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Use of viral load to negotiate condom use among gay men in Sydney, Australia.

Prestage, G; Mao, L; Kippax, S; Jin, F; Hurley, M; Grulich, A; Imrie, J; ... Zablotska, I; + view all (2009) Use of viral load to negotiate condom use among gay men in Sydney, Australia. AIDS Behav , 13 (4) pp. 645-651. 10.1007/s10461-009-9527-0.

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Abstract

Using two cohort studies (Health in men-HIM and positive health-PH) and repeated large cross-sectional surveys (Gay Community Periodic Survey-GCPS) of gay men in Sydney, Australia, we examined the association between viral load and unprotected anal intercourse (UAI) between HIV sero-discordant regular partners. Between 2001 and 2007, we conducted 243 interviews with 102 HIV-negative gay men in HIM and 148 interviews with 99 HIV-positive gay men in PH who were in regular relationships with HIV sero-discordant partners. During the same time period, 437 HIV positive men with HIV sero-discordant regular partners completed questionnaires for the GCPS. All completed interviews or questionnaires during that time period were used for these analyses. Amongst the HIV-negative respondents, sero-discordant UAI was more likely to be reported when the men believed their HIV-positive regular partner had an undetectable rather than a detectable viral load (P = 0.002). Amongst the HIV-positive respondents, sero-discordant UAI was as likely to be reported when they themselves reported having an undetectable or a detectable viral load. Use of viral load in negotiating condom use between sero-discordant gay couples may be understood very differently by the HIV-negative and HIV-positive men within those partnerships.

Type: Article
Title: Use of viral load to negotiate condom use among gay men in Sydney, Australia.
Location: United States
DOI: 10.1007/s10461-009-9527-0
Keywords: Australia, Cohort Studies, Condoms, HIV Seropositivity, Homosexuality, Male, Humans, Male, Negotiating, Sexual Behavior, Sexual Partners, Surveys and Questionnaires, Unsafe Sex, Viral Load
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health > Infection and Population Health
URI: http://discovery.ucl.ac.uk/id/eprint/1356548
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