%0 Journal Article
%J AIDS Educ Prev
%D 2013
%T A cautionary tale: risk reduction strategies among urban American Indian/Alaska Native men who have sex with men.
%A Cynthia R. Pearson
%A Karina L. Walters
%A Jane M. Simoni
%A Ramona  Beltran
%A Kimberly M. Nelson
%X <p>American Indian and Alaska Native (AIAN) men who have sex with men (MSM) are considered particularly high risk for HIV transmission and acquisition. In a multi-site cross-sectional survey, 174 AIAN men reported having sex with a man in the past 12 months. We describe harm reduction strategies and sexual behavior by HIV serostatus and seroconcordant partnerships. About half (51.3%) of the respondents reported no anal sex or 100% condom use and 8% were in seroconcordant monogamous partnership. Of the 65 men who reported any sero-adaptive strategy (e.g., 100% seroconcordant partnership, strategic positioning or engaging in any strategy half or most of the time), only 35 (54.7%) disclosed their serostatus to their partners and 27 (41.5%) tested for HIV in the past 3 months. Public health messages directed towards AIAN MSM should continue to encourage risk reduction practices, including condom use and sero-adaptive behaviors. However, messages should emphasize the importance of HIV testing and HIV serostatus disclosure when relying solely on sero-adaptive practices.</p>
%B AIDS Educ Prev
%V 25
%P 25-37
%8 February
%G eng
%N 1
%R 10.1521/aeap.2013.25.1.25