Official websites use. Share sensitive information only on official, secure websites. In some studies, situational factors have been shown to be stronger predictors of condomless sex than individual risk factors. Negative binomial regressions were used to evaluate the association of contextual risk factors e. Secondary prevention interventions that are tailored to the proximal sexual environment could be maximally effective, particularly if they address substance use and other challenging sexual situations.
Mathematical simulation models agree that behavioral interventions must remain a key component of HIV prevention as the next generation of strategies is developed [ 1 ].
One viable area for behavioral intervention is secondary prevention with HIV-positive individuals i. Positive prevention interventions are aimed at minimizing potential transmission risk behavior in order to reduce new infections. Recent evidence that virological suppression among HIV-positive individuals greatly reduces risk for transmission of HIV [i.
However, reducing condomless sex remains a primary prevention option among HIV-positive men and women. These findings underscore the need for behavioral prevention efforts within this group of men disproportionately burdened with HIV. Emerging evidence suggests that greater variability in CAS might be explained by the sexual context e.
Variability in CAS behavior may be larger within individuals across settings and situations than across individuals i. Thus, empirical literature documenting aspects of the sexual environment that contribute to condomless sex among HIV-positive MSM is lacking.
