Abstract
This study examines patterns of sexual behavior, sexual relating, and sexual risk among HIV-positive men sexually active with women. A total of 278 HIV-positive men were interviewed every 6-12 months between 1994 and 2002 and reported considerable variability in sexual behaviors over time. Many were not sexually active at all for months at a time; many continued to have multiple female and at times male partners. Over one-third of the cohort had one or more periods when they had engaged in unprotected sex with a female partner who was HIV-negative or status unknown (unsafe sex). Periods of unsafe sex alternated with periods of safer sex. Contextual factors such as partner relations, housing status, active drug use, and recently exchanging sex showed the strongest association with increased odds of unsafe sex. A number of predictors of unsafe sex among African American men were not significant among the Latino sub-population, suggesting race/ethnic differences in factors contributing to heterosexual transmission. Implications for prevention interventions are discussed.
| Original language | English |
|---|---|
| Pages (from-to) | 637-655 |
| Number of pages | 19 |
| Journal | Journal of Urban Health |
| Volume | 83 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jul 2006 |
Bibliographical note
Funding Information:This research was made possible by grant number H89 HA 0015-15 from the U.S. Health Resources and Services Administration (HRSA) HIV/AIDS Bureau. The CHAIN study is supported by the HIV Health and Human Services Planning Council of New York under a Title I grant of the Ryan White Comprehensive AIDS Resource Emergency Act of 1990 through the New York City Department of Health.
Keywords
- Contextual factors
- Heterosexual men
- Persons living with HIV/AIDS
- Prevention planning
- Sexual behavior
- Sexual risk