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Rates of Testing for HIV in the Presence of Serodiscordant UAI Among HIV-Negative Gay Men in Committed Relationships

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Abstract

We examined testing rates for HIV-negative men (N = 752) from a sample of gay male couples. Approximately half (52 %) tested in the past year. Among men who had engaged in sexual risk behavior in the past 3 months, 27 % tested within that period and 65 % within the past year. For men in concordant relationships these rates were 25 and 60 %, for men in serodiscordant relationships they were 34 and 72 %. MSM in primary relationships are testing at lower rates than the general MSM population, even after potential exposure to HIV. Testing and prevention messages for MSM should factor in relationship status.

Resumen

En este artículo examinamos tasas de testeo para hombres VIH negativos (N = 752) de una muestra de parejas de hombres gay. Aproximadamente la mitad (52 %) de los hombres se había hecho la prueba del VIH en el último año. Entre los hombres que habían tenido comportamientos sexuales de riesgo en los últimos tres meses, un 27 % se había hecho la prueba dentro de ese período y un 65 % dentro del último año. Para los hombres en relaciones concordantes las tasas de testeo eran de 25 % y 60 %, mientras que para hombres en relaciones discordantes eran de 34 % y 72 %. Las tasas de testeo para el VIH en HSH en relaciones primarias son menores que para la población general de HSH, aun después de exposición potencial al VIH. Los mensajes de prevención y tratamiento dirigidos a HSH deben tomar en cuenta si estos están o no en una relación de pareja.

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References

  1. Centers for Disease Control and Prevention. Vital signs: HIV testing and diagnosis among adults—United States, 2001–2009. MMWR. 2010;59(47):1550–5.

    Google Scholar 

  2. Centers for Disease Control and Prevention. Prevalence and awareness of HIV infection among men who have sex with men—21 cities, United States, 2008. MMWR. 2010;59(37):1201–7.

    Google Scholar 

  3. Marks G, Crepaz N, Janssen RS. Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the virus in the USA. AIDS. 2006;20(10):1447–50.

    Article  PubMed  Google Scholar 

  4. Marks G, Crepaz N, Senterfitt JW, Janssen RS. Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States: implications for HIV prevention programs. J Acquir Immune Defic Syndr. 2005;39(4):446–53.

    Article  PubMed  Google Scholar 

  5. Schackman BR, Gebo KA, Walensky RP, Losina E, Muccio T, Sax PE, et al. The lifetime cost of current human immunodeficiency virus care in the United States. Med Care. 2006;44(11):990–7.

    Article  PubMed  Google Scholar 

  6. Office of National AIDS Policy. National HIV/AIDS Strategy for the United States. 2010; Available from: www.whitehouse.gov/onap.

  7. Centers for Disease Control and Prevention. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR. 2006;55(RR14):1–17.

    Google Scholar 

  8. Centers for Disease Control and Prevention. HIV testing among men who have sex with men—21 cities, United States, 2008. MMWR. 2011;60(21):694–9.

    Google Scholar 

  9. Sullivan PS, Salazar L, Buchbinder S, Sanchez TH. Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS. 2009;23(9):1153–62.

    Article  PubMed  Google Scholar 

  10. Xiridou M, Geskus R, De Wit J, Coutinho R, Kretzschmar M. The contribution of steady and casual partnerships to the incidence of HIV infection among homosexual men in Amsterdam. AIDS. 2003;17(7):1029–38.

    Article  PubMed  Google Scholar 

  11. Davidovich U, de Wit J, Albrecht N, Geskus R, Stroebe W, Coutinho R. Increase in the share of steady partners as a source of HIV infection: a 17-year study of seroconversion among gay men. AIDS. 2001;15(10):1303–8.

    Article  PubMed  CAS  Google Scholar 

  12. Moreau-Gruet F, Jeannin A, Dubois-Arber F, Spencer B. Management of the risk of HIV infection in male homosexual couples. AIDS. 2001;15(8):1025–35.

    Article  PubMed  CAS  Google Scholar 

  13. Hoff CC, Beougher SC, Chakravarty D, Darbes LA, Neilands TB. Relationship characteristics and motivations behind agreements among gay male couples: differences by agreement type and couple serostatus. AIDS Care. 2010;22(7):827–35.

    Article  PubMed  Google Scholar 

  14. Mitchell JW, Harvey SM, Champeau D, Seal DW. Relationship factors associated with HIV Risk among a sample of gay male couples. AIDS Behav. 2011;16:404–11. doi:10.007/s10461-011-9976-0.

    Article  Google Scholar 

  15. Das M, Chu PL, Santos GM, Scheer S, Vittinghoff E, McFarland W, et al. Decreases in community viral load are accompanied by reductions in new HIV infections in San Francisco. PLoS ONE. 2010;5(6):e11068.

    Article  PubMed  Google Scholar 

  16. San Francisco Department of Public Health. 2010 San Francisco HIV Prevention Plan. 2010; 65. Available from: http://www.sfhiv.org/documents/CompletePlan.pdf.

  17. Stephenson R, Sullivan PS, Salazar LF, Gratzer B, Allen S, Seelbach E. Attitudes towards couples-based HIV testing among MSM in three US cities. AIDS Behav. 2011;15(Suppl 1):S80–7.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This research was supported by grants RO1 MH 75598 and RO1 MH 65141 from the National Institute of Mental Health. The authors thank the participants for sharing their experiences and their time.

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Correspondence to Deepalika Chakravarty.

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Chakravarty, D., Hoff, C.C., Neilands, T.B. et al. Rates of Testing for HIV in the Presence of Serodiscordant UAI Among HIV-Negative Gay Men in Committed Relationships. AIDS Behav 16, 1944–1948 (2012). https://doi.org/10.1007/s10461-012-0181-6

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