Top

Published in:

Open Access 01-12-2009 | Original paper

Behavior Change Following Diagnosis with Acute/Early HIV Infection—A Move to Serosorting with Other HIV-Infected Individuals. The NIMH Multisite Acute HIV Infection Study: III

Authors: Wayne T. Steward, Robert H. Remien, Jenny A. Higgins, Robert Dubrow, Steven D. Pinkerton, Kathleen J. Sikkema, Hong-Ha M. Truong, Mallory O. Johnson, Jennifer Hirsch, Ronald A. Brooks, Stephen F. Morin

Published in: AIDS and Behavior | Issue 6/2009

Abstract

Risk reductions behaviors are especially important during acute/early HIV infection, a period of high transmission risk. We examined how sexual behaviors changed following diagnosis of acute/early HIV infection. Twenty-eight individuals completed structured surveys and in-depth interviews shortly after learning of their infection and 2 months later. Quantitative analyses revealed significant changes after diagnosis, including reductions in total partners and decreases in the proportion of unprotected sex acts occurring with uninfected partners (serosorting). Qualitative findings indicated that these changes were motivated by concerns about infecting others. However, participants were less successful at increasing the frequency with which they used condoms. These results suggest that the initial diagnosis with HIV may constitute an important component of interventions to promote risk reduction during the acute/early stages of the disease.

Atkinson, J. H., Higgins, J., Vigil, O., Dubrow, R., Remien, R. H., Steward, W. T., et al. (2009). Psychiatric context of acute/early HIV infection. The NIMH Multisite Acute HIV Infection Study: IV. AIDS and Behavior. doi:10.1007/s10461-009-9585-3.

Butler, D. M., & Smith, D. M. (2007). Serosorting can potentially increase HIV transmissions. AIDS (London, England), 21, 1218–1220. doi:10.1097/QAD.0b013e32814db7bf.

Cates, W. Jr., Chesney, M. A., & Cohen, M. S. (1997). Primary HIV infection–A public health opportunity. American Journal of Public Health, 87, 1928–1930. doi:10.2105/AJPH.87.12.1928.CrossRefPubMed

Colfax, G. N., Buchbinder, S. P., Cornelisse, P. G., Vittinghoff, E., Mayer, K., & Celum, C. (2002). Sexual risk behaviors and implications for secondary HIV transmission during and after HIV seroconversion. AIDS (London, England), 16, 1529–1535. doi:10.1097/00002030-200207260-00010.

DiFranceisco, W., Pinkerton, S. D., Dyatlov, R. V., & Swain, G. R. (2005). Evidence of a brief surge in safer sex practices after HIV testing among a sample of high-risk men and women. Journal of Acquired Immune Deficiency Syndromes, 39, 606–612.PubMed

Gorbach, P. M., Drumright, L. N., Daar, E. S., & Little, S. J. (2006). Transmission behaviors of recently HIV-infected men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 42, 80–85. doi:10.1097/01.qai.0000196665.78497.f1.CrossRefPubMed

Gribble, J. N., Miller, H. G., Rogers, S. M., & Turner, C. F. (1999). Interview mode and measurement of sexual behaviors: Methodological issues. Journal of Sex Research, 36, 16–24.CrossRef

Grov, C., DeBusk, J. A., Bimbi, D. S., Golub, S. A., Nanin, J. E., & Parsons, J. T. (2007). Barebacking, the Internet, and harm reduction: An intercept survey with gay and bisexual men in Los Angeles and New York City. AIDS and Behavior, 11, 527–536. doi:10.1007/s10461-007-9234-7.CrossRefPubMed

Kelly, J. A., Morin, S. F., Remien, R. H., Steward, W. T., Higgins, J. A., Seal, D. W., et al. (2009). Lessons learned about behavioral science and acute/early HIV Infection. The NIMH Multisite Acute HIV Infection Study: V. AIDS and Behavior. doi:10.1007/s10461-009-9579-1.

