Increase in HIV Sexual Risk Behavior in Homosexual Men in Scotland, 1996-2002: Prevention Failure?
November 9, 2005
To examine trends in homosexual men's sexual risk behavior for HIV infection in Scotland, the authors conducted cross-sectional surveys in 1996, 1999 and 2002 in gay bars in Glasgow and Edinburgh. Overall, they interviewed 6,508 men: 2,276 (79 percent response rate) in 1996, 2,498 (78 percent response rate) in 1999 and 1,734 (62 percent response rate) in 2002.
In 1996, 10.7 percent of men surveyed reported unprotected anal intercourse (UAI) with casual partners. In 1999, 11.2 percent reported UAI. In 2002, 18.6 percent reported UAI (p<0.001). The investigators also found a significant increase in men reporting they "knew" their casual partners' HIV status, despite no increase in HIV testing among men who reported UAI with casual partners. In 2002, the authors found that increases in UAI with more than one partner, in UAI with casual partners, and in reporting seroconcordance remained significant after adjusting for confounding factors that include HIV testing status and demographic variables.
The authors concluded that high-risk sexual behavior among homosexual Scottish men increased between 1999 and 2002. "Men showed increased confidence of shared antibody status, despite no increase in HIV testing, or evidence of discussion of HIV status," the researchers wrote. "Explanations for this must include consideration of a cultural shift in the perception of HIV and 'prevention failure' on the part of governments and health agencies."
Sexually Transmitted Infections
10.05.05; Vol. 81: P. 367-372; G.J. Hart; L.M. Williamson
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.