Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality
Functional support—the availability of material aid, emotional support, or companionship—promotes general well-being. For men who have sex with men (MSM) living with HIV, having a person who supports you associates with viral suppression. This study examines the association between supportive partne...
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| creator | Penukonda, Vaibhav Utz, Timothy Perry, Nicholas S Ware, Deanna Brennan-Ing, Mark Meanley, Steven Brown, Andre Haberlen, Sabina Egan, James Shoptaw, Steven Teplin, Linda A Friedman, M. Reuel Plankey, Michael |
| description | Functional support—the availability of material aid, emotional support, or companionship—promotes general well-being. For men who have sex with men (MSM) living with HIV, having a person who supports you associates with viral suppression. This study examines the association between supportive partnerships and HIV viral suppression among middle-aged and aging MSM living with HIV. A total of 423 middle-aged and aging MSM (mean age, 58.2 years) from the Multicenter AIDS Cohort Study provided self-reported data about their partnerships. Separate Poisson regression models assessed how partnership type, support, strain, and duration from April 2017 were associated with repeated viral load measurements up to April 2019. Of the follow-up visits (N = 1289), 90.0% of participants were virally suppressed. Most participants reported being non-Hispanic White (61.0%) and college-educated (83.4%). Participants were asked about their primary partnerships (i.e., “someone they are committed to above anyone else”) and secondary partnerships (i.e., those who can also be intimate or supportive but not necessarily romantic or sexual). The participants reported: no partnerships (45.2%), only primary partnerships (31.0%), only secondary partnerships (11.1%), or both primary and secondary partnerships (12.8%). Primary and secondary partnerships had mean (SD) durations of 15.9 (11.3) and 25.2 (16.5) years, respectively. Participants reporting both primary and secondary partnerships (compared with no partnership) showed significantly higher odds of being virally suppressed (adjusted prevalence ratio [aPR], 1.04; 95% CI, 1.00–1.08; p = 0.043). Albeit not statistically significant, primary-only (aPR, 1.01; 95% CI, 0.97–1.06; p = 0.547) or secondary-only (aPR, 1.03; 95% CI, 0.98–1.08; p = 0.224) partnership types were positively associated with viral suppression. Partner support and strain were not associated with viral suppression in any partnership group. Being older and non-Hispanic Black were positively and negatively associated with viral suppression, respectively. Encouraging partnerships should be considered one of clinicians’ many tools to help middle-aged and aging MSM achieve long-term viral suppression. |
| doi_str_mv | 10.1371/journal.pone.0258032 |
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Reuel ; Plankey, Michael</creator><contributor>Bavinton, Benjamin R.</contributor><creatorcontrib>Penukonda, Vaibhav ; Utz, Timothy ; Perry, Nicholas S ; Ware, Deanna ; Brennan-Ing, Mark ; Meanley, Steven ; Brown, Andre ; Haberlen, Sabina ; Egan, James ; Shoptaw, Steven ; Teplin, Linda A ; Friedman, M. Reuel ; Plankey, Michael ; Bavinton, Benjamin R.</creatorcontrib><description>Functional support—the availability of material aid, emotional support, or companionship—promotes general well-being. For men who have sex with men (MSM) living with HIV, having a person who supports you associates with viral suppression. This study examines the association between supportive partnerships and HIV viral suppression among middle-aged and aging MSM living with HIV. A total of 423 middle-aged and aging MSM (mean age, 58.2 years) from the Multicenter AIDS Cohort Study provided self-reported data about their partnerships. Separate Poisson regression models assessed how partnership type, support, strain, and duration from April 2017 were associated with repeated viral load measurements up to April 2019. Of the follow-up visits (N = 1289), 90.0% of participants were virally suppressed. Most participants reported being non-Hispanic White (61.0%) and college-educated (83.4%). Participants were asked about their primary partnerships (i.e., “someone they are committed to above anyone