Kerndt, P. R., Dubrow, R., Aynalem, G., Mayer, K. H., Beckwith, C., Remien, R. H., et al. (2009). Strategies used in the detection of acute/early HIV infections. The NIMH Multisite Acute HIV Infection Study: I. AIDS and Behavior. doi:10.1007/s10461-009-9580-8.

Koopman, J. S., Jacquez, J. A., Welch, G. W., Simon, C. P., Foxman, B., Pollock, S. M., et al. (1997). The role of early HIV infection in the spread of HIV through populations. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14, 249–258.PubMed

Mao, L., Crawford, J. M., Hospers, H. J., Prestage, G. P., Grulich, A. E., Kaldor, J. M., et al. (2006). ‘Serosorting’ in casual anal sex of HIV-negative gay men is noteworthy and is increasing in Sydney, Australia. AIDS (London, England), 20, 1204–1206. doi:10.1097/01.aids.0000226964.17966.75.

Metzger, D. S., Koblin, B., Turner, C., Navaline, H., Valenti, F., Holte, S., et al. (2000). Randomized controlled trial of audio computer-assisted self-interviewing: Utility and acceptability in longitudinal studies. HIVNET vaccine preparedness study protocol team. American Journal of Epidemiology, 152, 99–106. doi:10.1093/aje/152.2.99.CrossRefPubMed

Osmond, D. H., Pollack, L. M., Paul, J. P., & Catania, J. A. (2007). Changes in prevalence of HIV infection and sexual risk behavior in men who have sex with men in San Francisco: 1997–2002. American Journal of Public Health, 97, 1677–1683. doi:10.2105/AJPH.2005.062851.CrossRefPubMed

Panel on Antiretroviral Guidelines for Adults and Adolescents. (2008). Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents. Department of Health and Human Services. Retrieved January 30, 2009, from http://www.aidsinfo.nih.gov/ContentFiles/AdultandAdolescentGL.pdf.

Parsons, J. T., Schrimshaw, E. W., Wolitski, R. J., Halkitis, P. N., Purcell, D. W., Hoff, C. C., et al. (2005). Sexual harm reduction practices of HIV-seropositive gay and bisexual men: Serosorting, strategic positioning, and withdrawal before ejaculation. AIDS, (London, England), 19(Suppl 1), S13–S25.

Pilcher, C. D., Fiscus, S. A., Nguyen, T. Q., Foust, E., Wolf, L., Williams, D., et al. (2005). Detection of acute infections during HIV testing in North Carolina. The New England Journal of Medicine, 352, 1873–1883. doi:10.1056/NEJMoa042291.CrossRefPubMed

Pilcher, C. D., Tien, H. C., Eron, J. J. Jr., Vernazza, P. L., Leu, S. Y., Stewart, P. W., et al. (2004). Brief but efficient: Acute HIV infection and the sexual transmission of HIV. The Journal of Infectious Diseases, 189, 1785–1792. doi:10.1086/386333.CrossRefPubMed

Pinkerton, S. D. (2008). Acute HIV infection increases the dangers of serosorting. American Journal of Preventive Medicine, 35, 184. doi:10.1016/j.amepre.2008.04.012.CrossRefPubMed

Remien, R. H., Higgins, J. A., Correale, J., Bauermeister, J., Dubrow, R., Bradley, M., et al. (2009). Lack of understanding of acute HIV infection among newly-infected persons—Implications for prevention and public health. The NIMH Multisite Acute HIV Infection Study: II. AIDS and Behavior. doi:10.1007/s10461-009-9581-7.

