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The HIV care continuum among men who have sex with men in Moscow, Russia: a cross-sectional study of infection awareness and engagement in care.

Publication ,  Journal Article
Wirtz, AL; Zelaya, CE; Latkin, C; Peryshkina, A; Galai, N; Mogilniy, V; Dzhigun, P; Kostetskaya, I; Mehta, SH; Beyrer, C
Published in: Sex Transm Infect
March 2016

OBJECTIVES: Early diagnosis and treatment of HIV infection is critical to improving clinical outcomes for HIV-infected individuals. We sought to characterise the HIV care continuum and identify correlates of being unaware of one's HIV infection among men who have sex with men (MSM) in Moscow, Russia. METHODS: Participants (N=1376) were recruited via respondent-driven sampling and completed a sociobehavioural survey and HIV testing from 2010 to 2013. Sample and population estimates were calculated for key steps along the HIV care continuum for HIV-infected MSM and logistic regression methods were used to examine correlates of being unaware of one's HIV infection. RESULTS: 15.6% (184/1177; population estimate: 11.6%; 95% CI 8.5% to 14.7%) of participants were HIV infected. Of these, only 23.4% (43/184; population estimate: 13.2; 95% CI 11.0 to 15.4) were previously aware of their infection, 8.7% (16/184 population estimate: 4.7; 95% CI 1.0 to 8.5) were on antiretroviral therapy (ART), and 4.4% (8/164; population estimate: 3.0; 95% CI 0.3 to 5.6) reported an undetectable viral load. Bisexual identity (reference: homosexual; adjusted odds ratio (AOR): 3.69; 95% CI 1.19 to 11.43), having ≥5 sexual partners in the last 6 months (reference: ≤1; AOR: 4.23; 95% CI 1.17 to 15.28), and employer HIV testing requirements (reference: no; AOR: 15.43; 95% CI 1.62 to 147.01) were associated with being unaware of one's HIV infection. HIV testing in a specialised facility (reference: private; AOR: 0.06; 95% CI 0.01 to 0.53) and testing ≥2 times in the last 12 months (reference: none; AOR: 0.17; 95% CI 0.04 to 0.73) were inversely associated with being unaware of HIV infection. CONCLUSIONS: There is a steep gradient along the HIV care continuum for Moscow-based MSM beginning with low awareness of HIV infection. Efforts that improve access to acceptable HIV testing strategies, such as alternative testing facilities, and linkage to care are needed for key populations.

Duke Scholars

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Published In

Sex Transm Infect

DOI

EISSN

1472-3263

Publication Date

March 2016

Volume

92

Issue

2

Start / End Page

161 / 167

Location

England

Related Subject Headings

  • Sexual Partners
  • Sexual Behavior
  • Russia
  • Risk-Taking
  • Public Health
  • Prevalence
  • Patient Acceptance of Health Care
  • Moscow
  • Mass Screening
  • Male
 

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Wirtz, A. L., Zelaya, C. E., Latkin, C., Peryshkina, A., Galai, N., Mogilniy, V., … Beyrer, C. (2016). The HIV care continuum among men who have sex with men in Moscow, Russia: a cross-sectional study of infection awareness and engagement in care. Sex Transm Infect, 92(2), 161–167. https://doi.org/10.1136/sextrans-2015-052076
Wirtz, A. L., C. E. Zelaya, C. Latkin, A. Peryshkina, N. Galai, V. Mogilniy, P. Dzhigun, I. Kostetskaya, S. H. Mehta, and C. Beyrer. “The HIV care continuum among men who have sex with men in Moscow, Russia: a cross-sectional study of infection awareness and engagement in care.Sex Transm Infect 92, no. 2 (March 2016): 161–67. https://doi.org/10.1136/sextrans-2015-052076.
Wirtz AL, Zelaya CE, Latkin C, Peryshkina A, Galai N, Mogilniy V, et al. The HIV care continuum among men who have sex with men in Moscow, Russia: a cross-sectional study of infection awareness and engagement in care. Sex Transm Infect. 2016 Mar;92(2):161–7.
Wirtz, A. L., et al. “The HIV care continuum among men who have sex with men in Moscow, Russia: a cross-sectional study of infection awareness and engagement in care.Sex Transm Infect, vol. 92, no. 2, Mar. 2016, pp. 161–67. Pubmed, doi:10.1136/sextrans-2015-052076.
Wirtz AL, Zelaya CE, Latkin C, Peryshkina A, Galai N, Mogilniy V, Dzhigun P, Kostetskaya I, Mehta SH, Beyrer C. The HIV care continuum among men who have sex with men in Moscow, Russia: a cross-sectional study of infection awareness and engagement in care. Sex Transm Infect. 2016 Mar;92(2):161–167.

Published In

Sex Transm Infect

DOI

EISSN

1472-3263

Publication Date

March 2016

Volume

92

Issue

2

Start / End Page

161 / 167

Location

England

Related Subject Headings

  • Sexual Partners
  • Sexual Behavior
  • Russia
  • Risk-Taking
  • Public Health
  • Prevalence
  • Patient Acceptance of Health Care
  • Moscow
  • Mass Screening
  • Male