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American gay men’s use of condoms has been falling for a decade, regardless of sero-sorting or PrEP
Roger Pebody, 2016-05-24 08:20:00

There has been a long-term decline in condom use by American gay men, researchers from the Centers for Disease Control and Prevention (CDC) report in AIDS. Similar declines have been seen in men whose sexual partners were of the same HIV status and in men who did not know their sexual partners’ HIV status - showing that the fall in condom use cannot be explained by sero-sorting or other sero-adaptive behaviours.

Moreover condom use began to fall long before PrEP became available.

The survey data were collected in 2005, 2008, 2011 and 2014 in 21 American cities as part of the National HIV Behavioral Surveillance (NHBS). Between 1100 and 1600 men who have sex with men took part in each round. Men were recruited at bars and clubs, social organisations, gay businesses, bathhouses, parks, etc.

The researchers asked whether a condom was used with the respondent’s last anal sex partner.