Abstract
Identifying venues where women meet sexual partners, particular partners who increase women’s risk of acquiring HIV, could inform prevention efforts. We categorized venues where women enrolled in HPTN 064 reported meeting their last three sex partners as: (1) Formal, (2) Public, (3) Private, and (4) Virtual spaces. We used multinomial logistic regression to assess the association between these venues and women’s individual characteristics and reports of their partners’ HIV risk characteristics. The 2099 women reported meeting 3991 partners, 51 % at Public, 30 % Private, 17 % Formal and 3 % at Virtual venues. Women meeting partners at Formal venues reported more education and condom use than women meeting partners at other venues. Fewer partners met through Formal venues had “high” risk characteristics for HIV than through other venues and hence may pose less risk of HIV transmission. HIV prevention interventions can help women choose partners with fewer risk characteristics across all venue types.
Similar content being viewed by others
References
(CDC) Centers for Disease Control. HIV Among African Americans fact sheet. Available at: http://www.cdc.gov/hiv/risk/racialethnic/aa/. Accessed December 7, 2013.
Goldenberg SM, Strathdee SA, Gallardo M, et al. How important are venue-based HIV risks among male clients of female sex workers? A mixed methods analysis of the risk environment in nightlife venues in Tijuana, Mexico. Health Place. 2011;17(3):748–56.
Rhodes T. Risk environments and drug harms: a social science for harm reduction approach. Int J Drug Policy. 2009;20(3):193–201.
McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15:351–77.
Bronfenbrenner U. Ecological systems theory. In: Vasta R, editor. Six theories of child development: revised formulations and current issues. London: Jessica Kingsley Publishers; 1992.
Bronfebrenner U. Ecological models of human development. In: Gauvain M, Col M, editors. Readings on the development of children. 2nd ed. New York: Freeman; 1993.
McAlister AL, Perry CL, Parcel GS. How individuals, environments, and health behaviors interact: social cognitive theory. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice. 4th ed. San Francisco: Jossey-Bass; 2008.
Figueroa JP, Dolan CB, Dale D, Hileman SB, Weir S. An assessment of sites where persons go to meet sexual partners in St. James, Jamaica, using the PLACE method. J Sex Transm Dis. 2007;34(6):410–5.
Weir SS, Tate JE, Zhusupov B, Boerma JT. Where the action is: monitoring local trends in sexual behaviour. Sex Transm Infect. 2004;80(2):ii63–8.
Schrimshaw EW, Siegel K, Downing MJ. Sexual risk behaviors with female and male partners met in different sexual venues among non-gay-identified, nondisclosing MSMW. Int J Sex Health. 2010;22(3):167–79.
Grov C, Parsons JT, Bimbi DS. Sexual risk behavior and venues for meeting sex partners: an intercept survey of gay and bisexual men in LA and NYC. AIDS Behav. 2007;11(6):915–26.
Grov C, Crow T. Attitudes about and HIV risk related to the “most common place” MSM meet their sex partners: comparing men from bathhouses, bars/clubs, and Craigslist.org. AIDS Educ Prev. 2012;24(2):102–16.
Schrimshaw EW, Downing MJ Jr, Siegel K. Sexual venue selection and strategies for concealment of same-sex behavior among non-disclosing men who have sex with men and women. J Homosex. 2013;60(1):120–45.
Wohl DA, Khan MR, Tisdale C, et al. Locating the places people meet new sexual partners in a southern US city to inform HIV/STI prevention and testing efforts. AIDS Behav. 2011;15(2):283–91.
Downing MJ Jr. Perceptions of HIV transmission risk in commercial and public sex venues. J Mens Health. 2012;9(3):176–81.
Bolding G, Davis M, Hart G, Sherr L, Elford J. Where young MSM meet their first sexual partner: the role of the Internet. AIDS Behav. 2007;11(4):522–6.
Raymond HF, Bingham T, McFarland W. Locating unrecognized HIV infections among men who have sex with men: San Francisco and Los Angeles. AIDS Educ Prev. 2008;20(5):408–19.
