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2011-05-18Zeitschriftenartikel DOI: 10.1071/SH10053
HIV serosorting among HIV-positive men who have sex with men is associated with increased self-reported incidence of bacterial sexually transmissible infections
dc.contributor.authorMarcus, Ulrich
dc.contributor.authorSchmidt, Axel J.
dc.contributor.authorHamouda, Osamah
dc.date.accessioned2018-05-07T14:45:20Z
dc.date.available2018-05-07T14:45:20Z
dc.date.created2011-09-01
dc.date.issued2011-05-18none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/regx7ntJuQKME/PDF/28zHkrmw5XlkU.pdf
dc.identifier.urihttp://edoc.rki.de/176904/923
dc.description.abstractBackground: We aimed to quantify the frequency of HIV serosorting among men who have sex with men (MSM) in Germany, and evaluate the association of serosorting with other sexual risk management approaches (RMA) and with the frequency of bacterial sexually transmissible infections (STI). Methods: An anonymous, self-administered questionnaire was distributed through German online sexual networking sites and medical practices in 2006. The analysis was based on 2985 respondents who reported an HIV test result. Based on two questions on RMA, serosorting was classified as tactical (an event-based decision) or strategic (a premeditated search for a seroconcordant partner). The analysis was stratified by HIV serostatus and seroconcordant partnership status. Results: HIV serosorting patterns were different for HIV-positive and HIV-negative participants. Tactical serosorting ranked second after RMA based on condom use (HIV-positive: 55.1%, HIV-negative: 45.1%; P < 0.001). While the overlap of strategic and tactical HIV serosorting among HIV-positive MSM was substantial (58.0%), HIV-negative strategic and tactical serosorting were more distinct (18.1% overlap). Among HIV-positive and HIV-negative respondents, tactical serosorting was associated with reduced condom use. Compared with respondents using RMA other than serosorting, HIV-positive men reporting serosorting had a three-fold increased risk for bacterial STI (strategic: odds ratio (OR) = 2.62; 95% confidence interval (CI): 1.76–3.89; tactical: OR= 3.19; 95% CI: 2.14–4.75; both for respondents without HIV seroconcordant partners). Conclusions: HIV serosorting has emerged as a common RMA among MSM. For HIV-positive MSM, it may contributeeng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Infektionsepidemiologie
dc.subjectGermanyeng
dc.subjectcondom useeng
dc.subjectsexual risk managementeng
dc.subject.ddc610 Medizin
dc.titleHIV serosorting among HIV-positive men who have sex with men is associated with increased self-reported incidence of bacterial sexually transmissible infections
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10015075
dc.identifier.doi10.1071/SH10053
dc.identifier.doihttp://dx.doi.org/10.25646/848
local.edoc.container-titleSexual Health
local.edoc.container-textMarcus, U., Schmidt, A.J., Hamouda, O. HIV serosorting among HIV-positive men who have sex with men is associated with increased self-reported incidence of bacterial sexually transmissible infections (2011) Sexual Health, 8 (2), pp. 184-193.
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.publish.csiro.au/?paper=SH10053
local.edoc.container-publisher-nameCSIRO Publishing
local.edoc.container-volume8
local.edoc.container-issue2
local.edoc.container-year2011

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