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. 2023 Feb 1;227(3):407-411.
doi: 10.1093/infdis/jiac459.

Triggers of Change in Sexual Behavior Among People With HIV: The Swiss U U Statement and COVID-19 Compared

Collaborators, Affiliations

Triggers of Change in Sexual Behavior Among People With HIV: The Swiss U U Statement and COVID-19 Compared

Kalongo Hamusonde et al. J Infect Dis. .

Abstract

We assessed changes in sexual behavior among people with human immunodeficiency virus (HIV) over 20 years. Condom use with stable partners steadily declined from over 90 to 29 since the Swiss U U statement, with similar trajectories between men who have sex with men (MSM) and heterosexuals. Occasional partnership remained higher among MSM compared to heterosexuals even during coronavirus disease 2019 (COVID-19) social distancing.

Keywords: HIV; MSM; Swiss statement; heterosexual; sexual behavior.

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Conflict of interest statement

Potential conflicts of interest . K. E. A. D.’s institution has received research funding unrelated to this publication from Gilead; and offered expert testimony for MSD. A. R. reports support to his institution for advisory boards and/or travel grants from MSD, Gilead Sciences, Pfizer, and Abbvie; and an investigator initiated trial grant from Gilead Sciences. All remuneration went to his home institution and not to A. R. personally, and all remuneration was provided outside the submitted work. H. F. G. has received unrestricted research grants from Gilead Sciences; fees for data and safety monitoring board membership from Merck; consulting/advisory board membership fees from Gilead Sciences, Merck, Johnson and Johnson, Novartis, and ViiV Healthcare; and grants from the Swiss National Science Foundation, the Yvonne Jacob Foundation, and National Institutes of Health. The institution of E. B. has received grants from the Swiss National Science Foundation; consulting/advisory board membership fees from Gilead Sciences, Merck Sharp and Dohme, ViiV Healthcare, Pfizer, and Lilly; and travel grants from Gilead Sciences, ViiV Healthcare, Pfizer, and Abbvie. All other authors report no potential conflicts.

All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

Figures

Figure 1.
Figure 1.
Trajectories and rate of change in consistent condom use and occasional partnership stratified by sexual orientation. A, Consistent condom use with HIV-negative stable partners in MSM and HET, registration year before 2008. B, Rate of change in consistent condom use with HIV-negative stable partner following the trigger. C, Consistent condom use with HIV-positive stable partners in MSM and HET, registration year before 2008. D, Rate of change in consistent condom use with HIV-positive stable partner following the trigger. E, Occasional partners in MSM and HET, registration year before 2020. F, Percent change in occasional sex partners following the trigger. Shaded region, 95% confidence intervals. Abbreviations: COVID-19, coronavirus disease 2019; HET, heterosexual; HIV, human immunodeficiency virus; MSM, men who have sex with men.

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