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January 2005, Vol 95, No. 1 | American Journal of Public Health 152-158
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2003.017814


RESEARCH AND PRACTICE

Unprotected Anal Intercourse Among HIV-Positive Men Who Have a Steady Male Sex Partner With Negative or Unknown HIV Serostatus

Paul H. Denning, MD, MPH and Michael L. Campsmith, DDS, MPH

Paul Denning and Michael Campsmith are with the Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to Paul Denning, Centers for Disease Control and Prevention, 1600 Clifton Rd, Mail Stop E-46, Atlanta, GA 30333 (e-mail: pdenning{at}cdc.gov).

Objectives. We sought to determine the prevalence and predictors of unprotected anal intercourse (UAI) among HIV-positive men who have a single steady male partner with negative or unknown HIV serostatus.

Methods. We analyzed behavioral surveillance data from HIV-positive men who have sex with men (MSM) interviewed in 12 states between 1995 and 2000.

Results. Of 970 HIV-positive MSM who had a single steady male sex partner with negative or unknown serostatus, 278 (29%) reported UAI during the previous year. In a subset of 674 men who were aware of their infection, 144 (21%) had UAI. Among the men who were aware of their infection, factors found to be predictive of UAI in multivariate modeling were heterosexual self-identification, crack cocaine use, no education beyond high school, and a partner with unknown serostatus.

Conclusions. Even after learning of their infection, one fifth of HIV-positive MSM who had a single steady male partner with negative or unknown serostatus engaged in UAI, underscoring the need to expand HIV prevention interventions among these men.




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