Correlates of Seroadaptation Strategies among Black Men Who have Sex with Men (MSM) in 4 US Cities

We assessed associations of demographic, psychosocial, and substance use factors with seroadaptation strategies among 835 BMSM in four US cities. 

• Seroadaptation strategies were practiced by 59.8% of men, 
• with 10.5% practicing 100% condom use, 
• 26.5% serosorting, 
• 7.2% condom serosorting, 
• and 15.6% seropositioning. 

In multivariable analyses, compared to men who used no seroadaptation strategies, serosorters were older, were less likely to be HIV infected, had fewer male sex partners, and had higher levels of social support and sexual self-efficacy. 

Condom serosorters had less psychological distress, were more likely to use methamphetamine, and had higher levels of sexual self-efficacy. 

Seropositioners were older, were less likely to be HIV infected, to have a main partner, and report alcohol/drug use with sex, while having higher levels of sexual self-efficacy. 

Seroadaptation practices among BMSM need to be considered to address perceived safer sex strategies and strengthen access to a broader reach of culturally-relevant prevention efforts.

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By: Wilton L1,2, Koblin B3, Nandi V3, Xu G3, Latkin C4, Seal D5, Flores SA6, Spikes P6.

• 1Department of Human Development, State University of New York at Binghamton, 4400 Vestal Parkway East, Binghamton, NY, 13902, USA
• 2Faculty of Humanities, University of Johannesburg, Johannesburg, South Africa
• 3Laboratory of Infectious Disease Prevention, New York Blood Center, New York, NY, USA.
• 4Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
• 5Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
• 6National Center for HIV/AIDS, Viral, Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.