TY - JOUR
T1 - Sexual risk behavior among HIV-positive men who have sex with men: A literature review
AU - van Kesteren, N.M.C.
AU - Hospers, H.J.
AU - Kok, G.J.
PY - 2007/1/1
Y1 - 2007/1/1
N2 - Objective: To review research on sexual risk behavior among HIV-positive men who have sex with men (MSM) after the year 2000. Method: The review included 53 published studies that reported on unprotected anal intercourse (UAI) in cross-sectional and longitudinal surveys of HIV-positive MSM and MSM of mixed HIV status. Results: The findings indicate high levels of UAI among HIV-positive MSM, particularly with HIV-negative or HIV status unknown partners. In studies of MSM of mixed HIV status, we found that the rate of UAI among HIV-positive MSM was Much higher than that of HIV-negative MSM. Furthermore, the prevalence of UAI among HIV-positive MSM has increased in recent years. Conclusion: Although studies indicate that HIV-positive MSM have adopted risk reduction strategies, roughly two in five HIV-positive MSM continue to engage in UAI, which represents a risk for continued HIV and STI (sexually transmitted infection) transmission. Practice implications: Prevention efforts targeting HIV-positive MSM to assist them in adopting and maintaining safer sexual behaviors need to be intensified.
AB - Objective: To review research on sexual risk behavior among HIV-positive men who have sex with men (MSM) after the year 2000. Method: The review included 53 published studies that reported on unprotected anal intercourse (UAI) in cross-sectional and longitudinal surveys of HIV-positive MSM and MSM of mixed HIV status. Results: The findings indicate high levels of UAI among HIV-positive MSM, particularly with HIV-negative or HIV status unknown partners. In studies of MSM of mixed HIV status, we found that the rate of UAI among HIV-positive MSM was Much higher than that of HIV-negative MSM. Furthermore, the prevalence of UAI among HIV-positive MSM has increased in recent years. Conclusion: Although studies indicate that HIV-positive MSM have adopted risk reduction strategies, roughly two in five HIV-positive MSM continue to engage in UAI, which represents a risk for continued HIV and STI (sexually transmitted infection) transmission. Practice implications: Prevention efforts targeting HIV-positive MSM to assist them in adopting and maintaining safer sexual behaviors need to be intensified.
U2 - 10.1016/j.pec.2006.09.003
DO - 10.1016/j.pec.2006.09.003
M3 - Article
C2 - 17098392
SN - 0738-3991
VL - 65
SP - 5
EP - 20
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 1
ER -