Stekler, J., Collier, A. C., Holmes, K. K., & Golden, M. R. (2006). Primary HIV infection education: Knowledge and attitudes of HIV-negative men who have sex with men attending a public health sexually transmitted disease clinic. Journal of Acquired Immune Deficiency Syndromes, 42, 123–126. doi:10.1097/01.qai.0000218357.82970.67.CrossRefPubMed

Suarez, T. P., Kelly, J. A., Pinkerton, S. D., Stevenson, Y. L., Hayat, M., Smith, M. D., et al. (2001). Influence of a partner’s HIV serostatus, use of highly active antiretroviral therapy, and viral load on perceptions of sexual risk behavior in a community sample of men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 28, 471–477.PubMed

Suarez, T., & Miller, J. (2001). Negotiating risks in context: A perspective on unprotected anal intercourse and barebacking among men who have sex with men–Where do we go from here? Archives of Sexual Behavior, 30, 287–300. doi:10.1023/A:1002700130455.CrossRefPubMed

Truong, H. M., Kellogg, T., Klausner, J. D., Katz, M. H., Dilley, J., Knapper, K., et al. (2006). Increases in sexually transmitted infections and sexual risk behaviour without a concurrent increase in HIV incidence among men who have sex with men in San Francisco: A suggestion of HIV serosorting? Sexually Transmitted Infections, 82, 461–466. doi:10.1136/sti.2006.019950.CrossRefPubMed

Turner, C. F., Ku, L., Rogers, S. M., Lindberg, L. D., Pleck, J. H., & Sonenstein, F. L. (1998). Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science, 280, 867–873. doi:10.1126/science.280.5365.867.CrossRefPubMed

Van de Ven, P., Kippax, S., Crawford, J., Rawstorne, P., Prestage, G., Grulich, A., et al. (2002). In a minority of gay men, sexual risk practice indicates strategic positioning for perceived risk reduction rather than unbridled sex. AIDS Care, 14, 471–480. doi:10.1080/09540120208629666.CrossRefPubMed

Wawer, M. J., Gray, R. H., Sewankambo, N. K., Serwadda, D., Li, X., Laeyendecker, O., et al. (2005). Rates of HIV-1 transmission per coital act, by stage of HIV-1 infection, in Rakai, Uganda. The Journal of Infectious Diseases, 191, 1403–1409. doi:10.1086/429411.CrossRefPubMed

Weinhardt, L. S., Carey, M. P., Johnson, B. T., & Bickham, N. L. (1999). Effects of HIV counseling and testing on sexual risk behavior: A meta-analytic review of published research, 1985–1997. American Journal of Public Health, 89, 1397–1405. doi:10.2105/AJPH.89.9.1397.CrossRefPubMed

Title: Behavior Change Following Diagnosis with Acute/Early HIV Infection—A Move to Serosorting with Other HIV-Infected Individuals. The NIMH Multisite Acute HIV Infection Study: III
Authors: Wayne T. Steward
Robert H. Remien
Jenny A. Higgins
Robert Dubrow
Steven D. Pinkerton
Kathleen J. Sikkema
Hong-Ha M. Truong
Mallory O. Johnson
Jennifer Hirsch
Ronald A. Brooks
Stephen F. Morin
Publication date: 01-12-2009
Publisher: Springer US
Published in: AIDS and Behavior / Issue 6/2009
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-009-9582-6

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Behavior Change Following Diagnosis with Acute/Early HIV Infection—A Move to Serosorting with Other HIV-Infected Individuals. The NIMH Multisite Acute HIV Infection Study: III

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2009

Lack of Understanding of Acute HIV Infection among Newly-Infected Persons—Implications for Prevention and Public Health: The NIMH Multisite Acute HIV Infection Study: II

Disclosure of Maternal HIV-Infection in South Africa: Description and Relationship to Child Functioning

Intentional Abstinence Among Homeless and Unstably Housed Persons Living with HIV/AIDS

Keep Talking About It: HIV/AIDS-Related Communication and Prior HIV Testing in Tanzania, Zimbabwe, South Africa, and Thailand

Identifying People with Acute HIV Infection: Demographic Features, Risk Factors, and Use of Health Care among Individuals with AHI in North Carolina

Alcohol as a Correlate of Unprotected Sexual Behavior Among People Living with HIV/AIDS: Review and Meta-Analysis

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page