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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2006.098582v1 AJPH.2006.098582v2 AJPH.2006.098582v3 99/S1/S157    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Thiede, H. Articles by Golden, M. R. Search for Related Content PubMed PubMed Citation Articles by Thiede, H. Articles by Golden, M. R. Related Collections Epidemiology HIV/AIDS Public Health Practice Lesbian/Gay/Bisexual/Transgender Persons Surveys Drugs

Hanne Thiede, DVM, MPH, Richard A. Jenkins, PhD, James W. Carey, PhD, MPH, Rebecca Hutcheson, MSW, Katherine K. Thomas, MS, Ronald D. Stall, PhD, Edward White, PhD, MPH, Iris Allen, MPH, Roberto Mejia, PhD and Matthew R. Golden, MD, MPH

Hanne Thiede, Rebecca Hutcheson, and Matthew R. Golden are with Public Health—Seattle & King County, Seattle, WA. Richard A. Jenkins is with the National Institute on Drug Abuse, Bethesda, MD. James W. Carey and Roberto Mejia are with Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Katherine K. Thomas is with the School of Medicine, University of Washington, Seattle. Ronald D. Stall is with the School of Public Health, University of Pittsburgh, Pittsburgh, PA. Edward White is with the School of Public Health and Community Medicine, University of Washington, Seattle. Iris Allen is with the Department of Public and Community Health, University of Maryland, College Park.

Correspondence: Requests for reprints should be sent to Hanne Thiede, DVM, MPH, Public Health –Seattle & King County, 400 Yesler Way, 3rd Floor, Seattle, WA 98104 (e-mail: hanne.thiede{at}kingcounty.gov).

Objectives. We sought to identify HIV-infection risk factors related to partner selection and sexual behaviors with those partners among men who have sex with men (MSM) in King County, Washington.

Methods. Participants were recruited from HIV testing sites in the Seattle area. Recent HIV infection status was determined by the Serologic Testing Algorithm for Recent HIV Seroconversion (STARHS) or a self-reported previous HIV-negative test. Data on behaviors with 3 male partners were collected via computer-based self-interviews. Generalized estimating equation models identified partnership factors associated with recent infection.

Results. We analyzed data from 32 HIV-positive MSM (58 partners) and 110 HIV-negative MSM (213 partners). In multivariate analysis, recent HIV infection was associated with meeting partners at bathhouses or sex clubs, bars or dance clubs, or online; methamphetamine use during unprotected anal intercourse; and unprotected anal intercourse, except with HIV-negative primary partners.

Conclusions. There is a need to improve efforts to promote condom use with casual partners, regardless of their partner's HIV status. New strategies to control methamphetamine use in MSM and to reduce risk behaviors related to meeting partners at high-risk venues are needed.