{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T08:27:54Z","timestamp":1789547274314,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,1,8]],"date-time":"2016-01-08T00:00:00Z","timestamp":1452211200000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"name":"AIDES"},{"name":"French National Agency for Research on AIDS and Viral Hepatitis"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of the International AIDS Society"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>People living with HIV (PLHIV) on antiretroviral therapy (ART), with sustained undetectable viral load (sUVL) and no history of sexually transmitted infections for at least six months, are considered to have a low risk of HIV transmission (LRT). We aimed to characterize, in a representative sample of French PLHIV, the sexual behaviour of LRT PLHIV compared with non\u2010LRT PLHIV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The cross\u2010sectional ANRS\u2010VESPA2 survey was conducted on adult PLHIV attending French hospitals in 2011. The LRT PLHIV group included participants with sUVL and no sexually transmitted infection for at least 12 months. Socio\u2010behavioural and medical data were collected. Chi\u2010square tests helped compare sexual risk indicators between LRT and non\u2010LRT PLHIV. The survey's retrospective nature allowed us to perform complementary category\u2010based analyses of LRT PLHIV according to whether they had sUVL for at least 18, 24 or 36 months in three socio\u2010epidemiological groups: men who have sex with men (MSM), other men and women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analysis included 2638 PLHIV diagnosed &gt;12 months with available viral load data. The proportion of LRT PLHIV varied from 58% (\u226512 months sUVL) to 38% (\u226536 months sUVL). Irrespective of sUVL duration, we found the following: 1) LRT men (MSM and other men) were more likely to report having no sexual partner than their non\u2010LRT counterparts. Among men having sexual partners in the previous 12 months, no significant difference was seen between LRT and non\u2010LRT men in the number of sexual partners. LRT women were less likely to report having more than one sexual partner than non\u2010LRT women; 2) LRT MSM were more likely to report being in sexually inactive couples than their non\u2010LRT counterparts; 3) among sexually active participants, no difference was observed between LRT and non\u2010LRT PLHIV concerning condom use with their serodiscordant steady partner or with their most recent casual sexual partners.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>LRT PLHIV with sUVL \u226512 months did not report more sexual risk behaviours than their non\u2010LRT counterparts. Because the same result was obtained for those having a sUVL \u226536 months, the hypothesis of increased sexual risk behaviour over time in PLHIV meeting non\u2010transmission biomedical criteria is not supported.<\/jats:p><\/jats:sec>","DOI":"10.7448\/ias.19.1.20095","type":"journal-article","created":{"date-parts":[[2016,1,8]],"date-time":"2016-01-08T08:29:58Z","timestamp":1452241798000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Sexual risk behaviour among people living with HIV according to the biomedical risk of transmission: results from the ANRS\u2010VESPA2 survey"],"prefix":"10.1002","volume":"19","author":[{"given":"Marie","family":"Suzan\u2010Monti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Lorente","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baptiste","family":"Demoulin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabienne","family":"Marcellin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Pr\u00e9au","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemary","family":"Dray\u2010Spira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"France","family":"Lert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Spire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the ANRS\u2010VESPA2 Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,1,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.qai.0000157389.78374.45"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60705-2"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105243"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0055747"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.4414\/bms.2008.13252"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7541.605"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-007-0024-7"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31818eb752"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1086\/656810"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.03.020"},{"key":"e_1_2_10_12_1","unstructured":"CazeinF LotF PilonelJ SommenC PingetR Le VuS et al.D\u00e9couvertes de s\u00e9ropositivit\u00e9 VIH et de sida \u2013 France 2003\u20132013.Bull Epid\u00e9miol Hebd.2015;9\u201310:152\u201361."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.2.224"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120701203261"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e32834b4ced"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3855\/jidc.2644"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-012-0144-6"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1086\/656809"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000000273"},{"key":"e_1_2_10_20_1","unstructured":"Dray\u2010SpiraR SpireB LertF et le groupe Vespa2.General method of the ANRS\u2010VESPA2 Study.Bull Epid\u00e9miologique Hebd.2013;26\u201327:321\u20134."},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2013.832723"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2008.10.005"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00126334-200308010-00010"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000131396.21963.81"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31828c20d8"},{"key":"e_1_2_10_26_1","unstructured":"MorlatP.Prise en charge m\u00e9dicale des personnes vivant avec le VIH Rapport 2013: recommandations du groupe d'experts [Internet]. 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