265624 Role of offline vs. online hookups in HIV serodiscussion among black and white MSM

Monday, October 29, 2012 : 12:30 PM - 12:45 PM

Amy Baugher , Rollins School of Public Health, Emory University, Atlanta, GA
Eli Rosenberg , Rollins School of Public Health, Emory University, Atlanta, GA
Paula Frew, PhD, MA, MPH , Emory University School of Medicine & Rollins School of Public Health, Emory University, Decatur, GA
Brandon O'Hara, MSPH , Rollins School of Public Health, Emory University, Atlanta, GA
Patrick Sullivan, DVM, PhD , Rollins School of Public Health, Emory University, Atlanta, GA
Background: Among MSM, discussion of HIV status before first sex (serodiscussion) may reduce risk for HIV transmission. Black MSM are at disproportionately high risk for HIV infection and serodiscuss less frequently than do white MSM. Little is known about the partnership-level determinants in serodiscussion. Two candidate partnership-level risk factors include where the partners met (offline/online), and had sex once (“hookup”) or more than once (“ongoing”). Methods: Data are from an Atlanta cohort study examining HIV/STI incidence of black and white MSM. At baseline, 516 black and white participants aged ≥18 years, had ≥1 male sex partner, and had previously been tested for HIV, reported 1,861 partnerships in the past 12 months. Serodiscussion was compared by participant race, offline/online meeting, and hookup status using chi-square tests. Results: Overall, MSM serodiscussed in 60% of partnerships. MSM were less likely to serodiscuss with offline (56%) than online (65%) partners (OR=0.8, 95% CI[0.65,0.97]). Among offline partnerships, MSM serodiscussed less during hookups than in ongoing partnerships (43% vs. 70%, p<0.0001). These associations were not different by race; however, black MSM serodiscussed less than white MSM (50% vs. 68%, p<0.0001). In particular, black MSM serodiscussed least during offline hookups versus ongoing offline partnerships (38% vs. 62%, p<0.00001). Conclusions: Factors including where the partners met and hookup status may play a role in the likelihood of serodiscussion. Of all race-location-duration-specific groups, black MSM who met a hookup offline were the least likely to discuss HIV. This information can be used to target MSM groups for intervention.

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

Learning Objectives:
1.) To discuss the racial discrepancy in HIV incidence, 2.) To describe the role of serodiscussion in HIV transmission, 3.) To explore the factors underlying the racial discrepancy in infection rates and lack of serodiscussion

Keywords: HIV/AIDS, Risk Factors

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a student researcher at Rollins School of Public Health under the oversight of a primary investigator and co-investigators who have experience researching multiple federally funded projects. I am interested in advancing the understanding of the risk factors underlying the racial discrepancy in HIV infection rates in the United States, as well as advancing my own epidemiological education.
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.

Back to: 3227.0: HIV/AIDS and other STDs