Trends in condom use among MSM in the United States: The role of antiretroviral therapy and seroadaptive strategies

Gabriela Paz-Bailey, Maria C B Mendoza, Teresa Finlayson, Cyprian Wejnert, Binh Le, Charles Rose, Henry Fisher Raymond, Joseph Prejean, Jennifer Taussig, Robert Gern, Tamika Hoyte, Laura Salazar, Jianglan White, Jeff Todd, Greg Bautista, Colin Flynn, Frangiscos Sifakis, Danielle German, Debbie Isenberg, Maura Driscoll & 31 others Elizabeth Hurwitz, Maura Miminos, Rose Doherty, Chris Wittke, Nikhil Prachand, Nanette Benbow, Sharon Melville, Praveen Pannala, Richard Yeager, Aaron Sayegh, Jim Dyer, Shane Sheu, Alicia Novoa, Mark Thrun, Alia Al-Tayyib, Ralph Wilmoth, Emily Higgins, Vivian Griffin, Eve Mokotoff, Karen Mac-Master, Marcia Wolverton, Jan Risser, Hafeez Rehman, Paige Padgett, Trista Bingham, Ekow Kwa Sey, Marlene LaLota, Lisa Metsch, David Forrest, Dano Beck, NHBS Study Group

Research output: Contribution to journalArticle

  • 25 Citations

Abstract

Objective: Evaluate changes in condomless anal sex at last sex among men who have sex with men (MSM) and assess if these changes are associated with the adoption of serosorting and biomedical prevention. Design: The National HIV Behavioral Surveillance is a crosssectional survey done in up to 21 cities in 2005, 2008, 2011 and 2014. Methods: MSM were recruited through venue-based sampling. Among men reporting at least one male partner, we evaluated changes in condomless anal sex at last sex with a partner with (1) HIV-concordant (proxy for serosorting) or (2) HIV-discordant (discordant/unknown) status. We hypothesized that if concordant condomless sex was increasing while discordant was stable/declining, the increases could be driven by more men attempting to serosort. We used generalized estimating equations assuming a Poisson distribution and robust variance estimator to explore whether temporal changes in the outcomes varied by selected characteristics. We also assessed changes in condomless anal sex by antiretroviral therapy (ART) use among HIV-positive MSM. Results: Among 5371 HIV-positive MSM, there were increases in concordant (19% in 2005 to 25% in 2014, P<0.001) and discordant condomless sex (15 to 19%, P<0.001). The increases were not different by ART use. Among 30547 HIV-negative MSM, concordant (21 to 27%, P<0.001) and discordant condomless sex (8 to 13%, P<0.001) increased. Conclusion: Our data suggest that condom use decreased among MSM and that the trends are not explained by serosorting or ART. Promotion of condoms and increased access to preexposure prophylaxis are vital to ensure that the benefits of ART in reducing transmission of HIV are not undermined.

LanguageEnglish (US)
Pages1985-1990
Number of pages6
JournalAIDS
Volume30
Issue number12
DOIs
StatePublished - Jul 31 2016

Fingerprint

Condoms
HIV
Sexual Behavior
Therapeutics
Poisson Distribution
HIV-2
Proxy
HIV-1

Keywords

  • antiretrovirals
  • behaviors
  • condom use
  • MSM
  • preexposure prophylaxis
  • serosorting
  • trends
  • United States

