Sexual risk behavior among HIV-positive men who have sex with men: A literature review

N.M.C. van Kesteren, H.J. Hospers, G.J. Kok

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102 Citations (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)5-20
JournalPatient Education and Counseling
Volume65
Issue number1
DOIs
Publication statusPublished - 1 Jan 2007

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