223541 Personal and partner responsibility for HIV prevention: Locus of control for HIV-positive men who have sex with men (MSM) with HIV-negative partners who use the Internet to find partners for unprotected sex

Tuesday, November 9, 2010 : 10:45 AM - 11:00 AM

Hugh Klein, PhD , Prevention Sciences Research Center / Center for the Study and Prevention of Drug Use, Morgan State University, Baltimore, MD
David Tilley, MS , Department of Community and Family Health, University of South Florida College of Public Health, Tampa, FL
BACKGROUND: HIV-positive MSM who bareback are at high risk for transmitting HIV to HIV-negative men. This study examines how HIV-positive MSM using the Internet to find partners for unsafe sex view responsibility for safer sex negotiation with HIV-negative men. METHODS: In 2008 and 2009, 332 American MSM were sampled randomly from 16 websites. All used the Internet to search for unprotected sex partners. Interviews were conducted by telephone and lasted 1-2 hours. RESULTS: The older a man was, the more likely he agreed with the following two statements: 1) "HIV-positive men have a special obligation to have safe sex with men who are negative or do not know their HIV status" (Statement 1), and 2) "It should be the responsibility of someone who is HIV negative to make sure their sex is safe" (Statement 2). HIV-positive MSM who agreed with Statement 1 placed more importance on not infecting their partners, and would disclose their serostatus and use a condom when receiving anal sex from an HIV-negative man. If a man did not agree with Statement 1, he was less likely to use a condom during insertive anal sex with an HIV-negative man and would be more likely to ejaculate into his HIV-negative partner's anus. Additionally, if an HIV-positive man agreed with Statement 2, he was more likely to say he would only disclose his HIV status if asked when either having insertive anal sex with or receiving anal sex from an HIV-negative man. Finally, HIV-positive MSM who did not disagree with Statement 2 were less likely to use a condom for insertive anal sex with an HIV-negative man. CONCLUSIONS: Interventions focused on HIV-positive MSM should focus on raising their belief that they have a special obligation to have safer sex with HIV-negative partners.

Learning Areas:
Diversity and culture
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Identify how Internet-using HIV-positive MSM perceive the locus of responsibility for having safer sex with HIV-negative partners. 2. Describe HIV-positive MSM's role in safer sex negotiation. 3. Identify the factors associated with HIV-positive MSM's beliefs that either they a) have a special obligation for safer sex with HIV-negative men or b) their HIV-negative partners' have responsibility for safer sex.

Keywords: HIV Risk Behavior, Gay Men

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the Principal Investigator for the study, and conducted the data analysis for this paper submission.
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.

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