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Determinants of recent HIV infection among Seattle-area men who have sex with men.

Thiede, H and Jenkins, RA and Carey, JW and Hutcheson, R and Thomas, KK and Stall, RD and White, E and Allen, I and Mejia, R and Golden, MR (2009) Determinants of recent HIV infection among Seattle-area men who have sex with men. American journal of public health, 99 Sup.

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Abstract

OBJECTIVES: We sought to identify HIV-infection risk factors related to partner selection and sexual behaviors with those partners among men who have sex with men (MSM) in King County, Washington. METHODS: Participants were recruited from HIV testing sites in the Seattle area. Recent HIV infection status was determined by the Serologic Testing Algorithm for Recent HIV Seroconversion (STARHS) or a self-reported previous HIV-negative test. Data on behaviors with 3 male partners were collected via computer-based self-interviews. Generalized estimating equation models identified partnership factors associated with recent infection. RESULTS: We analyzed data from 32 HIV-positive MSM (58 partners) and 110 HIV-negative MSM (213 partners). In multivariate analysis, recent HIV infection was associated with meeting partners at bathhouses or sex clubs, bars or dance clubs, or online; methamphetamine use during unprotected anal intercourse; and unprotected anal intercourse, except with HIV-negative primary partners. CONCLUSIONS: There is a need to improve efforts to promote condom use with casual partners, regardless of their partner's HIV status. New strategies to control methamphetamine use in MSM and to reduce risk behaviors related to meeting partners at high-risk venues are needed.

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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Thiede, H
Jenkins, RA
Carey, JW
Hutcheson, R
Thomas, KK
Stall, RDrstall@pitt.eduRSTALL
White, E
Allen, I
Mejia, R
Golden, MR
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 January 2009
Date Type: Publication
Journal or Publication Title: American journal of public health
Volume: 99 Sup
DOI or Unique Handle: 10.2105/ajph.2006.098582
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
MeSH Headings: Adult; Case-Control Studies; HIV Infections--diagnosis; HIV Infections--epidemiology; HIV Infections--transmission; Homosexuality, Male--statistics & numerical data; Humans; Male; Multivariate Analysis; Odds Ratio; Risk Factors; Risk-Taking; Washington--epidemiology
Other ID: NLM PMC2724937
PubMed Central ID: PMC2724937
PubMed ID: 18445808
Date Deposited: 25 Jun 2013 19:34
Last Modified: 03 Dec 2022 13:55
URI: http://d-scholarship.pitt.edu/id/eprint/19009

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