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Correlates of Self-Reported Viral Suppression Among HIV-Positive, Young, Black Men Who Have Sex With Men Participating in a Randomized Controlled Trial of An Internet-Based HIV Prevention Intervention.

Publication ,  Journal Article
Menza, TW; Choi, S-K; LeGrand, S; Muessig, K; Hightow-Weidman, L
Published in: Sexually transmitted diseases
February 2018

Young, black men who have sex with men are disproportionately impacted by the US HIV epidemic, and HIV-positive, young, black men who have sex with men face stark disparities in HIV clinical outcomes.We performed an observational analysis of the 199 HIV-positive black men aged 18 to 30 years followed up for 12 months in healthMpowerment, a randomized controlled trial of an Internet-based HIV prevention intervention, to identify time-varying correlates of self-reported viral suppression using relative risk (RR) regression.Retention at the 12-month visit was 84%. One hundred five (65%) of 162 participants reported being undetectable at baseline. At 3, 6, and 12 months, 83 (72%) of 115, 84 (82%) of 103, and 101 (86%) of 117 reported an undetectable viral load, respectively. In a multivariable model, participants who reported homelessness (RR, 0.85; 95% confidence interval [CI], 0.72-0.99), who had clinically significant depressive symptoms (RR, 0.88; 95% CI, 0.79-0.98), and who used methamphetamine or crack (RR, 0.61; 95% CI, 0.38-0.96) were less likely to report an undetectable viral load. Young men who engaged in condomless insertive anal intercourse were more likely to report viral suppression (RR, 1.14; 95% CI, 1.04-1.24).HIV care for young, black men who have sex with men must be multidimensional to address medical needs in the context of mental health, substance use, and housing insecurity.

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Published In

Sexually transmitted diseases

DOI

EISSN

1537-4521

ISSN

0148-5717

Publication Date

February 2018

Volume

45

Issue

2

Start / End Page

118 / 126

Related Subject Headings

  • Young Adult
  • Viral Load
  • Sexual and Gender Minorities
  • Sexual Behavior
  • Self Report
  • Public Health
  • Male
  • Internet
  • Humans
  • Homosexuality, Male
 

Citation

APA
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ICMJE
MLA
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Menza, T. W., Choi, S.-K., LeGrand, S., Muessig, K., & Hightow-Weidman, L. (2018). Correlates of Self-Reported Viral Suppression Among HIV-Positive, Young, Black Men Who Have Sex With Men Participating in a Randomized Controlled Trial of An Internet-Based HIV Prevention Intervention. Sexually Transmitted Diseases, 45(2), 118–126. https://doi.org/10.1097/olq.0000000000000705
Menza, Timothy William, Seul-Ki Choi, Sara LeGrand, Kate Muessig, and Lisa Hightow-Weidman. “Correlates of Self-Reported Viral Suppression Among HIV-Positive, Young, Black Men Who Have Sex With Men Participating in a Randomized Controlled Trial of An Internet-Based HIV Prevention Intervention.Sexually Transmitted Diseases 45, no. 2 (February 2018): 118–26. https://doi.org/10.1097/olq.0000000000000705.
Menza, Timothy William, et al. “Correlates of Self-Reported Viral Suppression Among HIV-Positive, Young, Black Men Who Have Sex With Men Participating in a Randomized Controlled Trial of An Internet-Based HIV Prevention Intervention.Sexually Transmitted Diseases, vol. 45, no. 2, Feb. 2018, pp. 118–26. Epmc, doi:10.1097/olq.0000000000000705.

Published In

Sexually transmitted diseases

DOI

EISSN

1537-4521

ISSN

0148-5717

Publication Date

February 2018

Volume

45

Issue

2

Start / End Page

118 / 126

Related Subject Headings

  • Young Adult
  • Viral Load
  • Sexual and Gender Minorities
  • Sexual Behavior
  • Self Report
  • Public Health
  • Male
  • Internet
  • Humans
  • Homosexuality, Male