssier ◽  
Christel Protière ◽  
Mohamed Mimi ◽  
Marie Suzan-Monti ◽  
...  
Keyword(s):  
Risk Perception ◽  
High Risk ◽  
Condom Use ◽  
Hiv Risk ◽  
Health Behaviours ◽  
Two Dimensions ◽  
Hiv Risk Perception ◽  
Sex With Men ◽  
Exposure Prophylaxis ◽  
Trajectory Modelling

Risk perception is one of the several important factors impacting sexual health behaviours. This study investigated the evolution of HIV risk perception on pre-exposure prophylaxis adherence and condom use in men who have sex with men at high risk of HIV and associated factors. Group-based trajectory modelling helped in identifying patterns of risk perception, pre-exposure prophylaxis adherence and condom use over time. The association between the former and the latter two dimensions was then investigated. An estimated 61 per cent ( p < 0.001) of participants perceiving low risk and 100 per cent ( p < 0.001) of those perceiving high risk had systematic pre-exposure prophylaxis adherence, while an estimated 49 per cent ( p < 0.001) and 99.8 per cent ( p < 0.001), respectively, reported low-level condom use.

scholarly journals Time for change: Transitions between HIV risk levels and determinants of behavior change in men who have sex with men

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0259913
Author(s):  
Maartje G. J. Basten ◽  
Daphne A. van Wees ◽  
Amy Matser ◽  
Anders Boyd ◽  
Ganna Rozhnova ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Risk Perception ◽  
High Risk ◽  
Behavior Change ◽  
Hiv Risk ◽  
Hiv Transmission ◽  
Low Risk ◽  
Risk Levels ◽  
Hiv Risk Perception ◽  
Sex With Men

As individual sexual behavior is variable over time, the timing of interventions might be vital to reducing HIV transmission. We aimed to investigate transitions between HIV risk levels among men who have sex with men (MSM), and identify determinants associated with behavior change. Participants in a longitudinal cohort study among HIV-negative MSM (Amsterdam Cohort Studies) completed questionnaires about their sexual behavior during biannual visits (2008–2017). Visits were assigned to different HIV risk levels, based on latent classes of behavior. We modelled transitions between risk levels, and identified determinants associated with these transitions at the visit preceding the transition using multi-state Markov models. Based on 7,865 visits of 767 participants, we classified three risk levels: low (73% of visits), medium (22%), and high risk (5%). For MSM at low risk, the six-month probability of increasing risk was 0.11. For MSM at medium risk, the probability of increasing to high risk was 0.08, while the probability of decreasing to low risk was 0.33. For MSM at high risk, the probability of decreasing risk was 0.43. Chemsex, erection stimulants and poppers, high HIV risk perception, and recent STI diagnosis were associated with increased risk at the next visit. High HIV risk perception and young age were associated with decreasing risk. Although the majority of MSM showed no behavior change, a considerable proportion increased HIV risk. Determinants associated with behavior change may help to identify MSM who are likely to increase risk in the near future and target interventions at these individuals, thereby reducing HIV transmission.

scholarly journals HIV Risk Perception, Sexual Behavior, and HIV Prevalence among Men-Who-Have-Sex-with-Men at a Community-Based Voluntary Counseling and Testing Center in Kuala Lumpur, Malaysia

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Kwee Choy Koh ◽  
Lit Sin Yong
Keyword(s):  
Risk Perception ◽  
High Risk ◽  
Hiv Risk ◽  
Low Risk ◽  
Kuala Lumpur ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Medium Risk ◽  
Hiv Risk Perception ◽  
Sex With Men

We describe the HIV risk perception, sexual behavior, and HIV prevalence among 423 men-who-have-sex-with-men (MSM) clients who received voluntary counseling and testing (VCT) services at a community-based center in Kuala Lumpur, Malaysia. The mean age was 29 years old. One hundred one (23.9%) clients rated themselves as low risk, 118 (27.9%) as medium risk, 36 (8.5%) as high risk, and 168 (39.7%) were unsure of their risk. Twenty-four (9.4%) clients tested HIV positive (4 (4%) low risk, 9 (7.6%) medium risk, 11 (30.6%) high risk, and 13 (7.7%) unsure risk). We found a positive correlation between risk perception and HIV infection in this study. Clients with high HIV risk perception have 17x the odds of testing HIV positive compared to low risk clients. High HIV risk perception was significantly associated with multiple sex partners, multiple types of sex partners, alcohol use before intercourse, unprotected sex beyond 6 months, and inconsistent condom use during anal sex compared to low risk clients. There were no statistically significant differences between medium risk and unsure risk clients compared to low risk clients. Strategies should be targeted towards change in sexual practices among those who are perceived to be at high risk.

