Correlates of Serodiscordant Condomless Anal Intercourse Among Virologically Detectable HIV-Positive Young Men Who Have Sex with Men

AIDS Behav. 2018 Nov;22(11):3535-3539. doi: 10.1007/s10461-018-2183-5.


Sexual transmission risk occurs in the context of serodiscordant condomless anal intercourse (CAI) where the seropositive partner is virologically detectable (VL+) and/or seronegative partner is not on PrEP. We analyzed correlates of serodiscordant CAI among 688 VL+ young men who have sex with men (YMSM). In multivariable analyses, serodiscordant CAI was associated with a receiving a HIV diagnosis in the past 6 months, greater depressive symptoms, and cocaine use during the past 90 days. Although HIV+ YMSM currently experience disparities across the continuum of care, those new to care may need support adopting risk reduction strategies with their sexual partners.

Keywords: Continuum of care; HIV/AIDS; Serodiscordant; Sexual risk behavior; YMSM.

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • HIV
  • HIV Infections / psychology*
  • HIV Infections / transmission
  • HIV Infections / virology
  • HIV-1 / physiology
  • Homosexuality, Male / psychology*
  • Homosexuality, Male / statistics & numerical data
  • Humans
  • Male
  • Risk Reduction Behavior
  • Risk-Taking*
  • Sexual Behavior / psychology*
  • Sexual Behavior / statistics & numerical data
  • Sexual Partners* / psychology
  • Unsafe Sex*
  • Viral Load
  • Young Adult