• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

Epi Profile Section 9 - Indicators of HIV Risk in PLWH Currently in Care

 

 

Data in this section come from the Texas and Houston Medical Monitoring Project (MMP) sites. Data are representative of PLWH receiving care in Texas. For more information, please see the section Data Sources and Notes.

 


 

Table 9-1. Sexual Activity, Risk Reduction, and Risk Behavior in HIV-positive MSM by Race and Age, 2014-2015 Texas

Sexually Active Men Who Have Sex With Men

Average
number of
male sex partners
in past
12 months

Had condomless anal sex with a male partner in the past 12 months

Had condomless anal sex with a male partner whose HIV status was discordant or unknown in the past 12 months

Self-reported syphilis infection in the past 12 months

Used injection or non-injection drugs in the past 12 months

 

N

N

N

%**

N

%**

N

%**

N

%**

Race/Ethnicity                    
 White

36

3

23

56%

9

27%

3

10%

12

29%

 Black

51

4

21

35%

10

16%

17

26%

19

33%

 Hispanic

54

5

25

45%

11

17%

9

18%

16

30%

Total

141

4

69

45%

30

19%

29

18%

47

30%

Age

   

 

 

 

 

 

 

 

 

 18-29

35

5

19

54%

9

24%

9

21%

13

38%

 30-39

35

5

20

59%

12

13%

13

33%

16

51%

 40-49

44

4

18

35%

4

9%

6

14%

13

24%

 50+

27

2

12

38%

5

11%

*

*

5

12%

Total

141

4

69

45%

30

19%

28

18%

47

30%

* Cell suppressed for numbers less than 3
** Percentages are weighted
Cell sizes lass than 10 may produce unstable estimates

 

  • According to results from the Medical Monitoring Project Survey, nearly half (48%) of the 141 HIV-positive MSM sampled reported having condomless anal sex with a male partner in the past 12 months, and 30 (21%) HIV-positive MSM had condomless anal sex with someone who is not known to be HIV-positive. This means that 79% of HIV-positive men who reported condomless anal sex only did so with a partner who was also HIV-positive.  This may be an indication of serosorting, a risk-reduction activity which entails selecting sexual partners of the same HIV status.


  • It is important to note that among the 69 MSM who had condomless anal sex with a male partner in the last 12 months 86% were virally suppressed, and 88% of HIV-positive MSM who had condomless anal sex with a male partner whose HIV status was discordant or unknown were virally suppressed.


  • The practice of serosorting for condomless anal sex still leaves PLWH vulnerable to bacterial sexually transmitted infections. Nearly 20% of HIV-positive MSM had evidence of a syphilis diagnosis in the past 12 months in their medical records. A larger proportion of HIV-positive Black MSM had evidence of a syphilis infection compared to White and Hispanic MSM.


  • About a third of MSM respondents reported non-Injection or Injection Drug Use (IDU) in the past 12 months. This is concerning, as drug use can lower inhibitions and contribute to high-risk sexual behavior.

 


 

Table 9-2. Sexual Activity, Risk Reduction, and Risk Behavior in HIV-positive Heterosexuals by Race and Age, 2014-2015 Texas

Sexually Active Heterosexuals

Average number
of sex partners
of the opposite sex
in the past
12 months

Had condomless vaginal or anal sex with a partner of the opposite sex in the past 12 months

Had condomless vaginal or anal sex with a partner whose HIV status was discordant or unknown in past 12 months

Used injection or non-injection drugs in the past 12 months

 

N

N

N

%

N

%

N

%

Race/Ethnicity                
 White

18

1

12

73%

9

62%

7

37%

 Black

71

2

24

31%

16

21%

15

20%

 Hispanic

45

2

14

32%

10

19%

*

*

Total

134

2

50

37%

35

25%

22

15%

Age

   

 

 

 

 

 

 

 18-29

11

1

7

57%

7

57%

*

*

 30-39

27

3

14

50%

10

33%

6

14%

 40-49

49

1

16

35%

9

23%

7

11%

 50+

47

1

13

27%

9

17%

9

20%

Total

134

2

50

37%

35

25%

22

15%

* Cell suppressed for numbers less than 3
** Percentages are weighted
Cell sizes lass than 10 may produce unstable estimates

 

  • The majority (73%) of White HIV-positive heterosexual persons reported condomless sex with a partner of unknown HIV status in the past 12 months. However, heterosexual HIV-positive persons reported fewer sexual partners on average compared to MSM living with HIV.  Similar to MSM, 77% of the the 50 heterosexuals who reported condomless anal sex in the last 12 months were virally suppressed. Eighty-three percent (83%) of HIV-positive heterosexuals who reported condomless anal sex with someone whose HIV status was discordant or unknown were also virally suppressed.


  • Similar to MSM, the proportion of heterosexual persons living with HIV who reported condomless sex varied by age. Half of heterosexual persons aged 18-29 (50%) and fifty-seven percent of those 30 to 39 years of age reported condomless sex in the past 12 months. The proportion of heterosexual persons living with HIV who engaged in high-risk sexual behaviors decreased with age.  A higher proportion of White heterosexuals and older heterosexuals reported drug use in the last 12 months.


 


Epi Profile

Table of Contents | 1. Executive Summary | 2. New HIV Diagnoses | 3. Persons Living with HIV | 4. Co-Morbidities | 5. HIV/AIDS Deaths | 6. HIV Incidence | 7. Targeted and Routine HIV Testing | 8. Indicators of HIV Risk in HIV-negative Persons at High Risk for HIV | 9. Indicators of HIV Risk in PLWH Currently in Care | 10. Men Who Have Sex With Men (MSM) | 11. HIV Treatment Cascade | Data Sources and Notes


Last updated March 6, 2017