Algorithm for defining HIV-protected acts with main partner for participants reporting less than 100% condom use with main partner | ||
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HIV status | No casual partners in last 3 months | One or both partners have casual partners |
Seroconcordant negative | HIV protected | Both partners adherent to PrEP = protected |
Partner(s) having casual sex are/is adherent to PrEP = protected | ||
Seroconcordant positive | Both adherent to antiretroviral therapy (ARV) and virally suppressed = protected | Both adherent to ARV and virally suppressed = protected |
Serodiscordant | HIV-positive partner is virally suppressed and ARV adherent = protected | HIV-positive partner is having casual sex, is adherent to ARV and virally suppressed = protected |
HIV-negative partner adherent to PrEP = protected | HIV-negative partner is having casual sex and is adherent to PrEP = protected |