A CAUTIONARY TALE: RISK REDUCTION STRATEGIES AMONG URBAN AMERICAN INDIAN/ALASKA NATIVE MEN WHO HAVE SEX WITH MEN
Identifieur interne : 001E27 ( Pmc/Corpus ); précédent : 001E26; suivant : 001E28A CAUTIONARY TALE: RISK REDUCTION STRATEGIES AMONG URBAN AMERICAN INDIAN/ALASKA NATIVE MEN WHO HAVE SEX WITH MEN
Auteurs : Cynthia R. Pearson ; Karina L. Walters ; Jane M. Simoni ; Ramona Beltran ; Kimberly M. NelsonSource :
- AIDS education and prevention : official publication of the International Society for AIDS Education [ 0899-9546 ] ; 2013.
Abstract
American Indian and Alaska Native (AIAN) men who have sex with men (MSM) are considered particularly high risk for HIV transmission and acquisition. In a multi-site cross-sectional survey, 174 AIAN men reported having sex with a man in the past 12 months. We describe harm reduction strategies and sexual behavior by HIV serostatus and seroconcordant partnerships. About half (51.3%) of the respondents reported no anal sex or 100% condom use and 8% were in seroconcordant monogamous partnership. Of the 65 men who reported any sero-adaptive strategy (e.g., 100% seroconcordant partnership, strategic positioning or engaging in any strategy half or most of the time), only 35 (54.7%) disclosed their serostatus to their partners and 27 (41.5%) tested for HIV in the past 3 months. Public health messages directed towards AIAN MSM should continue to encourage risk reduction practices, including condom use and sero-adaptive behaviors. However, messages should emphasize the importance of HIV testing and HIV serostatus disclosure when relying solely on sero-adaptive practices.
Url:
DOI: 10.1521/aeap.2013.25.1.25
PubMed: 23387949
PubMed Central: 3951888
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<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9002873</journal-id><journal-id journal-id-type="pubmed-jr-id">1762</journal-id><journal-id journal-id-type="nlm-ta">AIDS Educ Prev</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Educ Prev</journal-id><journal-title-group><journal-title>AIDS education and prevention : official publication of the International Society for AIDS Education</journal-title></journal-title-group><issn pub-type="ppub">0899-9546</issn><issn pub-type="epub">1943-2755</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23387949</article-id><article-id pub-id-type="pmc">3951888</article-id><article-id pub-id-type="doi">10.1521/aeap.2013.25.1.25</article-id><article-id pub-id-type="manuscript">NIHMS557509</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>A CAUTIONARY TALE: RISK REDUCTION STRATEGIES AMONG URBAN AMERICAN INDIAN/ALASKA NATIVE MEN WHO HAVE SEX WITH MEN</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Pearson</surname><given-names>Cynthia R.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Walters</surname><given-names>Karina L.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Simoni</surname><given-names>Jane M.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Beltran</surname><given-names>Ramona</given-names></name></contrib><contrib contrib-type="author"><name><surname>Nelson</surname><given-names>Kimberly M.</given-names></name></contrib><aff id="A1">Cynthia R. Pearson and Karina L. Walters are affiliated with the Indigenous Wellness Research Institute at the University of Washington in Seattle. Jane M. Simoni and Kimberly M. Nelson are with the Department of Psychology, and Ramona Beltran is with the University of Denver Graduate School of Social Work.</aff></contrib-group><author-notes><corresp id="FN1">Address correspondence to Cynthia R. Pearson, Indigenous Wellness Research Institute, School of Social Work, University of Washington, Box 354900, Seattle, WA 98105-1525. <email>pearsonc@uw.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>3</day><month>3</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>2</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>13</day><month>3</month><year>2014</year></pub-date><volume>25</volume><issue>1</issue><fpage>25</fpage><lpage>37</lpage><pmc-comment>elocation-id from pubmed: 10.1521/aeap.2013.25.1.25</pmc-comment>
<permissions><copyright-statement>© 2013 The Guilford Press</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><p id="P1">American Indian and Alaska Native (AIAN) men who have sex with men (MSM) are considered particularly high risk for HIV transmission and acquisition. In a multi-site cross-sectional survey, 174 AIAN men reported having sex with a man in the past 12 months. We describe harm reduction strategies and sexual behavior by HIV serostatus and seroconcordant partnerships. About half (51.3%) of the respondents reported no anal sex or 100% condom use and 8% were in seroconcordant monogamous partnership. Of the 65 men who reported any sero-adaptive strategy (e.g., 100% seroconcordant partnership, strategic positioning or engaging in any strategy half or most of the time), only 35 (54.7%) disclosed their serostatus to their partners and 27 (41.5%) tested for HIV in the past 3 months. Public health messages directed towards AIAN MSM should continue to encourage risk reduction practices, including condom use and sero-adaptive behaviors. However, messages should emphasize the importance of HIV testing and HIV serostatus disclosure when relying solely on sero-adaptive practices.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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