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Infectious Diseases

Cite this

Paz-Bailey, G., Mendoza, M. C. B., Finlayson, T., Wejnert, C., Le, B., Rose, C., ... NHBS Study Group (2016). Trends in condom use among MSM in the United States: The role of antiretroviral therapy and seroadaptive strategies. AIDS, 30(12), 1985-1990. DOI: 10.1097/QAD.0000000000001139
Paz-Bailey, Gabriela ; Mendoza, Maria C B ; Finlayson, Teresa ; Wejnert, Cyprian ; Le, Binh ; Rose, Charles ; Raymond, Henry Fisher ; Prejean, Joseph ; Taussig, Jennifer ; Gern, Robert ; Hoyte, Tamika ; Salazar, Laura ; White, Jianglan ; Todd, Jeff ; Bautista, Greg ; Flynn, Colin ; Sifakis, Frangiscos ; German, Danielle ; Isenberg, Debbie ; Driscoll, Maura ; Hurwitz, Elizabeth ; Miminos, Maura ; Doherty, Rose ; Wittke, Chris ; Prachand, Nikhil ; Benbow, Nanette ; Melville, Sharon ; Pannala, Praveen ; Yeager, Richard ; Sayegh, Aaron ; Dyer, Jim ; Sheu, Shane ; Novoa, Alicia ; Thrun, Mark ; Al-Tayyib, Alia ; Wilmoth, Ralph ; Higgins, Emily ; Griffin, Vivian ; Mokotoff, Eve ; Mac-Master, Karen ; Wolverton, Marcia ; Risser, Jan ; Rehman, Hafeez ; Padgett, Paige ; Bingham, Trista ; Sey, Ekow Kwa ; LaLota, Marlene ; Metsch, Lisa ; Forrest, David ; Beck, Dano ; NHBS Study Group. / Trends in condom use among MSM in the United States : The role of antiretroviral therapy and seroadaptive strategies. In: AIDS. 2016 ; Vol. 30, No. 12. pp. 1985-1990
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abstract = "Objective: Evaluate changes in condomless anal sex at last sex among men who have sex with men (MSM) and assess if these changes are associated with the adoption of serosorting and biomedical prevention. Design: The National HIV Behavioral Surveillance is a crosssectional survey done in up to 21 cities in 2005, 2008, 2011 and 2014. Methods: MSM were recruited through venue-based sampling. Among men reporting at least one male partner, we evaluated changes in condomless anal sex at last sex with a partner with (1) HIV-concordant (proxy for serosorting) or (2) HIV-discordant (discordant/unknown) status. We hypothesized that if concordant condomless sex was increasing while discordant was stable/declining, the increases could be driven by more men attempting to serosort. We used generalized estimating equations assuming a Poisson distribution and robust variance estimator to explore whether temporal changes in the outcomes varied by selected characteristics. We also assessed changes in condomless anal sex by antiretroviral therapy (ART) use among HIV-positive MSM. Results: Among 5371 HIV-positive MSM, there were increases in concordant (19\{%} in 2005 to 25\{%} in 2014, P<0.001) and discordant condomless sex (15 to 19\{%}, P<0.001). The increases were not different by ART use. Among 30547 HIV-negative MSM, concordant (21 to 27\{%}, P<0.001) and discordant condomless sex (8 to 13\{%}, P<0.001) increased. Conclusion: Our data suggest that condom use decreased among MSM and that the trends are not explained by serosorting or ART. Promotion of condoms and increased access to preexposure prophylaxis are vital to ensure that the benefits of ART in reducing transmission of HIV are not undermined.",
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author = "Gabriela Paz-Bailey and Mendoza, {Maria C B} and Teresa Finlayson and Cyprian Wejnert and Binh Le and Charles Rose and Raymond, {Henry Fisher} and Joseph Prejean and Jennifer Taussig and Robert Gern and Tamika Hoyte and Laura Salazar and Jianglan White and Jeff Todd and Greg Bautista and Colin Flynn and Frangiscos Sifakis and Danielle German and Debbie Isenberg and Maura Driscoll and Elizabeth Hurwitz and Maura Miminos and Rose Doherty and Chris Wittke and Nikhil Prachand and Nanette Benbow and Sharon Melville and Praveen Pannala and Richard Yeager and Aaron Sayegh and Jim Dyer and Shane Sheu and Alicia Novoa and Mark Thrun and Alia Al-Tayyib and Ralph Wilmoth and Emily Higgins and Vivian Griffin and Eve Mokotoff and Karen Mac-Master and Marcia Wolverton and Jan Risser and Hafeez Rehman and Paige Padgett and Trista Bingham and Sey, {Ekow Kwa} and Marlene LaLota and Lisa Metsch and David Forrest and Dano Beck and {NHBS Study Group}",
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Paz-Bailey, G, Mendoza, MCB, Finlayson, T, Wejnert, C, Le, B, Rose, C, Raymond, HF, Prejean, J, Taussig, J, Gern, R, Hoyte, T, Salazar, L, White, J, Todd, J, Bautista, G, Flynn, C, Sifakis, F, German, D, Isenberg, D, Driscoll, M, Hurwitz, E, Miminos, M, Doherty, R, Wittke, C, Prachand, N, Benbow, N, Melville, S, Pannala, P, Yeager, R, Sayegh, A, Dyer, J, Sheu, S, Novoa, A, Thrun, M, Al-Tayyib, A, Wilmoth, R, Higgins, E, Griffin, V, Mokotoff, E, Mac-Master, K, Wolverton, M, Risser, J, Rehman, H, Padgett, P, Bingham, T, Sey, EK, LaLota, M, Metsch, L, Forrest, D, Beck, D & NHBS Study Group 2016, 'Trends in condom use among MSM in the United States: The role of antiretroviral therapy and seroadaptive strategies' AIDS, vol 30, no. 12, pp. 1985-1990. DOI: 10.1097/QAD.0000000000001139

