Advertisement

AIDS and Behavior

, Volume 22, Issue 6, pp 1955–1964 | Cite as

Correlates of Serosorting and Knowledge of Sexual Partner’s HIV Status Among Men Who have Sex with Men in Ukraine

  • Olena Iakunchykova
  • Viktor Burlaka
  • Elizabeth J. King
Original Paper

Abstract

Ukraine has among the highest rates of newly diagnosed HIV infections in the WHO European region. Men who have sex with men (MSM) is the least studied group in the context of the HIV epidemics in Ukraine. The present paper aims to estimate the prevalence and correlates of knowledge of sexual partner’s HIV status and potentially discordant anal intercourse (failure to serosort) among MSM. Data of the cross-sectional study among 8100 MSM in Ukraine in 2013 were used for this analysis. Less than half of the participants (42.5%) reported that they knew the HIV serostatus of their most recent male sexual partner, and about 13% of participants reported failure to serosort during their most recent anal sexual intercourse with a male partner. Targeted interventions can be implemented to increase knowledge about sexual partner’s HIV status, both among HIV-negative and HIV-positive MSM, to reduce the risk of HIV acquisition and transmission.

Keywords

Men who have sex with men Ukraine HIV Risk behavior 

Notes

Acknowledgements

We acknowledge ICF ‘‘Alliance for Public Health in Ukraine’’ for granting access to the data for secondary analysis. The study received training support from Fogarty International Center/NIH grants through the AIDS International Training and Research Program by SUNY-Downstate Medical Center (Grant #D43 TW000233).

Funding

The study received no funding.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Commission of the professional ethics of sociologist of Sociological Association of Ukraine and by the Commission for medical ethics of the Institute of Epidemiology and Infectious Diseases named after L.V. Gromashevsky at the Academy of Medical Sciences, Ukraine.

Human and Animal Rights

The article doesn’t contain any studies with animals performed by any of the authors.

Informed Consent

All respondents have signed the informed consent after the detailed description of the study purposes and procedure.

