title: Seroadaptive Strategies of Gay & Bisexual Men (GBM) with the Highest Quartile Number of Sexual Partners in Vancouver, Canada.
abstract: Despite continued research among men with more sexual partners, little information exists on their seroadaptive behavior. Therefore, we examined seroadaptive anal sex strategies among 719 Vancouver gay and bisexual men (GBM) recruited using respondent-driven sampling. We provide descriptive, bivariable, and multivariable adjusted statistics, stratified by HIV status, for the covariates of having ≥7 male anal sex partners in the past 6 months (Population fourth quartile versus <7). Sensitivity Analysis were also performed to assess the robustness of this cut-off. Results suggest that GBM with more sexual partners are more likely to employ seroadaptive strategies than men with fewer partners. These strategies may be used in hopes of offsetting risk, assessing needs for subsequent HIV testing, and balancing personal health with sexual intimacy. Further research is needed to determine the efficacy of these strategies, assess how GBM perceive their efficacy, and understand the social and health impacts of their widespread uptake.
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.|Faculty of Health Science, Simon Fraser University, Vancouver, BC, Canada.
authors: Kiffer G
authors: KG
authors: Card
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada. nlachowsky@cfenet.ubc.ca.|Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. nlachowsky@cfenet.ubc.ca.
authors: Nathan J
authors: NJ
authors: Lachowsky
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.
authors: Zishan
authors: Z
authors: Cui
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.
authors: Paul
authors: P
authors: Sereda
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.
authors: Ashleigh
authors: A
authors: Rich
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.|Health Initiative for Men, Vancouver, BC, Canada.
authors: Jody
authors: J
authors: Jollimore
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.|Positive Living Society of BC, Vancouver, BC, Canada.
authors: Terry
authors: T
authors: Howard
authors: Department of Anthropology, University of Victoria, Victoria, BC, Canada.
authors: Robert
authors: R
authors: Birch
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.|Faculty of Health Science, Simon Fraser University, Vancouver, BC, Canada.
authors: Allison
authors: A
authors: Carter
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.
authors: Julio
authors: J
authors: Montaner
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.|Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
authors: David
authors: D
authors: Moore
authors: BC Centre for Excellence in HIV/AIDS, 505-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.|Faculty of Health Science, Simon Fraser University, Vancouver, BC, Canada.
authors: Robert S
authors: RS
authors: Hogg
authors: Department of Anthropology, University of Victoria, Victoria, BC, Canada.|Centre for Addiction Research of British Columbia, University of Victoria, Victoria, BC, Canada.
authors: Eric Abella
authors: EA
authors: Roth
mesh_terms: D000328:Adult; D001727:Bisexuality / Q000523:psychology*; D002170:Canada; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control* / Q000635:transmission; D059147:HIV Serosorting; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012747:Sexual Partners; D000072339:Sexual and Gender Minorities / Q000523:psychology*; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000706:statistics & numerical data
keywords: Gay and bisexual men; HIV; Highly sexually active men; Seroadaptive; Strength-based