else”) and secondary partnerships (i.e., those who can also be intimate or supportive but not necessarily romantic or sexual). The participants reported: no partnerships (45.2%), only primary partnerships (31.0%), only secondary partnerships (11.1%), or both primary and secondary partnerships (12.8%). Primary and secondary partnerships had mean (SD) durations of 15.9 (11.3) and 25.2 (16.5) years, respectively. Participants reporting both primary and secondary partnerships (compared with no partnership) showed significantly higher odds of being virally suppressed (adjusted prevalence ratio [aPR], 1.04; 95% CI, 1.00–1.08; p = 0.043). Albeit not statistically significant, primary-only (aPR, 1.01; 95% CI, 0.97–1.06; p = 0.547) or secondary-only (aPR, 1.03; 95% CI, 0.98–1.08; p = 0.224) partnership types were positively associated with viral suppression. Partner support and strain were not associated with viral suppression in any partnership group. Being older and non-Hispanic Black were positively and negatively associated with viral suppression, respectively. Encouraging partnerships should be considered one of clinicians’ many tools to help middle-aged and aging MSM achieve long-term viral suppression.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0258032</identifier><identifier>PMID: 34597316</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Aged men ; Aging ; AIDS ; Biology and Life Sciences ; Demographic aspects ; Gays & lesbians ; Health aspects ; Health care ; Health risks ; Health sciences ; HIV ; HIV patients ; Human immunodeficiency virus ; Infectious diseases ; Medicine ; Medicine and Health Sciences ; Mens health ; Middle age ; Middle aged men ; MSM (Men who have sex with men) ; Partnerships ; People and Places ; Public health ; Regression analysis ; Regression models ; Sexually transmitted diseases ; Social aspects ; Social Sciences ; Social support ; Statistical analysis ; STD ; Well being</subject><ispartof>PloS one, 2021-10, Vol.16 (10), p.e0258032-e0258032</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Penukonda et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Penukonda et al 2021 Penukonda et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6202-fa8e66f396c7346071e7d9ed11f8dd8dd5794ad3c3756a940abe6699b3c8f8f3</citedby><cites>FETCH-LOGICAL-c6202-fa8e66f396c7346071e7d9ed11f8dd8dd5794ad3c3756a940abe6699b3c8f8f3</cites><orcidid>0000-0001-5923-1864</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486120/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486120/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids></links><search><contributor>Bavinton, Benjamin R.</contributor><creatorcontrib>Penukonda, Vaibhav</creatorcontrib><creatorcontrib>Utz, Timothy</creatorcontrib><creatorcontrib>Perry, Nicholas S</creatorcontrib><creatorcontrib>Ware, Deanna</creatorcontrib><creatorcontrib>Brennan-Ing, Mark</creatorcontrib><creatorcontrib>Meanley, Steven</creatorcontrib><creatorcontrib>Brown, Andre</creatorcontrib><creatorcontrib>Haberlen, Sabina</creatorcontrib><creatorcontrib>Egan, James</creatorcontrib><creatorcontrib>Shoptaw, Steven</creatorcontrib><creatorcontrib>Teplin, Linda A</creatorcontrib><creatorcontrib>Friedman, M. Reuel</creatorcontrib><creatorcontrib>Plankey, Michael</creatorcontrib><title>Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality</title><title>PloS one</title><description>Functional support—the availability of material aid, emotional support, or companionship—promotes general well-being. For men who have sex with men (MSM) living with HIV, having a person who supports you associates with viral suppression. This study examines the association between supportive partnerships and HIV viral suppression among middle-aged and aging MSM living with HIV. A total of 423 middle-aged and aging MSM (mean age, 58.2 years) from the Multicenter AIDS Cohort Study provided self-reported data about their partnerships. Separate Poisson regression models assessed how partnership type, support, strain, and duration from April 2017 were associated with repeated viral load measurements up to April 2019. Of the follow-up visits (N = 1289), 90.0% of participants were virally suppressed. Most participants reported being non-Hispanic White (61.0%) and college-educated (83.4%). Participants were asked about their primary partnerships (i.e., “someone