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Do rates of unprotected anal intercourse among HIV-positive MSM present a risk for hepatitis C transmission?

Stall, R and Wei, C and Raymond, HF and McFarland, W (2011) Do rates of unprotected anal intercourse among HIV-positive MSM present a risk for hepatitis C transmission? Sexually Transmitted Infections, 87 (5). 439 - 441. ISSN 1368-4973

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Objectives: To compare the rates of unprotected anal intercourse (UAI) among men who have sex with men (MSM) in HIV-seropositive sexual relationships with that among men in HIV-seronegative and serodiscordant relationships in the context of an emerging hepatitis C virus (HCV) epidemic among HIV-positive MSM. Methods: Time-location sampling was used to obtain a cross-sectional sample of MSM who attended public venues in San Francisco between November 2007 and October 2008 (N=1199). Behavioural measures of sexual risk-taking at the level of the sexual dyad were administered to the sample. Results: Men in HIV-positive/positive sexual relationships are significantly more likely to have UAI and combine sex and drugs than men in negative/negative sexual relationships. Conclusions: If it is possible to spread HCV infection between HIV-positive men via UAI, very high levels of behavioural risk among positive MSM should exist to facilitate HCV transmission. Identifying the precise behavioural risk factors for HCV among HIV-positive MSM has become an important public health priority.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Stall, Rrstall@pitt.eduRSTALL
Wei, C
Raymond, HF
McFarland, W
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 August 2011
Date Type: Publication
Journal or Publication Title: Sexually Transmitted Infections
Volume: 87
Number: 5
Page Range: 439 - 441
DOI or Unique Handle: 10.1136/sti.2010.048223
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 1368-4973
MeSH Headings: Adult; Aged; Cross-Sectional Studies; HIV Seronegativity; HIV Seropositivity--epidemiology; HIV Seropositivity--psychology; Hepatitis C--epidemiology; Hepatitis C--transmission; Homosexuality, Male--psychology; Homosexuality, Male--statistics & numerical data; Humans; Male; Middle Aged; Risk Factors; San Francisco--epidemiology; Sexual Partners; Unsafe Sex--psychology; Unsafe Sex--statistics & numerical data; Young Adult
PubMed ID: 21653934
Date Deposited: 12 Jun 2013 21:38
Last Modified: 02 Feb 2019 15:55


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