Correlates of Serodiscordant Condomless Anal Intercourse Among Virologically Detectable HIV-Positive Young Men Who Have Sex with Men |
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| Authors: | Douglas?Bruce José?A.?Bauermeister Shoshana?Y.?Kahana Eduardo?Mendoza M.?Isabel?Fernández The Adolescent Trials Network for HIV/AIDS Interventions |
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| Affiliation: | 1.Department of Health Sciences,DePaul University,Chicago,USA;2.University of Pennsylvania School of Nursing,Philadelphia,USA;3.National Institutes of Health,Bethesda,USA;4.College of Osteopathic Medicine,Nova Southeastern University,Davie,USA;5.Department of Health Sciences,DePaul University,Chicago,USA |
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| Abstract: | Sexual transmission risk occurs in the context of serodiscordant condomless anal intercourse (CAI) where the seropositive partner is virologically detectable (VL+) and/or seronegative partner is not on PrEP. We analyzed correlates of serodiscordant CAI among 688 VL+ young men who have sex with men (YMSM). In multivariable analyses, serodiscordant CAI was associated with a receiving a HIV diagnosis in the past 6 months, greater depressive symptoms, and cocaine use during the past 90 days. Although HIV+ YMSM currently experience disparities across the continuum of care, those new to care may need support adopting risk reduction strategies with their sexual partners. |
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