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 ◽  
...  

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.

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Kwee Choy Koh ◽  
Lit Sin Yong

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.


2019 ◽  
pp. 135910531988392
Author(s):  
Marion Di Ciaccio ◽  
Luis Sagaon-Teyssier ◽  
Christel Protière ◽  
Mohamed Mimi ◽  
Marie Suzan-Monti ◽  
...  

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.


AIDS Care ◽  
2021 ◽  
pp. 1-9
Author(s):  
Venkatesan Chakrapani ◽  
Peter A. Newman ◽  
Murali Shunmugam ◽  
Shruta Rawat ◽  
Dicky Baruah ◽  
...  

2020 ◽  
Vol 24 (8) ◽  
pp. 2307-2318
Author(s):  
Jessica Milne ◽  
Hannah Brady ◽  
Thembekile Shato ◽  
Danielle Bohn ◽  
Makhosazana Mdladla ◽  
...  

2005 ◽  
Vol 39 (3) ◽  
pp. 354-358 ◽  
Author(s):  
Harriet Mpairwe ◽  
Lawrence Muhangi ◽  
Proscovia B Namujju ◽  
Andrew Kisitu ◽  
Alex Tumusiime ◽  
...  

2020 ◽  
Author(s):  
Maartje Basten ◽  
Chantal den Daas ◽  
Janneke C. M. Heijne ◽  
Anders Boyd ◽  
Udi Davidovich ◽  
...  

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.


2018 ◽  
Vol 20 (7-8) ◽  
pp. 342-357 ◽  
Author(s):  
Sladjana Baros ◽  
Sandra Sipetic Grujicic ◽  
Bojan Zikic ◽  
Jelena Petrovic Atay

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