Sexual transmission risk behavior reported among behaviorally bisexual HIV-positive injection drug-using men

Kelly R. Knight, Starley B. Shade, David W. Purcell, Carol Dawson Rose, Lisa R. Metsch, Mary H. Latka, Carl A. Latkin, Cynthia A. Gómez

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Few research studies have examined the HIV transmission risk behaviors of HIV-positive injection drug users (IDUs) who are men who have sex with men and women (MSMW). METHODS: We compared unprotected vaginal or anal sex with an HIV-negative or unknown (UNK) status sexual partner of MSMW (n = 118) with men who have sex exclusively with women (MSW; n = 469) and men who have sex exclusively with men (MSM; n = 90) using baseline information from the Intervention for Seropositive Injectors-Research and Evaluation (INSPIRE) study, a 4-city randomized controlled trial. RESULTS: MSMW were twice as likely to report unprotected vaginal sex (P < 0.001) and 3 times as likely to report unprotected anal sex with an HIV-negative/UNK status female partner (P < 0.001) as MSW. MSMW did not differ in their report of unprotected insertive anal sex and were half as likely to report unprotected receptive anal sex with HIV-negative/UNK status men (P = 0.02) as MSM. MSMW were 2 times as likely to report engaging in transactional sex (buying or selling sex in exchange for money, drugs, or housing) than MSM or MSW (81%, 43%, and 36%, respectively; P < 0.001). CONCLUSIONS: Further research is needed to understand the contexts of unprotected sex among HIV-positive injection drug-using MSMW. Prevention programs should target the unique prevention needs of this population, particularly their risk with female partners.

Original languageEnglish (US)
Pages (from-to)S80-S87
JournalJournal of Acquired Immune Deficiency Syndromes
Volume46
Issue numberSUPPL. 2
DOIs
StatePublished - Nov 1 2007

Keywords

  • Bisexual
  • HIV-positive
  • Injection drug use
  • Men who have sex with men and women
  • Sexual risk

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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