دورية أكاديمية
أعرض في EDS

Sexual risk taking and the HIV care continuum in an online sample of men who have sex with men.

التفاصيل البيبلوغرافية
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.
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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
الوصف
تدمد:1360-0451
DOI:10.1080/09540121.2017.1417535