title: Erectile Dysfunction Medication Prescription and Condomless Intercourse in HIV-Infected Men Who have Sex with Men in the United States.
abstract: Using nationally representative data, we assessed the prevalence of erectile dysfunction medication (EDM) prescription, and its association with insertive condomless anal intercourse (CAI) with an HIV-serodiscordant partner among sexually-active HIV-infected men who have sex with men (MSM) receiving medical care in the United States. Overall, 14 % (95 % CI 12-16) were prescribed EDM and 21 % (95 % CI 19-23) engaged in serodiscordant CAI. MSM who were prescribed EDM were more likely to engage in insertive CAI with a serodiscordant casual partner than those not prescribed EDM after adjusting for illicit drug use before or during sex (adjusted prevalence ratio = 1.38; 95 % CI 1.01-1.88). We found no association with main partners. Only 40 % (95 % CI 36-44) of MSM prescribed EDM received risk-reduction counseling from healthcare professionals. Risk-reduction counseling should be provided at least annually to all HIV-infected persons as recommended, especially at the time of EDM prescription.
authors.affiliation: Epidemic Intelligence Service, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA. wft4@cdc.gov.|Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, GA, USA. wft4@cdc.gov.
authors.forename: Xia
authors.initials: X
authors.lastname: Lin
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, GA, USA.
authors.forename: Christine L
authors.initials: CL
authors.lastname: Mattson
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, GA, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Freedman
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, GA, USA.
authors.forename: Jacek
authors.initials: J
authors.lastname: Skarbinski
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D007172:Erectile Dysfunction / Q000188:drug therapy*; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D040242:Risk Reduction Behavior; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D000072339:Sexual and Gender Minorities / Q000706:statistics & numerical data*; D014481:United States; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D064804:Urological Agents / Q000627:therapeutic use*; D055815:Young Adult
chemical_list: D064804:Urological Agents
keywords: Condomless anal intercourse; Erectile dysfunction medication; HIV-infected persons; Men who have sex with men