Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
AIDS and Behavior
Published in: AIDS and Behavior 10/2017

01-10-2017 | Original Paper

Sexual Partner Concurrency Among Partners Reported by MSM with Recent HIV Infection

Authors: Heather A. Pines, Maile Y. Karris, Susan J. Little

Published in: AIDS and Behavior | Issue 10/2017

Login to get access

Abstract

We examined concurrency among sexual partners reported by men who have sex with men (MSM) with recent (acute or early) HIV infection in San Diego, California (2002–2015). Partners overlapping in time in the past 3 months were considered concurrent. Logistic generalized linear mixed models were used to identify factors associated with concurrency at the partner-level. 56% (388/699) of partners were concurrent to ≥1 other partner. The odds of concurrency were higher among partners >10 years younger than the participant (vs. within 10 years of age) [adjusted odds ratio (AOR) = 2.22, 95% confidence interval (CI) 1.09–4.52], longer term partners (AOR per month = 1.02, 95% CI 1.01–1.03), and partners met online (AOR = 1.56, 95% CI 0.98–2.48). Concurrency is common among partners of recently HIV-infected MSM. Tailored HIV prevention strategies for MSM with older partners, longer term partners, and partners met online may help minimize the potential impact of concurrency on HIV transmission.
Literature
1.
2.
3.
4.
Morris M, Goodreau SM, Moody J. Sexual networks, concurrency, and STD/HIV. In: Holmes KK, Sparling PF, Stamm WE, Piot P, Wasserheit J, editors. Sexually transmitted diseases. 4th ed. New York: McGraw Hill; 2008.
5.
Bohl DD, Raymond HF, Arnold M, McFarland W. Concurrent sexual partnerships and racial disparities in HIV infection among men who have sex with men. Sex Transm Infect. 2009;85(5):367–9.CrossRefPubMed
6.
Rosenberg ES, Khosropour CM, Sullivan PS. High prevalence of sexual concurrency and concurrent unprotected anal intercourse across racial/ethnic groups among a national, Web-based study of men who have sex with men in the United States. Sex Transm Dis. 2012;39(10):741–6.CrossRefPubMedPubMedCentral
7.
Tieu HV, Nandi V, Frye V, et al. Concurrent partnerships and HIV risk among men who have sex with men in New York City. Sex Transm Dis. 2014;41(3):200–8.CrossRefPubMedPubMedCentral
8.
Pines HA, Wertheim JO, Liu L, Garfein RS, Little SJ, Karris MY. Concurrency and HIV transmission network characteristics among men who have sex with men with recent HIV infection. AIDS. 2016;30(18):2875–83.CrossRefPubMed
9.
Glick SN, Morris M, Foxman B, et al. A comparison of sexual behavior patterns among men who have sex with men and heterosexual men and women. J Acquir Immune Defic Syndr. 2012;60(1):83–90.CrossRefPubMedPubMedCentral
10.
Knopf A, Morris M. Lack of association between concurrency and HIV infection: an artifact of study design. J Acquir Immune Defic Syndr. 2012;60(1):e20–1.CrossRefPubMed
11.
Morris M. Barking up the wrong evidence tree. Comment on Lurie & Rosenthal, “Concurrent partnerships as a driver of the HIV epidemic in sub-Saharan Africa? The evidence is limited”. AIDS Behav. 2010;14(1):31–3337.CrossRefPubMed
12.
13.
Goodreau SM, Cassels S, Kasprzyk D, Montano DE, Greek A, Morris M. Concurrent partnerships, acute infection and HIV epidemic dynamics among young adults in Zimbabwe. AIDS Behav. 2012;16(2):312–22.CrossRefPubMedPubMedCentral
14.
Rosenberg ES, Rothenberg RB, Kleinbaum DG, Stephenson RB, Sullivan PS. The implications of respondent concurrency on sex partner risk in a national, web-based study of men who have sex with men in the United States. J Acquir Immune Defic Syndr. 2013;63(4):514–21.CrossRefPubMedPubMedCentral
15.
Wejnert C, Hess KL, Rose CE, Balaji A, Smith JC, Paz-Bailey G. Age-specific race and ethnicity disparities in HIV infection and awareness among men who have sex with men–20 US Cities, 2008-2014. J Infect Dis. 2016;213(5):776–83.CrossRefPubMed
16.
Drumright LN, Little SJ, Strathdee SA, et al. Unprotected anal intercourse and substance use among men who have sex with men with recent HIV infection. J Acquir Immune Defic Syndr. 2006;43(3):344–50.CrossRefPubMed
