Changing Patterns of Sexual Risk Behavior Among London Gay Men: 1998-2008

Lattimore, S., Thornton, A., Delpech, V. C. & Elford, J. (2011). Changing Patterns of Sexual Risk Behavior Among London Gay Men: 1998-2008. Sexually Transmitted Diseases, 38(3), pp. 221-229. doi: 10.1097/OLQ.0b013e3181f2ebe1

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Abstract

Objectives: To examine changes in the sexual behavior of London gay men between 1998 and 2008.

Methods: Gay men using London gyms were surveyed annually between 1998 and 2005, and again in 2008 (n = 6064; range, 482–834 per year). Information was collected on human immunodeficiency virus (HIV) status of the respondent, unprotected anal intercourse (UAI) in the previous 3 months, type (main or casual) and HIV status of partner for UAI. Nonconcordant UAI (ncUAI) was defined as UAI with a partner of unknown or discordant HIV status. Concordant UAI (cUAI) was defined as UAI with a partner of the same HIV status (“serosorting”).

Results: Between 1998 and 2008, the percentage of men reporting UAI increased from 24.3% to 36.6% (P = 0.07). This overall increase concealed important differences between nonconcordant and concordant UAI. While the percentage of men engaging in cUAI increased steadily between 1998 and 2008 (9.8%, 20.8%; P = 0.01), the percentage reporting ncUAI increased between 1998 and 2001 (14.5%, 23.7%; P < 0.001), decreased between 2001 and 2005 (23.7%, 15.6%; P < 0.001), and then leveled off between 2005 and 2008 (15.6%, 15.7%; P = 0.2). However, the percentage of men reporting ncUAI with a main partner increased between 2005 and 2008 for HIV-positive men (2.5%, 8.1%; P < 0.05) and HIV negative men (2.1%, 5.5%; P = 0.06). While the percentage of HIV negative men who reported cUAI with a main partner (i.e., serosorting) increased between 1998 and 2008 (12.4%, 21.1%; P < 0.05), less than half established seroconcordance by testing together.

Conclusions: The patterns of sexual behavior among London's gay men between 1998 and 2008 were dynamic and complex. Our data suggest that HIV risk with a main partner and HIV testing among couples should be given greater priority by health promotion programmes.

Item Type: Article
Uncontrolled Keywords: Science & Technology, Life Sciences & Biomedicine, Infectious Diseases, INFECTIOUS DISEASES, HOMOSEXUAL-MEN, HIV-INFECTION, TRANSMITTED INFECTIONS, SAN-FRANCISCO, PARTNERS, INCREASE, SEROSTATUS, PREVALENCE, PREVENTION, REDUCTION
Subjects: R Medicine > RA Public aspects of medicine
Divisions: School of Health Sciences
URI: http://openaccess.city.ac.uk/id/eprint/3384

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