Serosorting Sexual Partners by Gay and Bisexual Men to Prevent HIV Infection: Implications for Public Health Clinicians

The most recent Centers for Disease Control and Prevention epidemiological statistics in the United States demonstrate that gay and bisexual men are at most risk for acquiring new HIV infections. While public health campaigns aimed at gay and bisexual males have resulted in improved HIV screening an...

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Bibliographic Details
Published in:Public health Nursing 2015-09, Vol.32 (5), p.555-564
Main Author: Blackwell, Christopher W.
Format: Article
Language:English
Subjects:
AIDS
barebacking
bisexual
Bisexuality - psychology
Disease prevention
Disease transmission
gay
Gays & lesbians
HIV
HIV Infections - diagnosis
HIV Infections - prevention & control
HIV Seronegativity
HIV Seropositivity
homosexual
Homosexuality, Male - psychology
Human immunodeficiency virus
Humans
Male
Mass Screening - utilization
Men
Nursing
Public health
Public Health Nursing
Risk
serosorting
Sexual behavior
Sexual Partners - psychology
Truth Disclosure
United States
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Summary:The most recent Centers for Disease Control and Prevention epidemiological statistics in the United States demonstrate that gay and bisexual men are at most risk for acquiring new HIV infections. While public health campaigns aimed at gay and bisexual males have resulted in improved HIV screening and greater awareness of the need for safer sex practices, barebacking has become a practice of increasing incidence. This act carries the highest risk of HIV transmission and acquisition; and data suggest HIV disease burden is higher among ethnic minorities. Serosorting—purposely seeking HIV serocordant partners—to help lower risk of HIV infection is common. While this can be a positive step in preventing the spread of HIV, it carries serious threats that must be acknowledged. The purpose of this article was to explore the positive and negative aspects of serosorting in the prevention of HIV, describe ways in which health care providers can approach the topic with clients, provide clinical practice implications, and suggest some direction for future research.
ISSN:0737-1209
1525-1446
DOI:10.1111/phn.12181