Changing patterns of sexual behaviour in the era of highly active antiretroviral therapy

Dados Bibliográficos

ID23314697
AutoresJonathan Elford (0000-0002-8392-9063, City, University of London, autor correspondente)
Ano2006
Volume19
Fascículo1
Páginas26-32
Data de publicação2006-02-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoCurrent Opinion in Infectious Diseases (JOURNAL)
Identificadores do periódicoISSN: 0951-7375 • E-ISSN: 1080-7861
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.qco.0000199018.50451.e1
PMID16374214
OpenAlexW1986738217
IdiomaEN
Citações recebidas59
Referências citadas72

PURPOSE OF REVIEW: To describe changing patterns of sexual behaviour in the era of highly active antiretroviral therapy among gay/bisexual men in Europe, Canada, USA and Australia. RECENT FINDINGS: While there has been a substantial increase in high-risk sexual behaviour among gay men since 1996, this now appears to be levelling off in some cities. Overall the empirical evidence does not support the suggestion that taking highly active antiretroviral therapy or having an undetectable viral load leads to risky sexual behaviour among people with HIV. Nor can HIV treatment optimism alone explain the recent increase in high-risk sexual behaviour. Since 1996, an increasing number of gay men have begun to use the Internet to look for sexual partners. By serosorting on the Internet, HIV-positive men are more likely to meet online, rather than off-line, other HIV-positive men for unprotected sex. While serosorting does not present a risk of HIV transmission to an uninfected person, it does present a risk of other sexually transmitted infections and co-infection with resistant virus for HIV-positive men themselves. This review also explores emerging behaviours such as barebacking and strategic positioning as well as the role of crystal meth and Viagra. SUMMARY: The review reminds us of the complexity of human and sexual behaviour. Among gay men, sexual behaviour in the era of highly active antiretroviral therapy has been characterized by risk reduction and stabilization as well as increasing risk. These changing patterns provide a new challenge as well as new opportunities for HIV prevention.

Antiretroviral therapy · Family medicine · Human immunodeficiency virus (HIV) · Men who have sex with men · Optimism · Sexual transmission · Transmission (telecommunications) · Treatment as prevention · Viral load · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Psychology · Sexual function and dysfunction studies · Social Psychology