Unprotected anal intercourse among HIV-positive men who have a steady male sex partner with negative or unknown HIV serostatus.
OBJECTIVE
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.
Denning
Paul H
PH
Centers for Disease Control and Prevention, 1600 Clifton Road, Mail Stop E-46, Atlanta, GA 30333, USA. pdenning@cdc.gov
Campsmith
Michael L
ML
D000328:Adult; D004522:Educational Status; D006679:HIV Seropositivity; D006304:Health Status; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance / Q000379:methods*; D015995:Prevalence; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D014481:United States