TY - JOUR
T1 - Correlates of Seroadaptation Strategies Among Black Men Who have Sex with Men (MSM) in 4 US Cities
AU - Wilton, Leo
AU - Koblin, Beryl
AU - Nandi, Vijay
AU - Xu, Guozhen
AU - Latkin, Carl
AU - Seal, David
AU - Flores, Stephen A.
AU - Spikes, Pilgrim
N1 - Funding Information:
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. This study was supported by a cooperative agreement between the New York Blood Center (3UR6PS000437-03W1), Center for AIDS Intervention Research – Medical College of Wisconsin (3UR6PS000434-03W1), Howard Brown Health Center (3UR6PS000429-03W1), Johns Hopkins Bloomberg School of Public Health (5UR6PS000355-03) and the Centers for Disease Control and Prevention. The study teams acknowledge all of the study participants who volunteered for the projects and the study staff for their commitment to the success of the projects. Trial registration: ClinicalTrials.gov NCT00691496.
Publisher Copyright:
© 2015, Springer Science+Business Media New York.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - We assessed associations of demographic, psychosocial, and substance use factors with seroadaptation strategies among 835 BMSM in four US cities. Seroadaptation strategies were practiced by 59.8 % of men, with 10.5 % practicing 100 % condom use, 26.5 % serosorting, 7.2 % condom serosorting, and 15.6 % seropositioning. In multivariable analyses, compared to men who used no seroadaptation strategies, serosorters were older, were less likely to be HIV infected, had fewer male sex partners, and had higher levels of social support and sexual self-efficacy. Condom serosorters had less psychological distress, were more likely to use methamphetamine, and had higher levels of sexual self-efficacy. Seropositioners were older, were less likely to be HIV infected, to have a main partner, and report alcohol/drug use with sex, while having higher levels of sexual self-efficacy. Seroadaptation practices among BMSM need to be considered to address perceived safer sex strategies and strengthen access to a broader reach of culturally-relevant prevention efforts.
AB - We assessed associations of demographic, psychosocial, and substance use factors with seroadaptation strategies among 835 BMSM in four US cities. Seroadaptation strategies were practiced by 59.8 % of men, with 10.5 % practicing 100 % condom use, 26.5 % serosorting, 7.2 % condom serosorting, and 15.6 % seropositioning. In multivariable analyses, compared to men who used no seroadaptation strategies, serosorters were older, were less likely to be HIV infected, had fewer male sex partners, and had higher levels of social support and sexual self-efficacy. Condom serosorters had less psychological distress, were more likely to use methamphetamine, and had higher levels of sexual self-efficacy. Seropositioners were older, were less likely to be HIV infected, to have a main partner, and report alcohol/drug use with sex, while having higher levels of sexual self-efficacy. Seroadaptation practices among BMSM need to be considered to address perceived safer sex strategies and strengthen access to a broader reach of culturally-relevant prevention efforts.
KW - Black MSM
KW - Mental health
KW - Serosorting
KW - Strategic positioning
KW - Substance use
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U2 - 10.1007/s10461-015-1190-z
DO - 10.1007/s10461-015-1190-z
M3 - Article
C2 - 26363789
AN - SCOPUS:84944516319
SN - 1090-7165
VL - 19
SP - 2333
EP - 2346
JO - AIDS and behavior
JF - AIDS and behavior
IS - 12
ER -