References

  1. 1.
    Ghys PD, Walker N, McFarland W, Miller R, Garnett GP. Improved data, methods and tools for the 2007 HIV and AIDS estimates and projections. Sex Transm Infect. 2008;84(Suppl 1):i1–4.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Iakunchykova OP, Burlaka V. Correlates of HIV and inconsistent condom use among female sex workers in Ukraine. AIDS Behav. 2017;21(8):2306–15.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Kulchynska R. Trends in risky sexual behavior among men who have sex with men: Analysis of repeated cross-sectional survey data from Ukraine, 2007-2013. Albany, NY: University at Albany, State University of New York; 2015. http://gradworks.umi.com/15/90/1590310.html. Accessed 24 Feb 2017.
  4. 4.
    Parsons JT, Schrimshaw EW, Wolitski RJ, Halkitis PN, Purcell DW, Hoff CC, Gómez CA. Sexual harm reduction practices of HIV-seropositive gay and bisexual men: serosorting, strategic positioning, and withdrawal before ejaculation. AIDS. 2005;19:S13–25.CrossRefGoogle Scholar
  5. 5.
    Vallabhaneni S, Li X, Vittinghoff E, Donnell D, Pilcher CD, Buchbinder SP. Seroadaptive practices: association with HIV acquisition among HIV-negative men who have sex with men. PLoS ONE. 2012;7(10):e45718.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Beyrer C, Baral SD, Walker D, Wirtz AL, Johns B, Sifakis F. The expanding epidemics of HIV type 1 among men who have sex with men in low-and middle-income countries: diversity and consistency. Epidemiol Rev. 2010;32:137–51.CrossRefPubMedGoogle Scholar
  7. 7.
    European Centre for Disease Prevention and Control/WHO Regional Office for Europe. HIV/AIDS surveillance in Europe 2015. Stockholm: ECDC; 2016.Google Scholar
  8. 8.
    Kruglov YV, Kobyshcha YV, Salyuk T, Varetska O, Shakarishvili A, Saldanha VP. The most severe HIV epidemic in Europe: Ukraine’s national HIV prevalence estimates for 2007. Sex Transm Infect. 2008;84(Suppl 1):i37–41.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Vitek CR, Čakalo J-I, Kruglov YV, Dumchev KV, Salyuk TO, Božičević I, et al. Slowing of the HIV epidemic in Ukraine: evidence from case reporting and key population surveys, 2005–2012. PLoS ONE. 2014;9(9):e103657.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Marcus U, Hickson F, Weatherburn P, Schmidt AJ. Estimating the size of the MSM populations for 38 European countries by calculating the survey-surveillance discrepancies (SSD) between self-reported new HIV diagnoses from the European MSM internet survey (EMIS) and surveillance-reported HIV diagnoses among MSM in 2009. BMC Public Health. 2013;13(1):919.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Raymond HF, Chen Y-H, Ick T, Scheer S, Bernstein K, Liska S, et al. A new trend in the HIV epidemic among men who have sex with men, San Francisco, 2004–2011. JAIDS J Acquir Immune Defic Syndr. 2013;62(5):584–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Rosinska M, Janiec J, Niedzwiedzka-Stadnik M. Increase of new HIV diagnoses among men who have sex with men in Poland, 2000 to 2011. Euro Surveill. 2013;18(48):20642.CrossRefPubMedGoogle Scholar
  13. 13.
    Bozicevic I, Begovac J. The emerging HIV epidemic among men who have sex with men in southeastern Europe. Expert Rev Anti Infect Ther. 2010;8(12):1351–8.CrossRefPubMedGoogle Scholar
  14. 14.
    Pokrovskiy V. HIV epidemic in Russia and neighbouring countries. J Int AIDS Soc. 2014;17(4 Suppl 3):19502.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Chabadová Z, Habeková M, Truska P, Drobková T, Mojzesová M, Staneková D. Distribution of HIV-1 subtypes circulating in Slovakia (2009-2012). Acta Virol. 2013;58(4):317–24.CrossRefGoogle Scholar
  16. 16.
    Simmons R, Malyuta R, Chentsova N, Medoeva A, Kruglov Y, Yurchenko A, et al. HIV testing and diagnosis rates in Kiev, Ukraine: April 2013–March 2014. PLoS ONE. 2015;10(8):e0137062.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Kasianczuk MG, Johnston LG, Dovbakh AV, Leszczynski EB. Risk factors associated with condom use among men who have sex with men in Ukraine. J LGBT Health Res. 2009;5(1–2):51–62.CrossRefGoogle Scholar
  18. 18.
