Casual sex dating in seattle wa 98190

Ij standard errors were used to calculate the CIs for both the crude and adjusted ORs. Our study adds to the growing literature on serosorting and emphasizes its limitations. Many men Cssual avoiding sexual intercourse Cawual HIV-positive men, and as expected, the behavior of having unprotected anal intercourse daring known HIV-positive men was associated with the highest risk. However, like 2 previously published studies, 1718 we also observed an elevated seattlf of HIV among men who had unprotected anal intercourse with men whom they believed were HIV-negative. In our study, the association between recent infection and unproteted anal intercourse with perceived HIV-nagative men was restricted to casual relationships.

Moreover, among persons who reported knowing who infected them, one third thought they were infected by a partner who told them he was HIV negative. Other studies have found that some HIV-positive MSM engage in unprotected anal intercourse with partners of Casual sex dating in seattle wa 98190 or unknown status without first disclosing their own HIV-positive status. We found Cadual strong Date dating between meeting sexual partners in a bathhouse or sex club and recently acquired HIV, even after we controlled for Casual sex dating in seattle wa 98190 number of male seatttle intercourse partners. Other studies have found a high prevalence of unsafe sex among MSM who frequent bathhouses and noted that this type of venue is particularly popular among many HIV-positive MSM.

We also observed an elevated risk of HIV among men who met partners ni the Internet, which is an increasingly popular method for finding sexual partners. A recent meta-analysis revealed that MSM who sought partners on the Internet were more seattle to engage in risky sex, although the researchers were unable to discern whether the Casuxl sex involved partners met online or offline. The increased Casuao of HIV associated with meeting partners at bars or dance clubs illustrates the importance of expanding and continuing HIV prevention efforts related to these venues. Casual sex dating in seattle wa 98190 association between recently acquired HIV and methamphetamine use in our study adds to existing evidence that methamphetamine use among MSM Casual sex dating in seattle wa 98190 an important risk factor for HIV and other STDs and underscores the need to develop and widely Casual sex dating in seattle wa 98190 effective methamphetamine treatment and prevention interventions.

The association persisted even after we controlled for injection drug use. Public health testing sites for high-risk MSM are obvious venues for enhanced HIV prevention efforts, which should include assessment of methamphetamine use and referral to appropriate treatment in areas such as Seattle, where methamphetamine use is common. Although these factors did not differ by HIV status in our study, they have been associated with risk factors for HIV infection in other studies. The use of STARHS can reduce the need for longitudinal cohorts, which are expensive and logistically complex to manage. Recruiting MSM with recently diagnosed HIV infection is difficult because of the primary emphasis on addressing medical and psychosocial needs.

Our recruitment efforts were limited by our reliance on passive referrals in an attempt to make the study more accessible to men who tested anonymously. Limitations Some other limitations should be considered. The study relied on self-reported HIV risk behaviors. Our use of ACASI may have mitigated some of the problems with disclosure of sensitive and stigmatized behaviors. We only asked about sexual relations with 3 male partners in the past 6 months, and we may have missed HIV-related behaviors that occurred earlier or in unreported partnerships.

We included sexual partnerships that continued after the HIV test, and unprotected anal intercourse with HIV-positive sex partners may have occurred after some participants were diagnosed with HIV. However, we found similar results when the analysis was restricted to partnerships that ended before the HIV test. The relatively small sample of men in our study may therefore not represent MSM in the broader community. The association we observed between recently acquired HIV infection and having unprotected anal intercourse with casual partners perceived to be HIV negative emphasizes the importance of consistent condom use.

Relying on partners' reported HIV status to determine when to use or not use condoms, at least in the context of casual partnerships, is inadequate. Also, the strong association that we observed between methamphetamine use and recent infection highlights the need to develop, test, and deploy effective interventions to control methamphetamine use and drug-related sexual risks among MSM. Also, it is imperative that prevention providers target high-risk behaviors related to meeting partners in bathhouses and on the Internet. The findings and conclusion in this report are those of the authors and do not necessarily reflect the views of the Centers for Disease Control and Prevention.

Human Participant Protection This study was approved by the institutional review boards of the Centers for Disease Control and Prevention and the University of Washington. Influence of a partner's HIV serostatus, use of highly active antiretroviral therapy, and viral load on perceptions of sexual risk behavior in a community sample of men who have sex with men. J Acquir Immun Defic Syndr. Histories of substance use and risk behavior: Am J Public Health. AIDS-risk behavior among homosexual males: Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men.

Suicide attempts among gay and bisexual men: Sexually transmitted diseases and human immunodeficiency virus-discordant partnerships among men who have sex with men. New testing strategy to detect early HIV-1 infection for use in incidence estimates and for clinical and prevention purposes. Development of a new less-sensitive enzyme immunoassay for detection of early HIV-1 infection. Longitudinal data analysis for discrete and continuous outcomes. A covariance estimator for GEE with improved small-sample properties. Sexual risk, nitrite inhalant use, and lack of circumcision associated with HIV seroconversion in men who have sex with men in the United States.

J Acquir Immune Defic Syndr. Risk factors for HIV infection among men who have sex with men. Consistent, inconsistent, and non-disclosure to casual sexual partners among HIV-seropositive gay and bisexual men. S87—S97 [ PubMed ] Marks G, Crepaz N. Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States: Accessed January 26, [ PubMed ] Differential HIV risk in bathhouses and public cruising areas. Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men.

Sexual risk behavior and risk factors for HIV-1 seroconversion in homosexual men participating in the Tricontinental Seroconverter Study, — Incidence and risk factors for human immunodeficiency virus seroconversion in a cohort of Sydney homosexual men. Amphetamine use is associated with increased HIV incidence among men who have sex with men in San Francisco.




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