International Journal of STD & AIDS > Volume 20, Number 9 > Pp. 607-612

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Bachmann, L H Articles by Hook, E W PubMed PubMed Citation Social Bookmarking                      What's this?

Original research articles

Risk behaviours in HIV-positive men who have sex with men participating in an intervention in a primary care setting

L H Bachmann MD MPH ^*  , D M Grimley PhD  ^**, H Chen PhD , I Aban PhD , J Hu MS , S Zhang MS , Y W Waithaka MPH ^** and E W Hook, III MD ^**

^* WG ‘Bill’ Hefner Medical Center, Salisbury, NC; Wake Forest University Health Sciences, Winston-Salem, NC; Department of Health Behavior; Department of Biostatistics, The University of Alabama at Birmingham School of Public Health; ^** Department of Medicine, Division of Infectious Diseases, The University of Alabama at Birmingham, Birmingham, AL, USA

Correspondence to: Dr L H Bachmann, Section of Infectious Diseases, Department of Internal Medicine, Wake Forest University Health Sciences, Medical Center Boulevard, Winston-Salem, NC 27157, USA Email: lbachman{at}wfubmc.edu

Men who have sex with men receiving HIV care reported their sexual behaviours and their intentions, classified according to the Transtheoretical Model of Change, to modify the following behaviours: (1) condom use by partner type and activity type; (2) reduction of partner number; and (3) disclosure of HIV serostatus to partners. Most participants were white (68.8%) or black (29.5%) and were more likely to report unprotected sex with HIV-positive than with serodiscordant partners for most activities. Whites reported more partners than black patients (mean 4.1 versus 2; P < 0.0001) and black participants reported fewer HIV-negative (P = 0.0084) and -unknown status partners (P = 0.00095) than whites. Cocaine/crack use was associated with more sexual partners (P = 0.001) and more frequent unprotected sex with HIV-negative or -unknown status partners (P = 0.036). Readiness to change risk behaviour varied by partner status and type of sexual activity. Understanding patients' risks and their readiness to change behaviours may help providers to promote sexual health.

Key Words: sexual risk behaviour • men who have sex with men • HIV • transtheoretical model of change • substance use

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?