Accueil > Publications > Résultats de la recherche > The burden of HIV experience and care among MSM having an HIV-positive seroconcordant steady partner: a possible research hypothesis. Results from the French VESPA ANRS EN-12 study.

The burden of HIV experience and care among MSM having an HIV-positive seroconcordant steady partner: a possible research hypothesis. Results from the French VESPA ANRS EN-12 study.

 
Type de document
Articles dans des revues scientifiques
Titre original du chapitre
The burden of HIV experience and care among MSM having an HIV-positive seroconcordant steady partner: a possible research hypothesis. Results from the French VESPA ANRS EN-12 study.
Auteurs physiques
Suzan-Monti, M., Preau, M., Blanche, J., Cabut, S., Carrieri, M. P., Lert, F., Obadia, Y., Spire, B.
Auteurs collectifs
VESPA ANRS EN-12 Study Group.
Date d'édition
2011
Revue
Sexually Transmitted Infections ; 87 , 5 : 396-8. PMID:21572112[PubMed - indexed for MEDLINE] ; doi: 10.1136/sti.2010.048660
Résumé du document en anglais
INSERM, U912 (SE4S), 23 rue Stanislas Torrents, 13006 Marseille, France; marie.suzan@inserm.fr.

Abstract
OBJECTIVES: Prevention fatigue, relapse into unsafe sex practices and sexual behaviour changes have been reported in the community of men who have sex with men (MSM) since the introduction of highly active antiretroviral therapy. Engaging in a relationship with a seroconcordant partner is perceived by some HIV-positive MSM as an alternative prevention strategy to consistent condom use. This study addresses whether underlying clinical factors exist characterising HIV-positive MSM in seroconcordant stable partnerships, enrolled in the French national cross-sectional survey VESPA ANRS EN-12.

METHODS: The study group comprised 322 HIV-positive MSM in stable relationships for more than 12 months, with a serodiscordant (n = 251) or seroconcordant (n = 71) steady partner. Clinical and psychosocial factors were analysed for HIV-positive MSM with a seroconcordant steady partner.

RESULTS: Multiple adjustment by logistic regression showed that individuals with a seroconcordant steady partner were more likely to have a history of an AIDS-defining event (OR 95% CI 2.0 (1.1 to 3.7), p = 0.02) or be diagnosed as HIV positive before 1990 (OR 95% CI 2.2 (1.3 to 3.9), p = 0.004). Conversely, HIV-positive MSM experiencing virological success (ie, high treatment adherence and an undetectable viral load) were more likely to have a serodiscordant steady partner (OR 95% CI 0.5 (0.3 to 0.9), p = 0.02).

CONCLUSIONS: Longitudinal studies are required to understand to what extent HIV history might influence partnership choices among HIV-positive MSM. Positive prevention programmes and reinforcement of treatment adherence strategies are needed for this population and their steady sexual partners.

Code bibliographique
11_S77
Fichiers

Accéder au document

Projets de recherche
© SESSTIMORS PACA - SIRSÉ PACA - SISTE PACAMentions légalesCrédits • Dernière mise à jour le 23/06/2017