HIV-infected men who have sex with men who engage in very high levels of transmission risk behaviors: Establishing a context for novel prevention interventions

S. Wade Taylor, Conall Ocleirigh, Kenneth H. Mayer, Steven A. Safren

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Men who have sex with men (MSM) comprise the largest risk group of individuals living with HIV in the USA and have the highest rates of new infections. A minority of HIV-infected MSM engage in unprotected anal intercourse after learning about their infection, potentially transmitting the virus to others. The current study sought to generate self-generated descriptive themes, from a group of HIV-infected MSM who reported high rates of sexual transmission risk behavior that may be relevant for understanding sexual risk in this group. Five descriptive themes emerged during content analysis: (a) serostatus attribution, (b) assumption of sexual partners responsibility for safer sex, (c) sexual sensation seeking, (d) ongoing substance use, and (e) dissatisfaction with current relationships. Traditional HIV transmission risk reduction interventions that have been known to have only modest effects should be augmented by developing HIV prevention strategies for this subgroup of MSM to address these salient themes.

Original languageEnglish (US)
Pages (from-to)576-587
Number of pages12
JournalPsychology, Health and Medicine
Volume18
Issue number5
DOIs
StatePublished - Oct 1 2013
Externally publishedYes

Keywords

  • HIV infection
  • HIV prevention
  • MSM; gay and bisexual men
  • risky sexual behavior

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology
  • Psychiatry and Mental health

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