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Adam Bourne 1 * , Catherine Dodds 1 , Peter Keogh 2 , & Peter Weatherburn 1

XVIII International AIDS Conference, Vienna . Perceptions of risk reduction strategies by gay men with diagnosed HIV engaging in unprotected anal intercourse (UAI). Adam Bourne 1 * , Catherine Dodds 1 , Peter Keogh 2 , & Peter Weatherburn 1. 1, Sigma Research, London, UK

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Adam Bourne 1 * , Catherine Dodds 1 , Peter Keogh 2 , & Peter Weatherburn 1

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  1. XVIII International AIDS Conference, Vienna Perceptions of risk reduction strategies by gay men with diagnosed HIV engaging in unprotected anal intercourse (UAI) Adam Bourne1*, Catherine Dodds1, Peter Keogh2, & Peter Weatherburn1 • 1, Sigma Research, London, UK • 2, National Centre for Social Research, London, UK • *Corresponding author: adam.bourne@sigmaresearch.org.uk

  2. Methods • Data drawn from Relative Safety II • 42 in-depth interviews • Explored perceptions and experiences of risk

  3. Purposive sample (n=42)

  4. Risk reduction strategies • Abstain from sex • Not have anal intercourse • Use condoms • Sero-concordant sex • Avoid being the insertive partner • Avoid ejaculation inside a partner • Considering how infectious you might be to your partner • Emergency treatment (PEP)

  5. Risk reduction strategies • Abstain from sex • Not have anal intercourse • Use condoms • Sero-concordant sex • Avoid being the insertive partner • Avoid ejaculation inside a partner • Considering how infectious you might be to your partner • Emergency treatment (PEP)

  6. Results

  7. Results: The concept of risk reduction “You probably are reducing the risk but not as much as you could do [by being the receptive partner]. It’s not reducing the risk far enough. It’s like playing Russian Roulette but having one bullet instead of three.”

  8. Results: The concept of risk reduction “It makes no difference if your viral load is 50 or it’s 4,000. You’re still going to pass it on.”

  9. Results:Risk reduction Vs Risk elimination “I would have sex with people who were... who I knew were negative. I really felt guilty sometimes but then I had like a zero viral load with no medication until around 2003 – 2004 so I justified it to myself by saying ‘yeah well you are not likely to be very infectious’.”

  10. Conclusions • Risk reduction strategies used to make sense of risk taking • Need to provide spaces for men to evaluate their sexual behaviour • To manage risk you have to accept you are taking one

  11. Acknowledgements We are grateful to THT for providing funding on behalf of CHAPS, and to the following agencies for their support with recruitment to, and hosting of, the interviews.

  12. This talk is available to download now at:www.sigmaresearch.org.uk/presentations

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