A Cautionary Tale: Risk Reduction Strategies Among Urban American Indian/Alaska Native Men Who Have Sex With Men
Year: 2013
Type: article
Study design: Observational Study
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.
Source: AIDS Education and Prevention
Institutions: University of Washington, University of Denver
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: Media Influence on Risk Behavior in MSM, Mentoring Diverse Scientists in HIV Research on Substance Abuse and Mental Health, Indigenous Wellness Research Institute National Center of Excellence, Center for Studies in Demography and Ecology, G7197178138, Mentoring Diverse Scientists in Global HIV Research on Mental Health & Adherence, University of Washington/Fred Hutch Center for AIDS Research, The ITZA Program: Indigenous HIV/AIDS Research Training 3 (IHART3) Program
OpenAlex ID: W2047512254