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Behaviour changes following HIV diagnosis among men who have sex with men in the era of treatment as prevention: data from a prospective study.

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  • معلومة اضافية
    • المصدر:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE
    • بيانات النشر:
      Publication: London : Informa Healthcare
      Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989-
    • الموضوع:
      Homosexuality, Male*/psychology ; Homosexuality, Male*/statistics & numerical data ; HIV Infections*/diagnosis ; HIV Infections*/prevention & control ; HIV Infections*/psychology ; HIV Infections*/epidemiology ; Sexual Behavior*/psychology ; Sexual Partners*/psychology; Humans ; Male ; Prospective Studies ; Adult ; London/epidemiology ; Middle Aged ; Unsafe Sex/statistics & numerical data ; Unsafe Sex/psychology ; Surveys and Questionnaires ; Risk-Taking ; Condoms/statistics & numerical data ; Prevalence ; Young Adult
    • نبذة مختصرة :
      We described the longitudinal changes in sexual behaviour and associated factors among newly diagnosed with HIV men who have sex with men participating in a prospective observational study from a London HIV clinic (2015-2018). Participants self-completed questionnaires at baseline, months 3 and 12. Information collected included socio-demographic, sexual behaviour, health, lifestyle and social support. Trends in sexual behaviours over one year following diagnosis and associated factors were assessed using generalized estimating equations with logit link. Condomless sex (CLS) dropped from 62.2% at baseline to 47.6% at month-three but increased again to 61.8% at month-12 ( p -trend = 0.790). Serodiscordant-CLS increased between month-three and month-12 (from 13.1% to 35.6%, p -trend < 0.001). The prevalence of serodiscordant-CLS with high risk of transmitting to their partners at month-three was 10.7%. CLS was higher among men who reported recreational drug use (adjusted Odds Ratio (aOR) 3.03, 95%CI 1.47-6.24, p  = 0.003), those with undetectable viral load (aOR 2.17, 95%CI 1.22-3.84, p  = 0.008) and those who agreed with a statement "condoms are not necessary when HIV viral load is undetectable" (aOR 3.41, 95%CI 1.58-7.38, p  = 0.002). MSM continued to engage in CLS after HIV diagnosis, which coincided with U = U publications and increased throughout the study.
    • Contributed Indexing:
      Keywords: HIV diagnosis; MSM; Sexual behaviour; condomless sex; treatment as prevention
    • الموضوع:
      Date Created: 20230801 Date Completed: 20240423 Latest Revision: 20240709
    • الموضوع:
      20250114
    • الرقم المعرف:
      10.1080/13548506.2023.2230884
    • الرقم المعرف:
      37527426