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Past year and prior incarceration and HIV transmission risk among HIV-positive men who have sex with men in the US*.
- Source :
- AIDS Care; Mar2019, Vol. 31 Issue 3, p349-356, 8p, 1 Chart, 1 Graph
- Publication Year :
- 2019
-
Abstract
- Three quarters of new HIV infections in the US are among men who have sex with men (MSM). In other populations, incarceration is a social determinant of elevations in viral load and HIV-related substance use and sex risk behavior. There has been limited research on incarceration and these HIV transmission risk determinants in HIV-positive MSM. We used the Veterans Aging Cohort Study (VACS) 2011-2012 follow-up survey to measure associations between past year and prior (more than one year ago) incarceration and HIV viral load and substance use and sex risk behavior among HIV-positive MSM (N = 532). Approximately 40% had ever been incarcerated, including 9% in the past year. In analyses adjusting for sociodemographic factors, past year and prior incarceration were strongly associated with detectable viral load (HIV-1 RNA >500 copies/mL) (past year adjusted odds ratio (AOR): 3.50 95% confidence interval (CI): 1.59, 7.71; prior AOR: 2.48 95% CI: 1.44, 4.29) and past 12 month injection drug use (AORs > 6), multiple sex partnerships (AORs > 1.8), and condomless sex in the context of substance use (AORs > 3). Past year incarceration also was strongly associated with alcohol and non-injection drug use (AOR > 2.5). Less than one in five HIV-positive MSM recently released from incarceration took advantage of a jail/prison re-entry health care program available to veterans. We need to reach HIV-positive MSM leaving jails and prisons to improve linkage to care and clinical outcomes and reduce transmission risk upon release. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV prevention
HIV infection risk factors
HIV infection transmission
ADULTERY
AGING
ALCOHOLISM
CONFIDENCE intervals
HIV
LONGITUDINAL method
MEDICAL care of prisoners
RISK-taking behavior
RNA
HUMAN sexuality
SUBSTANCE abuse
SURVEYS
PSYCHOLOGY of veterans
VIRAL load
COMMUNITY-based social services
UNSAFE sex
MEN who have sex with men
SEXUAL partners
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 31
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 133897246
- Full Text :
- https://doi.org/10.1080/09540121.2018.1499861