    Baggaley RF, White RG, Boily M-C. HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention. Int J Epidemiol. 2010;39:1048–63.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Collaboration Cascade. Determinants of survival following HIV-1 seroconversion after the introduction of HAART. The Lancet. 2003;362(9392):1267–74.CrossRefGoogle Scholar
  20. 20.
    Cobucci RNO, Lima PH, de Souza PC, Costa VV, de Mesquita Cornetta MDC, Fernandes JV, et al. Assessing the impact of HAART on the incidence of defining and non-defining AIDS cancers among patients with HIV/AIDS: a systematic review. J Infect Public Health. 2015;8(1):1–10.CrossRefPubMedGoogle Scholar
  21. 21.
    Eaton LA, Kalichman SC, O’Connell DA, Karchner WD. A strategy for selecting sexual partners believed to pose little/no risks for HIV: serosorting and its implications for HIV transmission. AIDS Care. 2009;21(10):1279–88.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Campbell CK, Gomez AM, Hoff C, Grisham KK, Wilson PA, Dworkin SL. Sexual behavior and HIV risk among age-discrepant, same-sex male couples. Cult Health Sex. 2016;18(12):1319–32.CrossRefGoogle Scholar
  23. 23.
    Marks G, Millett GA, Bingham T, Lauby J, Murrill CS, Stueve A. Prevalence and protective value of serosorting and strategic positioning among Black and Latino men who have sex with men. Am Sex Transm Dis. 2010;37(5):325–7.Google Scholar
  24. 24.
    Eaton LA, Kalichman SC, Cain DN, Cherry C, Stearns HL, Amaral CM, et al. Serosorting sexual partners and risk for HIV among men who have sex with men. Am J Prev Med. 2007;33(6):479–85.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Wei C, Yan H, Raymond HF, Shi L, Li J, Yang H, et al. HIV testing and awareness of partner’s HIV status among Chinese men who have sex with men in main partnerships. AIDS Behav. 2016;20(4):833–40.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Zablotska IB, Imrie J, Prestage G, Crawford J, Rawstorne P, Grulich A, et al. Gay men’s current practice of HIV seroconcordant unprotected anal intercourse: serosorting or seroguessing? AIDS Care. 2009;21(4):501–10.CrossRefPubMedGoogle Scholar
  27. 27.
    van den Boom W, Stolte I, Sandfort T, Davidovich U. Serosorting and sexual risk behaviour according to different casual partnership types among MSM: the study of one-night stands and sex buddies. AIDS Care. 2011;24:167–73.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Nagaraj S, Segura ER, Peinado J, Konda KA, Segura P, Casapia M, et al. A cross-sectional study of knowledge of sex partner serostatus among high-risk Peruvian men who have sex with men and transgender women: implications for HIV prevention. BMC Public Health. 2013;13(1):181.  https://doi.org/10.1186/1471-2458-13-181.CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Philip SS, Xuesong Y, Donnell D, Vittinghoff E, Buchbinder S. Serosorting is associated with a decreased risk of HIV seroconversion in the EXPLORE study cohort. PLoS ONE. 2010;5(9):1–7.CrossRefGoogle Scholar
  30. 30.
    Lewnard JA, Berrang-Ford L. Internet-based partner selection and risk for unprotected anal intercourse in sexual encounters among men who have sex with men: a meta-analysis of observational studies. Sex Transm Infect. 2014;90(4):290–6.CrossRefPubMedGoogle Scholar
  31. 31.
    Grov C, Hirshfield S, Remien RH, Humberstone M, Chiasson MA. Exploring the venue’s role in risky sexual behavior among gay and bisexual men: an event-level analysis from a national online survey in the U.S. Arch Sex Behav. 2013;42(2):291–302.CrossRefPubMedGoogle Scholar
  32. 32.
    Grov C. HIV risk and substance use in men who have sex with men surveyed in bathhouses, bars/clubs, and on craigslist.org: venue of recruitment matters. AIDS Behav. 2012;16(4):807–17.CrossRefPubMedPubMedCentralGoogle Scholar
  33. 33.
    Wilton L, Koblin B, Nandi V, Xu G, Latkin C, Seal D, et al. Correlates of seroadaptation strategies among black men who have sex with men (MSM) in 4 US cities. AIDS Behav. 2015;19(12):2333–46.CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Chen Y-H, Vallabhaneni S, Raymond HF, McFarland W. Predictors of serosorting and intention to serosort among men who have sex with men, San Francisco. AIDS Educ Prev. 2012;24(6):564–73.CrossRefPubMedGoogle Scholar
  35. 35.
    Heckathorn DD. Respondent-driven sampling: a new approach to the study of hidden populations. Soc Probl. 1997;44(2):174–99.CrossRefGoogle Scholar
  36. 36.