17.
Morris SR, Little SJ, Cunningham T, Garfein RS, Richman DD, Smith DM. Evaluation of an HIV nucleic acid testing program with automated Internet and voicemail systems to deliver results. Ann Intern Med. 2010;152(12):778–85.CrossRefPubMedPubMedCentral
18.
19.
Morris M, Zavisca J, Dean L. Social and sexual networks: their role in the spread of HIV/AIDS among young gay men. AIDS Educ Prev. 1995;7(5 Suppl):24–35.PubMed
20.
Service S, Blower SM. HIV transmission in sexual networks: an empirical analysis. Proc Biol Sci. 1995;260(1359):237–44.CrossRefPubMed
21.
Service SK, Blower SM. Linked HIV epidemics in San Francisco. J Acquir Immune Defic Syndr Hum Retrovirol. 1996;11(3):311–3.CrossRefPubMed
22.
Blower SM, Service SK, Osmond DH. Calculating the odds of HIV infection due to sexual partner selection. AIDS Behav. 1997;1(4):273–4.CrossRef
23.
Hurt CB, Matthews DD, Calabria MS, et al. Sex with older partners is associated with primary HIV infection among men who have sex with men in North Carolina. J Acquir Immune Defic Syndr. 2010;54(2):185–90.PubMedPubMedCentral
24.
Jin F, Grulich AE, Mao L, et al. Sexual partner’s age as a risk factor for HIV seroconversion in a cohort of HIV-negative homosexual men in Sydney. AIDS Behav. 2013;17(7):2426–9.CrossRefPubMed
25.
Davidovich U, de Wit JB, Stroebe W. Behavioral and cognitive barriers to safer sex between men in steady relationships: implications for prevention strategies. AIDS Educ Prev. 2004;16(4):304–14.CrossRefPubMed
26.
Theodore PS, Duran RE, Antoni MH, Fernandez MI. Intimacy and sexual behavior among HIV-positive men-who-have-sex-with-men in primary relationships. AIDS Behav. 2004;8(3):321–31.CrossRefPubMed
27.
Hoff CC, Chakravarty D, Beougher SC, Neilands TB, Darbes LA. Relationship characteristics associated with sexual risk behavior among MSM in committed relationships. AIDS Patient Care STDS. 2012;26(12):738–45.CrossRefPubMedPubMedCentral
28.
Prestage G, Van De Ven P, Grulich A, Kippax S, McInnes D, Hendry O. Gay men’s casual sex encounters: discussing HIV and using condoms. AIDS Care. 2001;13(3):277–84.CrossRefPubMed
29.
Zablotska IB, Grulich AE, De Wit J, Prestage G. Casual sexual encounters among gay men: familiarity, trust and unprotected anal intercourse. AIDS Behav. 2011;15(3):607–12.CrossRefPubMed
30.
Prestage G, Jin F, Grulich A, de Wit J, Zablotska I. Gay men are less likely to use condoms with casual sex partners they know ‘well’. AIDS Behav. 2012;16(3):664–8.CrossRefPubMed
31.
Rouwenhorst E, Mallitt KA, Prestage G. Gay men’s use of condoms with casual partners depends on the extent of their prior acquaintance. AIDS Behav. 2012;16(6):1589–96.CrossRefPubMed
32.
Zablotska IB, Imrie J, Prestage G, et al. Gay men’s current practice of HIV seroconcordant unprotected anal intercourse: serosorting or seroguessing? AIDS Care. 2009;21(4):501–10.CrossRefPubMed
33.
Kippax S, Crawford J, Davis M, Rodden P, Dowsett G. Sustaining safe sex: a longitudinal study of a sample of homosexual men. AIDS. 1993;7(2):257–63.CrossRefPubMed
34.
Kippax S, Noble J, Prestage G, et al. Sexual negotiation in the AIDS era: negotiated safety revisited. AIDS. 1997;11(2):191–7.CrossRefPubMed
35.
Goodreau SM, Carnegie NB, Vittinghoff E, et al. What drives the US and Peruvian HIV epidemics in men who have sex with men (MSM)? PLoS ONE. 2012;7(11):e50522.CrossRefPubMedPubMedCentral
36.
Sullivan PS, Salazar L, Buchbinder S, Sanchez TH. Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS. 2009;23(9):1153–62.CrossRefPubMed
37.
Liau A, Millett G, Marks G. Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men. Sex Transm Dis. 2006;33(9):576–84.CrossRefPubMed
38.
Phillips G 2nd, Magnus M, Kuo I, et al. Use of geosocial networking (GSN) mobile phone applications to find men for sex by men who have sex with men (MSM) in Washington DC. AIDS Behav. 2014;18(9):1630–7.CrossRefPubMed
39.
Cooper A. Sex and the internet: a guidebook for clinicians. New York: Brunner-Routledge; 2002.
