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Sex Transm Dis. 2005 Mar;32(3):170-5.

Incidence of sexually transmitted diseases and HIV infection related to perceived HIV/AIDS threat since highly active antiretroviral therapy availability in men who have sex with men.

Author information

1
Department of Dermatology and Venereology, Erasmus MC, 3015 DG Rotterdam, The Netherlands. e.vandersnoek@erasmusmc.nl

Abstract

OBJECTIVE:

Concerns have been expressed regarding increase in risky sex because of the availability of antiretroviral treatments in Western countries.

GOAL:

The goal of this longitudinal study was to investigate the association between highly active antiretroviral therapy (HAART)- and postexposure prophylaxis-related beliefs and the incidence of sexually transmitted diseases (STDs) and new HIV infections in men who have sex with men (MSM).

STUDY:

Data on the incidence of STDs and new HIV infection, and the level of agreement with different HAART- and PEP-related beliefs from 151 HIV-negative MSM were compiled.

RESULTS:

Of all MSM, 65.6% tested negative for any STDs and 7 men HIV seroconverted. Perceiving less HIV/AIDS threat since HAART availability and younger age were significantly associated with a higher incidence of STDs. Perceiving less need for safe sex since HAART availability was significantly associated with an increased likelihood of HIV seroconversion.

CONCLUSIONS:

The results support the assumption that there is an association between the incidence of STDs and a decreased perception of HIV/AIDS threat resulting from HAART availability. Less perceived need for safe sex since HAART availability was associated with HIV seroconversion.

PMID:
15729154
[Indexed for MEDLINE]

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