Abstract
HIV-related risk perceptions and risk practices among gay men have changed over time. We revisited perceived HIV risk and engagement in anal intercourse with casual partners among HIV-negative gay men who participated in one of the Sydney Gay Community Periodic Surveys (GCPS). Perceived HIV risk was assessed by a range of anal intercourse practices combined with pre-specified casual partners’ HIV status and viral load levels. Perceived HIV risk forms a potential hierarchy, broadly reflecting differences in the probability of HIV transmission through various anal intercourse practices. To a lesser extent, it also varies by casual partners’ HIV status and viral load. Men who had unprotected anal intercourse with casual partners (UAIC) perceived lower HIV risk than those who used condoms consistently in the 6 months prior to survey. Recognising the complex associations between risk perceptions and risk practices helps to better address challenges arising from the ‘Treatment as Prevention’ (TasP).
Resumen
Con el tiempo han cambiado las percepciones de riesgo y las prácticas de riesgo relacionadas con el VIH entre los hombres gays. Hemos repasado la percepción de riesgo de VIH y la participación en relaciones sexuales anales con parejas casuales entre los hombres gays VIH-negativos que participaron en una de las encuestas periódicas de la comunidad gay de Sydney (GCPS). La percepción de riesgo con relación al VIH fue evaluada por una gama de prácticas de sexo anal combinadas con el estado de VIH y niveles de carga viral de parejas casuales preespecificadas. La percepción del riesgo de VIH forma una jerarquía potencial reflejando amplias diferencias en la probabilidad de transmision de VIH a través de las diversas prácticas de relaciones sexuales anales. En menor medida, también varía según el estado de VIH y niveles de carga viral de parejas casuales. Los hombres que mantuvieron coito anal sin protección con parejas casuales (UAIC) percibieron un menor riesgo de VIH que aquellos que usaron preservativos sistemáticamente en los seis meses previos a la encuestas. Reconocer las complejas asociaciones entre las percepciones de riesgo y las prácticas de riesgo ayuda a enfrentar de una mejor manera los desafíos derivados del ‘tratamiento como prevención’ (TasP).
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Acknowledgments
The National Centre in HIV Social Research and the Kirby Institute are supported by the Australian Government Department of Health and Ageing. The Sydney Gay Community Periodic Surveys are funded by the Department of Health in New South Wales. We thank our key community partners: the Australian Federation of AIDS Organisations, National Association of People Living with HIV/AIDS, ACON and Positive Life NSW. We value the ongoing trust, input and support from our participants.
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Mao, L., Adam, P., Kippax, S. et al. HIV-Negative Gay Men’s Perceived HIV Risk Hierarchy: Imaginary or Real?. AIDS Behav 17, 1362–1369 (2013). https://doi.org/10.1007/s10461-012-0406-8
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DOI: https://doi.org/10.1007/s10461-012-0406-8