Management of the risk of HIV infection in male homosexual couples.

Details

Serval ID
serval:BIB_64783A33B185
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Management of the risk of HIV infection in male homosexual couples.
Journal
Aids
Author(s)
Moreau-Gruet F., Jeannin A., Dubois-Arber F., Spencer B.
ISSN
0269-9370 (Print)
ISSN-L
0269-9370
Publication state
Published
Issued date
2001
Peer-reviewed
Oui
Volume
15
Number
8
Pages
1025-1035
Language
english
Abstract
OBJECTIVES: To study the ways of managing HIV risk within male homosexual steady relationships (gay couples), including factors associated with consistent condom use during anal sex with the steady partner.¦METHOD: An anonymous and standardized questionnaire completed by a convenience sample of homosexuals in Switzerland in 1997 (n = 1097). Information on the couple was provided by the 74% (n = 786) of male respondents who reported having a steady partner in the past 12 months. Data were analysed by contingency tables and logistic regression.¦RESULTS: Different ways of managing HIV risk were reported: negotiated safety (both HIV negative, condoms abandoned) was chosen by one quarter of the couples, but the most frequent solution was reliance on condoms for anal sex, chosen by more than four in 10. Altogether 84% of couples exhibited safe management of HIV risk within their partnership. The 16% of couples showing inadequate management of HIV risk within the couple mostly relied on questionable assumptions about past or present risks. A total of 74% of couples had spoken about managing HIV risk with possible casual partners. Reported behaviour with the steady partner and with casual partners was highly consistent with claimed strategies chosen to manage HIV risk. Consistent condom use with the steady partner was mostly associated with variables characterizing the relationship: initial 2 years of the relationship, discordant or unknown serological HIV status, non-exclusivity.¦CONCLUSION: Gay couples manage HIV risk in a variety of ways. Most strategies provide adequate protection with casual partners, but leave gaps in protection between the steady partners themselves.
Keywords
Adult, Condoms, Family Characteristics, HIV Infections/epidemiology, HIV Infections/prevention & control, Homosexuality, Male, Humans, Male, Middle Aged, Questionnaires, Risk Assessment, Safe Sex, Sexual Partners/psychology, Switzerland/epidemiology
Pubmed
Web of science
Create date
27/04/2012 16:21
Last modification date
20/08/2019 14:20
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