Discussion of HIV Status by Serostatus and Partnership Sexual Risk among Internet-Using MSM in the United States

• Type of Material: Article
• Authors: Amy K. Winter, Emory University; Patrick S Sullivan, Emory University; Christine M. Khosropour, University of Washington; Eli S Rosenberg, Emory University
• Language: English
• Date: 2012-08-15
• Publisher: Lippincott, Williams & Wilkins
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2012 by Lippincott Williams & Wilkin
• Final Published Version (URL): http://journals.lww.com/jaids/pages/articleviewer.aspx?year=2012&issue=08150&article=00012&type=abstract
• Title of Journal or Parent Work: Journal of Acquired Immune Deficiency Syndromes
• ISSN: 1525-4135
• Volume: 60
• Issue: 5
• Start Page: 525
• End Page: 529
• Grant/Funding Information: We wish to acknowledge the following National Institutes of Health grants: National Institute on Minority Health and Health Disparities RC1MD004370, National Institute of Mental Health R01MH085600, Eunice Kennedy Shriver National Institute for Child Health and Human Development R01HD067111, and P30AI050409 – the Emory Center for AIDS Research.
• Research Categories: Health Sciences, Immunology; Health Sciences, Public Health; Health Sciences, Epidemiology

Abstract

Men who have sex with men (MSM), particularly black MSM, are disproportionally infected with HIV. Little is known about how discussion of HIV status between partners varies among MSM by race/ethnicity, and by HIV transmission risk. Among a national survey of 2,031 MSM reporting 5,410 partnerships, black MSM, especially black HIV-positive MSM, serodiscussed with UAI partners less than did white MSM. Although non-black HIV-positive, non-black HIV-negative MSM, and black HIV-negative MSM were more likely to report serodiscussion with UAI partners, black HIV-positive MSM were not. Differential serodiscussion may play a role in explaining the racial/ethnic disparity in HIV incidence.