Correlates of Serodiscordant Condomless Anal Intercourse Among Virologically Detectable HIV-Positive Young Men Who Have Sex with Men

• Main Authors: Abdalian (Author), Agwu (Author), Anderson (Author), Auerswald (Author), Ayala-Flores (Author), Baker (Author), Bauermeister, J.A (Author), Belzer (Author), Bojan (Author), Brennan (Author), Bruce, D. (Author), Calles (Author), Campos (Author), Cooper (Author), Cromer (Author), D’Angelo (Author), DiBenedetto (Author), Dillard (Author), Dormitzer (Author), Douglas (Author), Driver, B. (Author), Emmanuel (Author), Enriquez-Bruce (Author), Febo (Author), Fernández, M.I (Author), Flanagan (Author), Flores (Author), Flynn (Author), Friedman (Author), Fuentes-Gomez (Author), Futterman (Author), Garofalo (Author), Geiger (Author), George (Author), Gorle (Author), Green-Jones (Author), Hagler (Author), Hahn (Author), Inman (Author), Irish (Author), Jackson (Author), Julian (Author), Kahana, S.Y (Author), Korelitz, J. (Author), Kozina (Author), Leonard (Author), Lujan-Zilbermann (Author), Major-Wilson (Author), Martinez (Author), Maturo (Author), Mayer (Author), Mendoza, E. (Author), Moscicki (Author), Park (Author), Partlow, C. (Author), Paul (Author), Peralta (Author), Puga (Author), Reirden (Author), Secord (Author), Steever (Author), Tanney (Author), The Adolescent Trials Network for HIV/AIDS Interventions (ATN) (Author), Trexler (Author), Tucker (Author), Wilson, C. (Author), Witte (Author)
• Format: Article
• Language: English
• Published: Springer New York LLC 2018
• Subjects: adolescent; Adolescent; adult; Adult; Continuum of care; Cross-Sectional Studies; cross-sectional study; high risk behavior; HIV; HIV Infections; HIV/AIDS; HIV-1; Homosexuality, Male; human; Human immunodeficiency virus; Human immunodeficiency virus 1; Human immunodeficiency virus infection; Humans; male; Male; male homosexuality; physiology; psychology; risk reduction; Risk Reduction Behavior; Risk-Taking; Serodiscordant; sexual behavior; Sexual Behavior; Sexual Partners; Sexual risk behavior; sexuality; statistics and numerical data; transmission; unsafe sex; Unsafe Sex; Viral Load; virology; virus load; YMSM; young adult; Young Adult
• Online Access: View Fulltext in Publisher
• ISBN: 10907165 (ISSN)
• DOI: 10.1007/s10461-018-2183-5

Sexual transmission risk occurs in the context of serodiscordant condomless anal intercourse (CAI) where the seropositive partner is virologically detectable (VL+) and/or seronegative partner is not on PrEP. We analyzed correlates of serodiscordant CAI among 688 VL+ young men who have sex with men (YMSM). In multivariable analyses, serodiscordant CAI was associated with a receiving a HIV diagnosis in the past 6 months, greater depressive symptoms, and cocaine use during the past 90 days. Although HIV+ YMSM currently experience disparities across the continuum of care, those new to care may need support adopting risk reduction strategies with their sexual partners. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.