Unintentional HIV exposures from young men who have sex with men who disclose being HIV-negative

Duncan A. MacKellar, Linda A. Valleroy, Stephanie Behel, Gina M. Secura, Trista Bingham, David D. Celentano, Beryl A. Koblin, Marlene LaLota, Douglas Shehan, Hanne Thiede, Lucia V. Torian

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To evaluate the proportion of new sexual partners potentially exposed to HIV from young MSM who disclosed being HIV-negative. DESIGN: Cross-sectional, observational study of men aged 23-29 years recruited from randomly sampled MSM-identified venues in six US cities. METHODS: Participants were interviewed and tested for HIV. Analyses were restricted to MSM who reported last testing HIV-negative and having one or more new partners in the prior 6 months. RESULTS: Of 1701 MSM who reported a total of 11 793 new partners, 1075 (63%) disclosed being HIV-negative to 4253 (36%) new partners before having sex with them for the first time. Of disclosers, 352 (33%) reported last testing HIV-negative > 1 year before their interview and 80 (7%) tested HIV-positive (HIV-infected unaware). By race, 24% of black, 5% of Hispanic, and 3% of white disclosers tested HIV-positive. Of the 4253 new partners, 296 (7%) were partners of the 80 HIV-infected unaware MSM. By race, 22% of new partners of black, 3% of new partners of Hispanic, and 4% of new partners of white MSM, were partners of HIV-infected unaware MSM who disclosed being HIV-negative. CONCLUSIONS: Many new sex partners may be unintentionally exposed to HIV from young MSM, particularly those who are black and who disclose being HIV-negative based on an earlier test. Young MSM should test for HIV more frequently and consistently use condoms with all partners unless they are in a mutually monogamous relationship in which both partners have tested HIV-negative at least 3 months since their last potential HIV exposure.

Original languageEnglish (US)
Pages (from-to)1637-1644
Number of pages8
JournalAIDS
Volume20
Issue number12
DOIs
StatePublished - Aug 1 2006

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Keywords

  • Awareness
  • HIV
  • HIV disclosure
  • Men who have sex with men

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Infectious Diseases

Cite this

MacKellar, D. A., Valleroy, L. A., Behel, S., Secura, G. M., Bingham, T., Celentano, D. D., Koblin, B. A., LaLota, M., Shehan, D., Thiede, H., & Torian, L. V. (2006). Unintentional HIV exposures from young men who have sex with men who disclose being HIV-negative. AIDS, 20(12), 1637-1644. https://doi.org/10.1097/01.aids.0000238410.67700.d1