Trends in condom use among MSM in the United States : The role of antiretroviral therapy and seroadaptive strategies. / Paz-Bailey, Gabriela; Mendoza, Maria C B; Finlayson, Teresa; Wejnert, Cyprian; Le, Binh; Rose, Charles; Raymond, Henry Fisher; Prejean, Joseph; Taussig, Jennifer; Gern, Robert; Hoyte, Tamika; Salazar, Laura; White, Jianglan; Todd, Jeff; Bautista, Greg; Flynn, Colin; Sifakis, Frangiscos; German, Danielle; Isenberg, Debbie; Driscoll, Maura; Hurwitz, Elizabeth; Miminos, Maura; Doherty, Rose; Wittke, Chris; Prachand, Nikhil; Benbow, Nanette; Melville, Sharon; Pannala, Praveen; Yeager, Richard; Sayegh, Aaron; Dyer, Jim; Sheu, Shane; Novoa, Alicia; Thrun, Mark; Al-Tayyib, Alia; Wilmoth, Ralph; Higgins, Emily; Griffin, Vivian; Mokotoff, Eve; Mac-Master, Karen; Wolverton, Marcia; Risser, Jan; Rehman, Hafeez; Padgett, Paige; Bingham, Trista; Sey, Ekow Kwa; LaLota, Marlene; Metsch, Lisa; Forrest, David; Beck, Dano; NHBS Study Group.

In: AIDS, Vol. 30, No. 12, 31.07.2016, p. 1985-1990.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Trends in condom use among MSM in the United States