Horvath KJ, Bowen AM, Williams ML. Virtual and physical venues as contexts for HIV risk among rural men who have sex with men. Health Psychol. 2006;25(2):237–42.
Bauermeister JA, Giguere R, Carballo-Dieguez A, Ventuneac A, Eisenberg A. Perceived risks and protective strategies employed by young men who have sex with men (YMSM) when seeking online sexual partners. J Health Commun. 2010;15(6):679–90.
Kubicek K, Carpineto J, McDavitt B, Weiss G, Kipke MD. Use and perceptions of the internet for sexual information and partners: a study of young men who have sex with men. Arch Sex Behav. 2011;40(4):803–16.
Safika I, Levy JA, Johnson TP. Sex work venue and condom use among female sex workers in Senggigi, Indonesia. Cult Health Sex. 2013;15(5):598–613.
Zhang C, Li X, Hong Y, Zhou Y, Liu W, Stanton B. Unprotected sex with their clients among low-paying female sex workers in southwest China. AIDS Care. 2013;25(4):503–6.
Li J, Chen XS, Merli MG, Weir SS, Henderson GE. Systematic differences in risk behaviors and syphilis prevalence across types of female sex workers: a preliminary study in Liuzhou, China. Sex Transm Dis. 2012;39(3):195–200.
Li Y, Detels R, Lin P, et al. Difference in risk behaviors and STD prevalence between street-based and establishment-based FSWs in Guangdong Province, China. AIDS Behav. 2012;16(4):943–51.
Wang H, Chen RY, Ding G, et al. Prevalence and predictors of HIV infection among female sex workers in Kaiyuan City, Yunnan Province, China. Int J Infect Dis. 2009;13(2):162–9.
Weir SS, Li J, Edwards JK, et al. Exploring venue-associated risk: a comparison of multiple partnerships and syphilis infection among women working at entertainment and service venues. AIDS Behav. 2014;18(2):S153–60.
Hodder SL, Justman J, Haley DF, et al. Challenges of a hidden epidemic: HIV prevention among women in the United States. J Acquir Immune Defic Syndr. 2010;55(2):S69–73.
DiClemente RJ, Wingood GM, Crosby RA, et al. A prospective study of psychological distress and sexual risk behavior among black adolescent females. Pediatrics. 2001;108(5):E85.
Liang KY, Zeger S. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73(1):13–22.
McPherson M, Smith-Lovin L, Cook JM. Birds of a feather: homophily in social networks. Ann Rev Sociol. 2001;27:415–44.
McFarlane M, Kachur R, Bull S, Rietmeijer C. Women, the internet, and sexually transmitted infections. J Womens Health. 2004;13(6):689–94.
CDC. HIV Surveillance Report 2009. Available at: http://www.cdc.gov/hiv/library/reports/surveillance/. Accessed December 7, 2013.
Watt MH, Aunon FM, Skinner D, Sikkema KJ, Kalichman SC, Pieterse D. “Because he has bought for her, he wants to sleep with her”: alcohol as a currency for sexual exchange in South African drinking venues. Soc Sci Med. 2012;74(7):1005–12.
Cain D, Pare V, Kalichman SC, et al. HIV risks associated with patronizing alcohol serving establishments in South African Townships, Cape Town. Prev Sci. 2012;13(6):627–34.
Staras SA, Maldonado-Molina MM, Livingston MD, Komro KA. Association between sex partner meeting venues and sexual risk taking among urban adolescents. J Adolesc Health. 2012;51(6):566–71.
Liau A, Millett G, Marks G. Meta-analytic examination of online sex-seeking and sexual risk behavior among men who have sex with men. Sex Transm Dis. 2006;33(9):576–84.
Garofalo R, Herrick A, Mustanski BS, Donenberg GR. Tip of the Iceberg: young men who have sex with men, the internet, and HIV risk. Am J Public Health. 2007;97(6):1113–7.
