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Correlates of unprotected anal intercourse in HIV positive men attending an HIV/AIDS clinic in Sydney

Journal Article


Abstract


  • We examined the impact of cognitive and biomedical variables on unprotected anal intercourse between HIV-1 infected men and casual sexual partners in a Sydney-based cohort. Participants answered questionnaires examining insertive and receptive intercourse with and without ejaculation. They completed a modified optimism-scepticism scale, a sexual beliefs scale and a clinical/demographics questionnaire. CD4 count, blood and semen VL were assessed. 43 of 109 reported anal intercourse with HIV+ partners, 33 with HIV- partners and 38 with partners of unknown status. With HIV+ partners past sexually transmittable infections were associated with receptive intercourse without ejaculation (p = 0.03) and insertive intercourse without ejaculation (p = 0.06) while sexual beliefs were associated with insertive intercourse without ejaculation (p = 0.038), receptive intercourse with ejaculation (p = 0.016) and insertive intercourse with ejaculation (p = 0.077). Sexual beliefs were found to have some association with unprotected receptive intercourse without ejaculation with HIV- partners (p = 0.071). With unknown serostatus partners, treatment-optimism (p = 0.026) had association with insertive intercourse with ejaculation while optimism (p = 0.002), sexual beliefs (p = 0.039) and recent VL (p = 0.059) had associations with insertive intercourse without ejaculation. Current STI had association with receptive intercourse with ejaculation with unknown status partners (p = 0.014). We found between-group differences in variables associated with different types of unprotected anal intercourse that may guide the development of prevention strategies.

Authors


  •   Begley, Kim (external author)
  •   Chan, Derek J. (external author)
  •   Jeganathan, Sarangapany (external author)
  •   Batterham, Marijka
  •   Smith, Don E. (external author)

Publication Date


  • 2008

Citation


  • Begley, K., Chan, D. J., Jeganathan, S., Batterham, M. & Smith, D. E. (2008). Correlates of unprotected anal intercourse in HIV positive men attending an HIV/AIDS clinic in Sydney. Current HIV Research, 6 (6), 579-584.

Scopus Eid


  • 2-s2.0-58149237738

Ro Metadata Url


  • http://ro.uow.edu.au/hbspapers/1663

Has Global Citation Frequency


Number Of Pages


  • 5

Start Page


  • 579

End Page


  • 584

Volume


  • 6

Issue


  • 6

Abstract


  • We examined the impact of cognitive and biomedical variables on unprotected anal intercourse between HIV-1 infected men and casual sexual partners in a Sydney-based cohort. Participants answered questionnaires examining insertive and receptive intercourse with and without ejaculation. They completed a modified optimism-scepticism scale, a sexual beliefs scale and a clinical/demographics questionnaire. CD4 count, blood and semen VL were assessed. 43 of 109 reported anal intercourse with HIV+ partners, 33 with HIV- partners and 38 with partners of unknown status. With HIV+ partners past sexually transmittable infections were associated with receptive intercourse without ejaculation (p = 0.03) and insertive intercourse without ejaculation (p = 0.06) while sexual beliefs were associated with insertive intercourse without ejaculation (p = 0.038), receptive intercourse with ejaculation (p = 0.016) and insertive intercourse with ejaculation (p = 0.077). Sexual beliefs were found to have some association with unprotected receptive intercourse without ejaculation with HIV- partners (p = 0.071). With unknown serostatus partners, treatment-optimism (p = 0.026) had association with insertive intercourse with ejaculation while optimism (p = 0.002), sexual beliefs (p = 0.039) and recent VL (p = 0.059) had associations with insertive intercourse without ejaculation. Current STI had association with receptive intercourse with ejaculation with unknown status partners (p = 0.014). We found between-group differences in variables associated with different types of unprotected anal intercourse that may guide the development of prevention strategies.

Authors


  •   Begley, Kim (external author)
  •   Chan, Derek J. (external author)
  •   Jeganathan, Sarangapany (external author)
  •   Batterham, Marijka
  •   Smith, Don E. (external author)

Publication Date


  • 2008

Citation


  • Begley, K., Chan, D. J., Jeganathan, S., Batterham, M. & Smith, D. E. (2008). Correlates of unprotected anal intercourse in HIV positive men attending an HIV/AIDS clinic in Sydney. Current HIV Research, 6 (6), 579-584.

Scopus Eid


  • 2-s2.0-58149237738

Ro Metadata Url


  • http://ro.uow.edu.au/hbspapers/1663

Has Global Citation Frequency


Number Of Pages


  • 5

Start Page


  • 579

End Page


  • 584

Volume


  • 6

Issue


  • 6