serosorting is associated with a decreased risk of hiv seroconversion in the explore study cohortserosorting与艾滋病毒的风险降低血清转化的探索研究队列.pdfVIP

Serosorting Is Associated with a Decreased Risk of HIV Seroconversion in the EXPLORE Study Cohort 1,3 2 2 3 1,3 Susan S. Philip *, Xuesong Yu , Deborah Donnell , Eric Vittinghoff , Susan Buchbinder 1 San Francisco Department of Public Health, San Francisco, California, United States of America, 2 Statistical Center for HIV/AIDS Research and Prevention, Seattle, Washington, United States of America, 3 University of California San Francisco, San Francisco, California, United States of America Abstract Background: Seroadaptation strategies such as serosorting and seropositioning originated within communities of men who have sex with men (MSM), but there are limited data about their effectiveness in preventing HIV transmission when utilized by HIV-negative men. Methodology/Principal Findings: Data from the EXPLORE cohort of HIV-negative MSM who reported both seroconcordant and serodiscordant partners were used to evaluate serosorting and seropositioning. The association of serosorting and seropositioning with HIV seroconversion was evaluated in this cohort of high risk MSM from six U.S. cities. Serosorting was independently associated with a small decrease in risk of HIV seroconversion (OR = 0.88; 95%CI, 0.81–0.95), even among participants reporting $10 partners. Those who more consistently practiced serosorting were more likely to be white (p = 0.01), have completed college (p = ,0.0002) and to have had 10 or more partners in the six months before the baseline visit (p = 0.01) but did not differ in age, reporting HIV-infected partners, or drug use. There was no evidence of a seroconversion effect with seropositioning (OR 1.02, 95%CI, 0.92–1.14). Signifi