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Positive-positive sex in a cohort of homosexually active men.


Annu Conf Australas Soc HIV Med. 1995 Nov 16-19;7:116 (abstract no.

OBJECTIVE: To describe the complex ways gay men (particularly HIV sero-positive gay men) make decisions about their sexual behaviour and the arrangements they make with their male sexual partners. METHOD: Sydney Men and Sexual Health is a cohort study of 1037 homosexually-active men including 212 who were HIV-positive. It involves interviews every six to twelve months and clinical tests. Data collected includes HIV sero-status, intercourse with regular and casual partners, and types of agreements between partners. RESULTS: Ideas of "safety" in sexual relationships are highly complex, based on sophisticated understandings of HIV transmission and influenced by sero-status. Agreements between regular partners about sexual behaviour are highly predictive of condom use. Men in regular relationships without such agreements were twice as likely to engage in unprotected anal intercourse in any casual encounters (p < .0034). However, for the positive men, sero-status was central to sexual negotiations and such agreements were not predictive of condom use. They were twice as likely to engage in unprotected anal intercourse with casual partners who were also HIV-positive as with men not known to be positive. This relationship was even more pronounced with regular partners (p < .0001). CONCLUSIONS: Use of HIV sero-status in negotiating condom use between regular partners amongst gay men, referred to as 'negotiated safety' has at least two distinct patterns depending on the sero-status of the men involved.

Cohort Studies Condoms *Homosexuality, Male Human HIV Seropositivity/*PSYCHOLOGY/TRANSMISSION Male New South Wales Risk-Taking Sexual Partners ABSTRACT


Information in this article was accurate in December 30, 1996. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.