Title |
Undetectable Viral Load and the Decision to Engage in Unprotected Anal Intercourse Among HIV-Positive MSM
|
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Published in |
AIDS and Behavior, March 2013
|
DOI | 10.1007/s10461-013-0453-9 |
Pubmed ID | |
Authors |
Wijnand Van Den Boom, Ineke G. Stolte, Robert Witlox, Theo Sandfort, Maria Prins, Udi Davidovich |
Abstract |
We investigated how often HIV-positive MSM (n = 177) decide to engage in unprotected anal intercourse (UAI) because they have an undetectable viral load (UVL). We found that 20-57% of the UAI acts were related to having UVL, varying by partner type and partner HIV status. Among HIV-concordant partners, consideration of UVL before engaging in UAI was more prevalent with sex buddies (55%) than with casual partners (20%), although marginally significant (p = 0.051). Among HIV-discordant partners, no significant difference was found in the frequency of UVL considerations before engaging in UAI: 40% with sex buddies versus 57% with casual partners. Interestingly, while the decision to engage in UAI based on UVL was frequently discussed with HIV-concordant partners (>91%), it was only discussed with HIV-discordant partners in 13-25% of the UAI cases (according to partner type), suggesting that the decision was mostly unilateral. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | 10% |
Unknown | 38 | 90% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 7 | 17% |
Student > Bachelor | 6 | 14% |
Student > Doctoral Student | 5 | 12% |
Student > Postgraduate | 3 | 7% |
Student > Ph. D. Student | 3 | 7% |
Other | 6 | 14% |
Unknown | 12 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 9 | 21% |
Social Sciences | 6 | 14% |
Psychology | 5 | 12% |
Nursing and Health Professions | 4 | 10% |
Biochemistry, Genetics and Molecular Biology | 1 | 2% |
Other | 3 | 7% |
Unknown | 14 | 33% |