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Seroadaptation in a Sample of Very Poor Los Angeles Area Men Who Have Sex with Men |
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| Authors: | Ryan D Murphy Pamina M Gorbach Robert E Weiss Christopher Hucks-Ortiz Steven J Shoptaw |
| Institution: | 1. Alcohol Research Group, 6475 Christie Ave., Suite 400, Emeryville, CA, 94608-1010, USA 2. Department of Epidemiology, Fielding School of Public Health, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, CA, USA 3. Department of Biostatistics, Fielding School of Public Health, University of California-Los Angeles, Los Angeles, CA, USA 4. Department of Family Medicine, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, CA, USA |
| Abstract: | Data from 635 very poor men who have sex with men (MSM) were used to identify seroadaptation with 1,102 male partners reported between 2005 and 2007 in Los Angeles as part of the Sexual Acquisition and Transmission of HIV Cooperative Agreement Program. The mean age of the sample was 41.7 years; 53 % had experienced homelessness in the past year. Condoms were reported in 51 % of sexual events involving anal intercourse. HIV seroconcordance was reported in 41 % of sexual partnerships among HIV-positive participants. HIV-positive men were more likely to have oral-only or unprotected receptive anal intercourse and less likely to have unprotected insertive anal intercourse with HIV-negative or unknown partners compared to HIV-positive partners. Even in the face of poverty, HIV-positive MSM report mitigating risks of HIV-transmission though seroadaptation in the context of modest rates of condom use. |
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