Benotsch EG, Kalichman S, Cage M. Men who have met sex partners via the Internet: prevalence, predictors, and implications for HIV prevention. Arch Sex Behav. 2002;31(2):177–83.
Mimiaga MJ, Reisner SL, Cranston K, et al. Sexual mixing patterns and partner characteristics of black MSM in Massachusetts at increased risk for HIV infection and transmission. J Urban Health. 2009;86(4):602–23.
Tourangeau R, Smith TW. Collecting sensitive information with different modes of data collection. In: Couper M, Bethlehem J, Clark C, Martin J, Nicholls WL, O’Reilly JM, editors. Computer Assisted Survey Information Collection. New York: Wiley; 1998.
Caldwell D. The effect of audio computer-assisted self-interview (ACASI) mode on report of drug use and risky health behaviors [dissertation]. Baltimore: University of Maryland Baltimore County; 2011.
Reidy WJ, Spielberg F, Wood R, Binson D, Woods WJ, Goldbaum GM. HIV risk associated with gay bathhouses and sex clubs: findings from 2 seattle surveys of factors related to HIV and sexually transmitted infections. Am J Public Health. 2009;99(Suppl 1):S165–72.
Acknowledgments
The authors thank the study participants, community stakeholders, and staff from each study site. In particular, they acknowledge Lynda Emel, Jonathan Lucas, Nirupama Sista, Kathy Hinson, Elizabeth DiNenno, Ann O’Leary, Lisa Diane White, Waheedah Shabaaz-El, Quarraisha Abdool-Karim, Sten Vermund, LeTanya Johnson-Lewis, Manya Magnus, Christopher Chauncey Watson, Ann Dey, Aaron Frasier, Makisha Ruffin, Genda Dockery, Lorenna Rodriguez, Noranik Zadeyan, Cheryl Guity, Stephanie Lykes, Ilene Wiggins, Tracey Chambers Thomas, Paula Frew, and Carlos del Rio. Support for this study was provided by the National Institute of Allergy and Infectious Diseases, National Institute on Drug Abuse, and National Institute of Mental Health (cooperative agreement Nos. UM1 AI068619, UM1 AI068617, and UM1-AI068613); Centers for Innovative Research to Control AIDS, Mailman School of Public Health, Columbia University (5U1Al069466); University of North Carolina Clinical Trials Unit (AI069423); University of North Carolina Clinical Trials Research Center of the Clinical and Translational Science Award (RR 025747); University of North Carolina Center for AIDS Research (AI050410); Emory University HIV/AIDS Clinical Trials Unit (5UO1AI069418), Center for AIDS Research (P30 AI050409), and Clinical and Translational Science Award (UL1 RR025008); The Terry Beirn Community Programs for Clinical Research on AIDS Clinical Trials Unit (5 UM1 AI069503-07) and; The Johns Hopkins Adult AIDS Clinical Trial Unit (AI069465) and The Johns Hopkins Clinical and Translational Science Award (UL1 RR 25005). The primary author’s work on this manuscript was supported through the HPTN Scholars Program funded by the National Institute of Allergy and Infectious Disease and the National Institute of Mental Health. Ms. Haley’s time was supported by the National Institute of Mental Health of the National Institutes of Health under Award Number F31MH105238, the George W. Woodruff Fellowship of the Laney Graduate School, Emory University Ms. Haley’s time was supported by the National Institute of Mental Health of the National Institutes of Health under Award Number F31MH105238, the George W. Woodruff Fellowship of the Laney Graduate School, Emory University.
Author information
Authors and Affiliations
Consortia
Corresponding author
Rights and permissions
About this article
Cite this article
Roman Isler, M., Golin, C., Wang, J. et al. Venues for Meeting Sex Partners and Partner HIV Risk Characteristics: HIV Prevention Trials Network (HPTN064) Women’s HIV Seroincidence Study (ISIS). AIDS Behav 20, 1208–1218 (2016). https://doi.org/10.1007/s10461-015-1057-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10461-015-1057-3