T2 - AIDS

AU - Paz-Bailey,Gabriela

AU - Mendoza,Maria C B

AU - Finlayson,Teresa

AU - Wejnert,Cyprian

AU - Le,Binh

AU - Rose,Charles

AU - Raymond,Henry Fisher

AU - Prejean,Joseph

AU - Taussig,Jennifer

AU - Gern,Robert

AU - Hoyte,Tamika

AU - Salazar,Laura

AU - White,Jianglan

AU - Todd,Jeff

AU - Bautista,Greg

AU - Flynn,Colin

AU - Sifakis,Frangiscos

AU - German,Danielle

AU - Isenberg,Debbie

AU - Driscoll,Maura

AU - Hurwitz,Elizabeth

AU - Miminos,Maura

AU - Doherty,Rose

AU - Wittke,Chris

AU - Prachand,Nikhil

AU - Benbow,Nanette

AU - Melville,Sharon

AU - Pannala,Praveen

AU - Yeager,Richard

AU - Sayegh,Aaron

AU - Dyer,Jim

AU - Sheu,Shane

AU - Novoa,Alicia

AU - Thrun,Mark

AU - Al-Tayyib,Alia

AU - Wilmoth,Ralph

AU - Higgins,Emily

AU - Griffin,Vivian

AU - Mokotoff,Eve

AU - Mac-Master,Karen

AU - Wolverton,Marcia

AU - Risser,Jan

AU - Rehman,Hafeez

AU - Padgett,Paige

AU - Bingham,Trista

AU - Sey,Ekow Kwa

AU - LaLota,Marlene

AU - Metsch,Lisa

AU - Forrest,David

AU - Beck,Dano

AU - NHBS Study Group

PY - 2016/7/31

Y1 - 2016/7/31

N2 - Objective: Evaluate changes in condomless anal sex at last sex among men who have sex with men (MSM) and assess if these changes are associated with the adoption of serosorting and biomedical prevention. Design: The National HIV Behavioral Surveillance is a crosssectional survey done in up to 21 cities in 2005, 2008, 2011 and 2014. Methods: MSM were recruited through venue-based sampling. Among men reporting at least one male partner, we evaluated changes in condomless anal sex at last sex with a partner with (1) HIV-concordant (proxy for serosorting) or (2) HIV-discordant (discordant/unknown) status. We hypothesized that if concordant condomless sex was increasing while discordant was stable/declining, the increases could be driven by more men attempting to serosort. We used generalized estimating equations assuming a Poisson distribution and robust variance estimator to explore whether temporal changes in the outcomes varied by selected characteristics. We also assessed changes in condomless anal sex by antiretroviral therapy (ART) use among HIV-positive MSM. Results: Among 5371 HIV-positive MSM, there were increases in concordant (19% in 2005 to 25% in 2014, P<0.001) and discordant condomless sex (15 to 19%, P<0.001). The increases were not different by ART use. Among 30547 HIV-negative MSM, concordant (21 to 27%, P<0.001) and discordant condomless sex (8 to 13%, P<0.001) increased. Conclusion: Our data suggest that condom use decreased among MSM and that the trends are not explained by serosorting or ART. Promotion of condoms and increased access to preexposure prophylaxis are vital to ensure that the benefits of ART in reducing transmission of HIV are not undermined.

AB - Objective: Evaluate changes in condomless anal sex at last sex among men who have sex with men (MSM) and assess if these changes are associated with the adoption of serosorting and biomedical prevention. Design: The National HIV Behavioral Surveillance is a crosssectional survey done in up to 21 cities in 2005, 2008, 2011 and 2014. Methods: MSM were recruited through venue-based sampling. Among men reporting at least one male partner, we evaluated changes in condomless anal sex at last sex with a partner with (1) HIV-concordant (proxy for serosorting) or (2) HIV-discordant (discordant/unknown) status. We hypothesized that if concordant condomless sex was increasing while discordant was stable/declining, the increases could be driven by more men attempting to serosort. We used generalized estimating equations assuming a Poisson distribution and robust variance estimator to explore whether temporal changes in the outcomes varied by selected characteristics. We also assessed changes in condomless anal sex by antiretroviral therapy (ART) use among HIV-positive MSM. Results: Among 5371 HIV-positive MSM, there were increases in concordant (19% in 2005 to 25% in 2014, P<0.001) and discordant condomless sex (15 to 19%, P<0.001). The increases were not different by ART use. Among 30547 HIV-negative MSM, concordant (21 to 27%, P<0.001) and discordant condomless sex (8 to 13%, P<0.001) increased. Conclusion: Our data suggest that condom use decreased among MSM and that the trends are not explained by serosorting or ART. Promotion of condoms and increased access to preexposure prophylaxis are vital to ensure that the benefits of ART in reducing transmission of HIV are not undermined.

KW - antiretrovirals

KW - behaviors

KW - condom use

KW - MSM

KW - preexposure prophylaxis

KW - serosorting

KW - trends

KW - United States

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Paz-Bailey G, Mendoza MCB, Finlayson T, Wejnert C, Le B, Rose C et al. Trends in condom use among MSM in the United States: The role of antiretroviral therapy and seroadaptive strategies. AIDS. 2016 Jul 31;30(12):1985-1990. Available from, DOI: 10.1097/QAD.0000000000001139