Longitudinal Changes in, and Factors Associated with, the Frequency of Condomless Sex Among People in Care for HIV Infection, HIV Outpatient Study USA, 2007–2019

During 2007–2019, the percentage of HIV Outpatient Study participants reporting anal or vaginal condomless sex in the past 6 months ranged from a low of 17% among heterosexual males to 59% for men who have sex with men (MSM). MSM reported having had condomless sex more frequently than heterosexual m...

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Bibliographic Details
Published in:AIDS and behavior 2022-10, Vol.26 (10), p.3199-3209
Main Authors: Durham, Marcus D., Armon, Carl, Novak, Richard M., Mahnken, Jonathan D., Carlson, Kimberly, Li, Jun, Buchacz, Kate
Format: Article
Language:English
Subjects:
Condoms
Continuing education
Critical components
Disease transmission
Female
Gays & lesbians
Health Psychology
Health services
Heterosexuality
HIV
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - epidemiology
Homosexuality, Male
Human immunodeficiency virus
Humans
Infectious Diseases
Male
Males
Medicine
Medicine & Public Health
Men
Men who have sex with men
Mens health
Original Paper
Outpatients
Professional training
Public Health
Sex
Sex education
Sexual and Gender Minorities
Sexual Behavior
Sexual health
Sexually transmitted diseases
Sexually Transmitted Diseases - diagnosis
STD
Tests
Unsafe Sex
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Summary:During 2007–2019, the percentage of HIV Outpatient Study participants reporting anal or vaginal condomless sex in the past 6 months ranged from a low of 17% among heterosexual males to 59% for men who have sex with men (MSM). MSM reported having had condomless sex more frequently than heterosexual males and females and were the only group in which an increase in condomless sex was observed during the study period (from 39 to 59%). Although persons with undetectable HIV viral load have effectively no risk of transmitting HIV sexually (U = U), there is still the potential risk of transmission or acquisition of other sexually transmitted infections (STIs) when engaging in condomless sex. Continuing education about risks of HIV and STI transmission as well as ongoing screening for and treatment of STIs, retention in HIV treatment, and support for sexual health are critical components of care for people living with HIV.
ISSN:1090-7165
1573-3254
1573-3254
DOI:10.1007/s10461-022-03655-z