40.
Klausner JD, Wolf W, Fischer-Ponce L, Zolt I, Katz MH. Tracing a syphilis outbreak through cyberspace. JAMA. 2000;284(4):447–9.CrossRefPubMed
41.
Tashima KT, Alt EN, Harwell JI, Fiebich-Perez DK, Flanigan TP. Internet sex-seeking leads to acute HIV infection: a report of two cases. Int J STD AIDS. 2003;14(4):285–6.CrossRefPubMed
42.
43.
Jenness SM, Neaigus A, Hagan H, Wendel T, Gelpi-Acosta C, Murrill CS. Reconsidering the internet as an HIV/STD risk for men who have sex with men. AIDS Behav. 2010;14(6):1353–61.CrossRefPubMed
44.
Lehmiller JJ, Ioerger M. Social networking smartphone applications and sexual health outcomes among men who have sex with men. PLoS ONE. 2014;9(1):e86603.CrossRefPubMedPubMedCentral
45.
Smith DM, Drumright LN, Frost SD, et al. Characteristics of recently HIV-infected men who use the Internet to find male sex partners and sexual practices with those partners. J Acquir Immune Defic Syndr. 2006;43(5):582–7.PubMed
46.
Chiasson MA, Hirshfield S, Remien RH, Humberstone M, Wong T, Wolitski RJ. A comparison of on-line and off-line sexual risk in men who have sex with men: an event-based on-line survey. J Acquir Immune Defic Syndr. 2007;44(2):235–43.CrossRefPubMed
47.
Grov C, Hirshfield S, Remien RH, Humberstone M, Chiasson MA. Exploring the venue’s role in risky sexual behavior among gay and bisexual men: an event-level analysis from a national online survey in the U.S. Arch Sex Behav. 2013;42(2):291–302.CrossRefPubMed
48.
Mustanski BS. Are sexual partners met online associated with HIV/STI risk behaviours? Retrospective and daily diary data in conflict. AIDS Care. 2007;19(6):822–7.CrossRefPubMed
49.
Rosser BR, Miner MH, Bockting WO, et al. HIV risk and the internet: results of the Men’s INTernet Sex (MINTS) Study. AIDS Behav. 2009;13(4):746–56.CrossRefPubMed
50.
Rosser BR, Oakes JM, Horvath KJ, Konstan JA, Danilenko GP, Peterson JL. HIV sexual risk behavior by men who use the Internet to seek sex with men: results of the Men’s INTernet Sex Study-II (MINTS-II). AIDS Behav. 2009;13(3):488–98.CrossRefPubMed
51.
Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein FL. Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science. 1998;280(5365):867–73.CrossRefPubMed
52.
Ghanem KG, Hutton HE, Zenilman JM, Zimba R, Erbelding EJ. Audio computer assisted self interview and face to face interview modes in assessing response bias among STD clinic patients. Sex Transm Infect. 2005;81(5):421–5.CrossRefPubMedPubMedCentral
Metadata
Title
Sexual Partner Concurrency Among Partners Reported by MSM with Recent HIV Infection
Authors
Heather A. Pines
Maile Y. Karris
Susan J. Little
Publication date
01-10-2017
Publisher
Springer US
Published in
AIDS and Behavior / Issue 10/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-1855-x

Other articles of this Issue 10/2017

AIDS and Behavior 10/2017 Go to the issue

Original Paper

Operationalizing the Measurement of Seroadaptive Behaviors: A Comparison of Reported Sexual Behaviors and Purposely-Adopted Behaviors Among Men who have Sex with Men (MSM) in Seattle

Original Paper

Implementation of Evidence-Based HIV Interventions for Gay, Bisexual, and Other Men Who Have Sex with Men

Original Paper

Quantifying the Harms and Benefits from Serosorting Among HIV-Negative Gay and Bisexual Men: A Systematic Review and Meta-analysis

Guest Editorial

When Science and Values Collide: Recalling the Lessons of Evidence-Based HIV Prevention

Original Paper

Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men: Biomedical Context Matters

Substantive Review

Interventions for Increasing HIV Testing Uptake in Migrants: A Systematic Review of Evidence

ACC 2024 Congress Coverage

Heart Failure Video

Year in Review: Heart failure and cardiomyopathies

Watch now

Watch this official video from ACC.24 to hear Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

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

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits