دورية أكاديمية
Sexual risk taking and the HIV care continuum in an online sample of men who have sex with men.
العنوان: | Sexual risk taking and the HIV care continuum in an online sample of men who have sex with men. |
---|---|
المؤلفون: | Yoon IS; a Division of Research and Evaluation , Public Health Solutions , New York , NY , USA., Downing MJ Jr; a Division of Research and Evaluation , Public Health Solutions , New York , NY , USA., Teran R; a Division of Research and Evaluation , Public Health Solutions , New York , NY , USA., Chiasson MA; a Division of Research and Evaluation , Public Health Solutions , New York , NY , USA., Houang ST; a Division of Research and Evaluation , Public Health Solutions , New York , NY , USA., Parsons JT; b The Center for HIV/AIDS Educational Studies & Training , Hunter College of the City University of New York , New York , NY , USA., Hirshfield S; a Division of Research and Evaluation , Public Health Solutions , New York , NY , USA. |
المصدر: | AIDS care [AIDS Care] 2018 Jul; Vol. 30 (7), pp. 921-929. Date of Electronic Publication: 2017 Dec 19. |
نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
اللغة: | English |
بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE |
أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989- |
مواضيع طبية MeSH: | Homosexuality, Male* , Risk-Taking*, HIV Infections/*epidemiology, Adolescent ; Adult ; Humans ; Male ; Middle Aged ; United States/epidemiology ; Young Adult |
مستخلص: | Antiretroviral Therapy (ART) suppresses HIV replication, reducing the risk of transmission. However, many people living with HIV in the US are not virally suppressed even after diagnosis and initiating ART, and may become disengaged from care at each stage of the HIV care continuum (HCC). In the current study we assessed the sexual risk behaviors of MSM by HCC stage. US MSM who completed an online survey (N = 12,995) in 2015 were categorized into 6 HCC groups. Mean age was 39.2 and a majority identified as White (49.6%). At every stage of the HCC, we found higher proportions of individuals engaged in care compared to CDC estimates. A majority of the sample was HIV-positive and engaged in care, with 67.2% of HIV-positive participants reporting viral suppression with ART. Across HCC groups, participants reported high rates of past 6-month condomless anal sex (CAS) (79.2%-84.8%) and CAS with serodiscordant or unknown status partners (38.0%-84.1%). Notably, MSM with unknown HIV serostatus reported the highest proportion of CAS and serodiscordant CAS. HIV-positive MSM not on ART were more likely to report an STI diagnosis (p < .002) compared to those unaware of their HIV status or HIV negative. Moreover, young Black MSM were less likely to be on ART (p < .002) or virally suppressed (p < .002) compared to older White MSM. Our findings highlight potentially problematic sexual risk behaviors among MSM by level of HCC engagement, which can impede the preventive impact of ART. Online platforms provide an avenue to assess the progress of MSM along the HCC, as well as other subpopulations in need of appropriate behavioral interventions to decrease HIV incidence. |
References: | J Med Internet Res. 2011 May 13;13(2):e38. (PMID: 21571632) Lancet. 2012 Jul 28;380(9839):341-8. (PMID: 22819656) J Infect Dis. 2017 Oct 17;216(7):808-812. (PMID: 28368493) JMIR Res Protoc. 2016 Jun 17;5(2):e125. (PMID: 27315764) Lancet HIV. 2014 Dec;1(3):e112-e118. (PMID: 25530987) Lancet. 2013 Nov 2;382(9903):1515-24. (PMID: 24152938) Lancet. 2012 Jul 28;380(9839):367-77. (PMID: 22819660) AIDS. 2014 May 15;28(8):1203-11. (PMID: 25000558) MMWR Morb Mortal Wkly Rep. 2010 Sep 24;59(37):1201-7. (PMID: 20864920) Clin Infect Dis. 2016 Oct 1;63(7):976-83. (PMID: 27358354) MMWR Morb Mortal Wkly Rep. 2014 Sep 26;63(38):829-33. (PMID: 25254559) JAMA Intern Med. 2015 Apr;175(4):596-7. (PMID: 25706538) JAMA Pediatr. 2016 Feb;170(2):125-31. (PMID: 26641367) PLoS One. 2015 Jun 04;10(6):e0127950. (PMID: 26042804) MMWR Morb Mortal Wkly Rep. 2017 Sep 22;66(37):969-974. (PMID: 28934185) AIDS Educ Prev. 2014 Aug;26(4):362-82. (PMID: 25068182) AIDS Patient Care STDS. 2014 Mar;28(3):128-35. (PMID: 24601734) Clin Infect Dis. 2011 Mar 15;52(6):793-800. (PMID: 21367734) AIDS Behav. 2014 Oct;18(10):1821-34. (PMID: 24165983) AIDS. 2012 Aug 24;26(13):1585-98. (PMID: 22507927) PLoS One. 2015 Jul 15;10(7):e0132962. (PMID: 26176856) Lancet Infect Dis. 2014 Apr;14(4):281-90. (PMID: 24602844) AIDS. 2016 Aug 24;30(13):2117-24. (PMID: 27465279) N Engl J Med. 2011 Aug 11;365(6):493-505. (PMID: 21767103) JAMA. 2016 Jul 12;316(2):171-81. (PMID: 27404185) Arch Sex Behav. 2017 May;46(4):895-902. (PMID: 28168543) PLoS One. 2011;6(8):e17502. (PMID: 21826193) AIDS. 2012 Apr 24;26(7):893-6. (PMID: 22313960) Arch Sex Behav. 2015 Oct;44(7):1969-78. (PMID: 26179596) HIV Med. 2013 May;14(5):263-72. (PMID: 23107801) N Engl J Med. 2016 Sep 1;375(9):830-9. (PMID: 27424812) PLoS One. 2015 Jun 18;10(6):e0129376. (PMID: 26086089) JAMA Intern Med. 2015 Apr;175(4):588-96. (PMID: 25706928) Clin Infect Dis. 2015 Jan 1;60(1):117-25. (PMID: 25225233) J Acquir Immune Defic Syndr. 2014 Dec 15;67(5):519-27. (PMID: 25230292) AIDS. 2006 Jun 26;20(10):1447-50. (PMID: 16791020) J Int AIDS Soc. 2015 Aug 05;18:19930. (PMID: 26249127) Am J Public Health. 2014 Sep;104(9):e24-9. (PMID: 25033144) |
معلومات مُعتمدة: | R01 MH100973 United States MH NIMH NIH HHS; T32 AI114398 United States AI NIAID NIH HHS |
فهرسة مساهمة: | Keywords: HIV care continuum; men who have sex with men; sexual HIV transmission; treatment as prevention |
تواريخ الأحداث: | Date Created: 20171221 Date Completed: 20190930 Latest Revision: 20190930 |
رمز التحديث: | 20221213 |
مُعرف محوري في PubMed: | PMC6094930 |
DOI: | 10.1080/09540121.2017.1417535 |
PMID: | 29258341 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1360-0451 |
---|---|
DOI: | 10.1080/09540121.2017.1417535 |