HIV super-infection beliefs and sexual practices of people living with HIV/AIDS
Seth C. Kalichman A B , Lisa Eaton A , Chauncey Cherry A , Moira O. Kalichman A , Howard Pope A , Denise White A , Christina M. Amaral A , Connie Swetzes A and Rene Macy AA Department of Psychology, University of Connecticut, 406 Babbidge Road, Storrs, CT 06269, USA.
B Corresponding author. Email: seth.k@uconn.edu
Sexual Health 7(4) 420-424 https://doi.org/10.1071/SH09121
Submitted: 18 November 2009 Accepted: 6 April 2010 Published: 10 November 2010
Abstract
Background: People living with HIV can be reinfected with a new viral strain resulting in potential treatment resistant recombinant virus known as HIV super-infection. Individual’s beliefs about the risks for HIV super-infection may have significant effects on the sexual behaviours of people living with HIV/AIDS. HIV super-infection beliefs and sexual behaviours among people living with HIV/AIDS were examined in the present study. Methods: Three hundred and twenty men, 137 women, and 33 transgender persons completed confidential surveys in a community research setting. Results: A majority of participants were aware of HIV super-infection and most believed it was harmful to their health. Hierarchical multiple regressions predicting protected anal/vaginal intercourse with same HIV status (seroconcordant) partners showed that older age and less alcohol use were associated with greater protected sex. In addition, HIV super-infection beliefs predicted protected sexual behaviour over and above participant age and alcohol use. Conclusions: Beliefs about HIV super-infection exert significant influence on sexual behaviours of people living with HIV/AIDS and should be targeted in HIV prevention messages for HIV infected persons.
Additional keywords: sexual risk and protective behaviours, super-infections.
Acknowledgements
This project was supported by grants from the National Institute of Mental Health (NIMH) grants R01-MH71164 and R01-MH82633.
[1] Eaton LA, Kalichman SC, Cherry C. Sexual partner selection and HIV risk reduction among black and white men who have sex with men. Am J Public Health 2010; 100 503–9.
| Crossref | GoogleScholarGoogle Scholar | PubMed | [verified June 2009].
[7] Piantadosi A, Chohan B, Chohan V, McClelland RS, Overbaugh J. Chronic HIV-1 infection frequently fails to protect against superinfection. PLoS Pathog 2007; 3 e177.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
![](../../media/share/OpenURL_Image.gif)
[8] Sidat MM, Mijch AM, Lewin SR, Hoy JF, Hocking J, Fairley CK. Incidence of putative HIV superinfection and sexual practices among HIV-infected men who have sex with men. Sex Health 2008; 5 61–7.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
![](../../media/share/OpenURL_Image.gif)
[9] Colfax GN, Guzman R, Wheeler S, Mansergh G, Marks G, Rader M, et al. Beliefs about HIV reinfection (superinfection) and sexual behavior among a diverse sample of HIV-positive men who have sex with men. J Acquir Immune Defic Syndr 2004; 36 990–2.
| Crossref | GoogleScholarGoogle Scholar | PubMed |
![](../../media/share/OpenURL_Image.gif)
[10] Gribble JN, Miller HG, Rogers SM, Turner CF. Interview mode and measurement of sexual and other sensitive behaviors. J Sex Res 1999; 36 16–24.
| Crossref | GoogleScholarGoogle Scholar |
![](../../media/share/OpenURL_Image.gif)
[11] Saunders JB, Aasland OG, Babor TF, De La Fuente J, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption II. Addictions 1993; 88 791–804.
| Crossref | GoogleScholarGoogle Scholar | CAS |
![](../../media/share/OpenURL_Image.gif)
[12] Skinner H. The drug abuse screening test. Addict Behav 1982; 7 363–71.
| Crossref | GoogleScholarGoogle Scholar | CAS | PubMed |
![](../../media/share/OpenURL_Image.gif)
[13] Napper L, Fisher D, Reynolds G, Johnson ME. HIV risk behavior self-report reliability at different recall periods. AIDS Behav 2010; 14
| Crossref | GoogleScholarGoogle Scholar | PubMed |
![](../../media/share/OpenURL_Image.gif)