220131 A novel intervention to address sexual partner selection among at risk HIV negative men who have sex with men

Wednesday, November 10, 2010

Lisa Eaton, PhD , School of Public Health, Yale University, New Haven, CT
Background: HIV continues to disproportionately affect men who have sex with men (MSM) with roughly half of incident HIV diagnoses occurring among this group. As a result of the impact and prevalence of HIV among MSM, multiple strategies for reducing the likelihood of HIV infection have emerged. One common HIV risk reduction strategy is to limit unprotected sex partners to those who are of the same HIV status, a practice referred to as serosorting. Although serosorting is commonly practiced for risk reduction, it is closely linked to HIV transmission. MSM who select partners based on HIV status risk HIV infection due to infrequent HIV testing, lack of overt HIV status disclosure, co-occurring sexually transmitted infections, and acute HIV infection. Methods: For the current study, a brief, one-on-one, peer counselor-delivered intervention, based on informed decision making, was created and implemented to address the limitations of serosorting. One hundred forty nine men were screened for risk behaviors, recruited and randomly assigned to either a time matched, comparison control or to an intervention condition addressing sexual partner selection. Results: Findings showed that men in the intervention condition reported fewer sexual partners compared to the control group at follow ups when controlling for baseline partners. Conclusions: Reducing number of sexual partners can result in decreased incidence of HIV, thus interventions, such as the one presented here, addressing risks associated with serosorting should be implemented into existing health care infrastructure.

Learning Areas:
Implementation of health education strategies, interventions and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Discuss the need for interventions for MSM that incorporate informed sexual decision making. Describe the need for brief, cost effective interventions for MSM that can be incorporated into existing health care infrastructures. Explain strategies MSM use to prevent HIV infection, such as serosorting, strategic positioning, and negotiated safety, that may provide men a false sense of security and, thus, increase risk for HIV. Assess the effectiveness of a media delivered sexual partner selection intervention for risk reduction among MSM.

Keywords: HIV Interventions, Behavioral Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conceptualized, designed, implemented, and analyzed the project that I propose to present on.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.