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11th Annual Conference Of The British HIV Association [BHIVA]20–23 April 2005, Burlington Hotel·Dublin·Ireland |
[AUTHOR(S):] J Fox, M McClure, J Weber, H Ward, S Fidler
Department of Medicine, Imperial College, London, UK
BHIVA Conf 2005 Apr 20-23;11:O15
BACKGROUND: People who have recently acquired HIV could play a key role in onward transmission if they have unprotected sexual intercourse (UPSI) with multiple partners whilst having a high viral load and/or other sexually transmitted infections (STI).
AIM: To describe recent sexual behaviour in people who have recently acquired HIV.
METHODS: Cross sectional survey, 2002–4. Incident HIV was defined as an evolving HIV antibody response, HIV PCR-DNA positive/antibody negative, and/or HIV antibody positive with a negative test within 6 months. A detailed sexual behaviour questionnaire was completed at diagnosis.
RESULTS: Five women and 50 men were recruited. Two of the women reported casual sex in the previous 3 months, neither used condoms consistently. 49 men were MSM; 19 reported sex for money; and 17 had UPSI with >10 casual partners in the preceding 3 months. Condom use was inconsistent in 91% receptive and 93% insertive anal intercourse with casual partners. High levels of recreational drug use occurred. 2/55 viruses appeared phylogenetically related, (i.e. not a sexual network). 14 had a concomitant STI at seroconversion.
DISCUSSION: High-risk sexual activity is highly linked to those diagnosed with incident HIV. Without immediate behaviour change onward transmission in such individuals is likely.
PRESENTING AUTHOR: J Fox
2005-04-20
O15
Copyright © 2005 - British HIV Association (BHIVA) Reproduction of this abstract (other than one copy for personal reference) must be cleared through the BHIVA Organising Secretariat 1 Mountview Court, 310 Friern Barnet Lane, London N20 0LD