Changes of sexual risk behaviors and sexual connections among HIV-positive men who have sex with men along their HIV care continuum
Publication in refereed journal


Times Cited
Altmetrics Information
.

Other information
AbstractBackground
While HIV incidence among men who have sex with men (MSM) is increasing in Hong Kong, unprotected sex apparently remains prevalent among those infected but virally non-suppressed. Little is known about how sexual behaviours and sexual connections may change among MSM along their HIV care continuum.

Methods
In this retrospective cross-sectional study, HIV-positive MSM attending the largest HIV specialist clinic in Hong Kong between October and December 2014 were invited to complete a self-administrated structured questionnaire. Their behavioural profile and partner sourcing patterns during the one-year period respectively (a) before HIV diagnosis, (b) after HIV diagnosis, (c) after initiation of antiretroviral treatment and (d) preceding the survey were examined.

Results
Of 345 recruited MSM, 304 (88.1%) had treatment initiated and 272 (78.8%) had viral load suppressed. In the first year after HIV diagnosis, the proportion reporting inconsistent condom use dropped from 47.0% to 17.5% (p<0.05) and from 49.6% to 17.8% (p<0.01) for anal sex with main and casual partners respectively. Except for mobile applications, usage of most sex-networking venues decreased significantly after diagnosis. Inconsistent condom usage rate remained at around 20% after treatment initiation and viral load suppression, but the frequency of use of sex-networking venues further varied among virally suppressed MSM.

Conclusions
Most HIV-positive MSM had persistently low level of sexual risk behaviours along their care continuum and achieved viral load suppression, conferring a general reduction of secondary transmission risk in Hong Kong. To increase the effectiveness of Treatment as Prevention strategy, uptake of HIV testing for undiagnosed HIV-positive MSM shall be emphasised.
All Author(s) ListPoon CM, Wong NS, Kwan TH, Wong HTH, Chan KCW, Lee SS
Journal namePLoS ONE
Year2018
Month12
Day12
Volume Number13
Issue Number12
PublisherPublic Library of Science
Article numbere0209008
ISSN1932-6203
LanguagesEnglish-United Kingdom
KeywordsHIV, MSM, antiretroviral therpay, social network, HIV care continuum

Last updated on 2020-25-10 at 03:14