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

Kelly R Knight1, Starley B Shade, David W Purcell

  • 1Center for AIDS Prevention Studies, Department of Medicine, University of California at San Francisco, San Francisco, CA 94110-1372, USA. kelly.knight@ucsf.edu

Journal of Acquired Immune Deficiency Syndromes (1999)
|January 3, 2008
PubMed
Abstract

Insights

HIV-positive men who have sex with men and women (MSMW) who inject drugs engage in higher-risk sexual behaviors, particularly with female partners. Targeted prevention is crucial for this population.

Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Behavioral Science

Background:

  • Limited research exists on HIV transmission risk behaviors among HIV-positive injection drug users (IDUs) who are men who have sex with men and women (MSMW).
  • Understanding these behaviors is critical for developing effective HIV prevention strategies.

Purpose of the Study:

  • To compare the HIV transmission risk behaviors of HIV-positive MSMW with those of men who have sex exclusively with women (MSW) and men who have sex exclusively with men (MSM).

Main Methods:

  • Utilized baseline data from the Intervention for Seropositive Injectors-Research and Evaluation (INSPIRE) study, a multi-city randomized controlled trial.
  • Compared unprotected sexual behaviors and transactional sex prevalence among MSMW (n=118) against MSW (n=469) and MSM (n=90).

Main Results:

  • MSMW reported significantly higher rates of unprotected vaginal and anal sex with HIV-negative/unknown status female partners compared to MSW.
  • MSMW showed similar rates of unprotected insertive anal sex but lower rates of unprotected receptive anal sex with HIV-negative/unknown status male partners compared to MSM.
  • MSMW were more likely to engage in transactional sex than both MSW and MSM.

Conclusions:

  • Further investigation is needed to understand the specific contexts of unprotected sex among HIV-positive injection drug-using MSMW.
  • Prevention programs must address the unique needs of this population, with a particular focus on risks associated with female partners.

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