PrEP eligibility, HIV risk perception, and willingness to use PrEP among high-risk men who have sex with men in India: A cross-sectional survey

AIDS Care ◽  
2021 ◽  
pp. 1-9
Author(s):  
Venkatesan Chakrapani ◽  
Peter A. Newman ◽  
Murali Shunmugam ◽  
Shruta Rawat ◽  
Dicky Baruah ◽  
...  
Keyword(s):  
Risk Perception ◽  
High Risk ◽  
Hiv Risk ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hiv Risk Perception ◽  
Sex With Men ◽  
Willingness To Use

scholarly journals Measuring HIV Risk Perception and Behavior: Results from Round 1 of the Cognitive Interviewing Project with young women and men who have sex with men in South Africa

2020 ◽  
Vol 24 (8) ◽  
pp. 2307-2318
Author(s):  
Jessica Milne ◽  
Hannah Brady ◽  
Thembekile Shato ◽  
Danielle Bohn ◽  
Makhosazana Mdladla ◽  
...  
Keyword(s):  
South Africa ◽  
Risk Perception ◽  
Young Women ◽  
Hiv Risk ◽  
Cognitive Interviewing ◽  
Hiv Risk Perception ◽  
Sex With Men ◽  
And Behavior

scholarly journals Gender Differences, HIV Risk Perception and Condom Use

2011 ◽  
Author(s):  
Judith Lammers ◽  
Sweder van Wijnbergen ◽  
Daan Willebrands
Keyword(s):  
Gender Differences ◽  
Risk Perception ◽  
Condom Use ◽  
Hiv Risk ◽  
Hiv Risk Perception

scholarly journals HIV risk perception and consistency in condom use among adolescents and young adults in urban Cape Town, South Africa: a cumulative risk analysis

2017 ◽  
Vol 32 (3) ◽  
pp. 105-110
Author(s):  
Evans Muchiri ◽  
Clifford Odimegwu ◽  
Nicole De Wet
Keyword(s):  
Risk Factors ◽  
Young Adults ◽  
Risk Perception ◽  
Hiv Infection ◽  
Condom Use ◽  
Hiv Risk ◽  
Cumulative Risk ◽  
Cape Town ◽  
Adolescents And Young Adults ◽  
Hiv Risk Perception

Background: The relationship between HIV risk perception and consistency in the use of condoms is scarcely understood in the context of a high HIV prevalence among adolescents and young adults in urban South Africa.Methods: Using data from Cape Area Panel Study (CAPS), gender-stratified analyses were conducted to determine relationship between risk perception and condom use among 14–22 year olds (n = 4 853) in urban Cape Town. Using discriminant function analyses, ecological determinants of consistency in condom use were determined and a cumulative risk approach examined. Results: A total of 1 598 sexually active youths, of mean age 17.7 years, with 785 (49%) of males and 813 (51%) females were identified for analyses. At baseline, 87% of males and 90% of females assessed themselves to be at no or low risk of HIV infection. At follow-up, 61% of males reporting low or no risk were consistently using condoms compared to 67% reporting some risk of HIV infection. In females, 47% reporting low or no risk consistently used condoms compared to 49% of those reporting to be at some risk.Conclusions: Perceived risk for HIV infection had no significant impact on consistency in using condoms for both males and females. Further, findings suggests that the effect of ecological risk factors was cumulative. Therefore, interventions aimed at the three levels ecology may be more effective in improving consistency as risk factors possess a cumulative effect.

scholarly journals The Rhythm of Risk: Sexual Behaviour, PrEP Use and HIV Risk Perception Between 1999 and 2018 Among Men Who Have Sex with Men in Amsterdam, The Netherlands

2020 ◽  
Author(s):  
Maartje Basten ◽  
Chantal den Daas ◽  
Janneke C. M. Heijne ◽  
Anders Boyd ◽  
Udi Davidovich ◽  
...  
Keyword(s):  
Risk Perception ◽  
Hiv Risk ◽  
Perceived Risk ◽  
Anal Intercourse ◽  
Steady Partner ◽  
The Past ◽  
Condomless Anal Intercourse ◽  
Hiv Risk Perception ◽  
Risk Sexual Behaviour ◽  
Sex With Men

AbstractHIV risk perception plays a crucial role in the uptake of preventive strategies. We investigated how risk perception and its determinants changed between 1999 and 2018 in an open, prospective cohort of 1323 HIV-negative men who have sex with men (MSM). Risk perception, defined as the perceived likelihood of acquiring HIV in the past 6 months, changed over time: being relatively lower in 2008–2011, higher in 2012–2016, and again lower in 2017–2018. Irrespective of calendar year, condomless anal intercourse (AI) with casual partners and high numbers of partners were associated with higher risk perception. In 2017–2018, condomless receptive AI with a partner living with HIV was no longer associated with risk perception, while PrEP use and condomless AI with a steady partner were associated with lower risk perception. We showed that risk perception has fluctuated among MSM in the past 20 years. The Undetectable equals Untransmittable statement and PrEP coincided with lower perceived risk.

HIV risk perception and condom use among homeless youth in Hollywood

1992 ◽  
Vol 13 (1) ◽  
pp. 62
Author(s):  
Julia Pennbridge ◽  
Thomas E. Freese ◽  
Richard G. MacKenzie
Keyword(s):  
Risk Perception ◽  
Condom Use ◽  
Hiv Risk ◽  
Homeless Youth ◽  
Hiv Risk Perception
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