    Heckathorn DD. Respondent-driven sampling II: deriving valid population estimates from chain-referral samples of hidden populations. Soc Probl. 2002;49(1):11–34.CrossRefGoogle Scholar
  37. 37.
    Ashford JB, LeCroy CW. Human behavior in the social environment: a multidimensional perspective, 5th edn. Empowerment series. Belmont, CA: Brooks/Cole, Cengage Learning; 2013.Google Scholar
  38. 38.
    Turner EL, Dobson JE, Pocock SJ. Categorisation of continuous risk factors in epidemiological publications: a survey of current practice. Epidemiol Perspect Innov. 2010;7:9.CrossRefPubMedPubMedCentralGoogle Scholar
  39. 39.
    Wacholder S. Binomial regression in GLIM: estimating risk ratios and risk differences. Am J Epidemiol. 1986;123(1):174–84.CrossRefPubMedGoogle Scholar
  40. 40.
    Jewell NP. Statistics for epidemiology. Boca Raton, FL: CRC Press; 2004.Google Scholar
  41. 41.
    SAS software, Version 9.4. Cary, NC: SAS Institute Inc.; 2013.Google Scholar
  42. 42.
    Handcock MS, Fellows IE, Gile KJ. RDS analyst: software for the analysis of respondent-driven sampling data, version 0.42. 2014. Available at: http://hpmrg.org. Accessed 20 Aug 2017.
  43. 43.
    Johnston LG, Malekinejad M, Kendall C, Iuppa IM, Rutherford GW. Implementation challenges to using respondent-driven sampling methodology for HIV biological and behavioral surveillance: field experiences in international settings. AIDS Behav. 2008;12(1):131–41.CrossRefGoogle Scholar
  44. 44.
    Khosropour CM, Dombrowski JC, Swanson F, Kerani RP, Katz DA, Barbee LA, et al. Trends in serosorting and the association with HIV/STI risk over time among men who have sex with men. J Acquir Immune Defic Syndr. 2016;72(2):189–97.CrossRefPubMedPubMedCentralGoogle Scholar
  45. 45.
    Truong HM, Kellogg T, Klausner JD, Katz MH, Dilley J, Knapper K, et al. Increases in sexually transmitted infections and sexual risk behaviour without a concurrent increase in HIV incidence among men who have sex with men in San Francisco: a suggestion of HIV serosorting? Sex Transm Infect. 2006;82(6):461–6.CrossRefPubMedPubMedCentralGoogle Scholar
  46. 46.
    Serovich JM, Mason TL, Bautista D, Toviessi P. Gay men’s report of regret of HIV disclosure to family, friends, and sex partners. AIDS Educ Prev. 2006;18(2):132–8.CrossRefPubMedPubMedCentralGoogle Scholar
  47. 47.
    Parsons JT, Severino J, Nanin J, Punzalan JC, von Sternberg K, Missildine W, et al. Positive, negative, unknown. AIDS Educ Prev Off Publ Int Soc AIDS Educ. 2006;18(2):139–49.CrossRefGoogle Scholar
  48. 48.
    Stephenson R, White D, Darbes L, Hoff C, Sullivan P. HIV testing behaviors and perceptions of risk of HIV infection among MSM with main partners. AIDS Behav. 2015;19(3):553–60.CrossRefPubMedPubMedCentralGoogle Scholar
  49. 49.
    Thomas B, Mimiaga MJ, Mayer KH, Perry NS, Swaminathan S, Safren SA. The influence of stigma on HIV risk behavior among men who have sex with men in Chennai, India. AIDS Care. 2012;24(11):1401–6.CrossRefPubMedPubMedCentralGoogle Scholar
  50. 50.
    Liao M, Kang D, Tao X, Bouey JH, Aliyu MH, Qian Y, et al. Alcohol use, stigmatizing/discriminatory attitudes, and HIV high-risk sexual behaviors among men who have sex with men in China. Biomed Res Int. 2014;2014:1–8.CrossRefGoogle Scholar
  51. 51.
    Ramallo J, Kidder T, Albritton T, Blick G, Pachankis J, Grandeleski V, et al. Exploring social networking technologies as tools for HIV prevention for men who have sex with men. AIDS Educ Prev. 2015;27(4):298–311.CrossRefPubMedPubMedCentralGoogle Scholar
  52. 52.
    Burlaka V, Churakova I, Aavik OA, Goldstein D. Perceived barriers to mental health services: a mixed-method study with Ukrainian college students. Eur J High Educ. 2014;4(2):1–17.Google Scholar
  53. 53.
    Burlaka V, Churakova I, Aavik OA, Staller KM, Delva J. Attitudes toward health-seeking behaviors of college students in Ukraine. Int J Ment Health Addict. 2014;12(5):549–60.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2017

Authors and Affiliations

  • Olena Iakunchykova
    • 1
  • Viktor Burlaka
    • 2
  • Elizabeth J. King
    • 3
  1. 1.School of Public HealthSUNY University at AlbanyRensselaerUSA
  2. 2.Department of Social WorkUniversity of MississippiOxfordUSA
  3. 3.School of Public HealthUniversity of MichiganAnn ArborUSA

Personalised recommendations