they are committed to above anyone else”) and secondary partnerships (i.e., those who can also be intimate or supportive but not necessarily romantic or sexual). The participants reported: no partnerships (45.2%), only primary partnerships (31.0%), only secondary partnerships (11.1%), or both primary and secondary partnerships (12.8%). Primary and secondary partnerships had mean (SD) durations of 15.9 (11.3) and 25.2 (16.5) years, respectively. Participants reporting both primary and secondary partnerships (compared with no partnership) showed significantly higher odds of being virally suppressed (adjusted prevalence ratio [aPR], 1.04; 95% CI, 1.00–1.08; p = 0.043). Albeit not statistically significant, primary-only (aPR, 1.01; 95% CI, 0.97–1.06; p = 0.547) or secondary-only (aPR, 1.03; 95% CI, 0.98–1.08; p = 0.224) partnership types were positively associated with viral suppression. Partner support and strain were not associated with viral suppression in any partnership group. Being older and non-Hispanic Black were positively and negatively associated with viral suppression, respectively. Encouraging partnerships should be considered one of clinicians’ many tools to help middle-aged and aging MSM achieve long-term viral suppression.</description><subject>Acquired immune deficiency syndrome</subject><subject>Aged men</subject><subject>Aging</subject><subject>AIDS</subject><subject>Biology and Life Sciences</subject><subject>Demographic aspects</subject><subject>Gays & lesbians</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health risks</subject><subject>Health sciences</subject><subject>HIV</subject><subject>HIV patients</subject><subject>Human immunodeficiency virus</subject><subject>Infectious diseases</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Mens health</subject><subject>Middle age</subject><subject>Middle aged men</subject><subject>MSM (Men who have sex with men)</subject><subject>Partnerships</subject><subject>People and Places</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Sexually transmitted diseases</subject><subject>Social aspects</subject><subject>Social Sciences</subject><subject>Social support</subject><subject>Statistical analysis</subject><subject>STD</subject><subject>Well being</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk_Fr1DAUx4sobp7-B4IFQfSHO5MmbRJ_EMZQd7AxceN-DWnz2stImy5pp_ffm9tVWWU_SBISXj7vm7yXvCR5jdEKE4Y_3rjRd8quetfBCmU5RyR7khxjQbJlkSHy9MH6KHkRwg1COeFF8Tw5IjQXjODiOJEb45VNw9j3HkIwrktV67ombY3WFpaqAZ2qLo7GROvF1UVqzd1--dMM2_RsvfmUfld-6MCHrenTYdfDPX87KmuG3cvkWa1sgFfTvEiuv365Pj1bnl9-W5-enC-reL9sWSsORVETUVSM0AIxDEwL0BjXXOvYcyao0qQiLC-UoEiVkReiJBWveU0WyZuDbG9dkFNqgsxyxqOHQCwS6wOhnbqRvTet8jvplJH3BucbGcMwlQWJag6VAoEoAC2BlVQIKjTNsSi5QFnU-jydNpYt6Aq6ISZxJjrf6cxWNu5OcsoLHN9jkbyfBLy7HSEMsjWhAmtVB2483JuxLM9wRN_-gz4e3UQ1KgZgutrFc6u9qDwpGMtJfO08UqtHqNg0tKaK_6g20T5z-DBziMwAv4ZGjSHI9dWP_2cvN3P23QN2C8oO2-DsOMT_F-YgPYCVdyF4qP8mGSO5L4M_2ZD7MpBTGZDf3uT4Dg</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Penukonda, Vaibhav</creator><creator>Utz, Timothy</creator><creator>Perry, Nicholas S</creator><creator>Ware, Deanna</creator><creator>Brennan-Ing, Mark</creator><creator>Meanley, Steven</creator><creator>Brown, Andre</creator><creator>Haberlen, Sabina</creator><creator>Egan, James</creator><creator>Shoptaw, Steven</creator><creator>Teplin, Linda A</creator><creator>Friedman, M. 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Reuel</au><au>Plankey, Michael</au><au>Bavinton, Benjamin R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality</atitle><jtitle>PloS one</jtitle><date>2021-10-01</date><risdate>2021</risdate><volume>16</volume><issue>10</issue><spage>e0258032</spage><epage>e0258032</epage><pages>e0258032-e0258032</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Functional support—the availability of material aid, emotional support, or companionship—promotes general well-being. For men who have sex with men (MSM) living with HIV, having a person who supports you associates with viral suppression. This study examines the association between supportive partnerships and HIV viral suppression among middle-aged and aging MSM living with HIV. A total of 423 middle-aged and aging MSM (mean age, 58.2 years) from the Multicenter AIDS Cohort Study provided self-reported data about their partnerships. Separate Poisson regression models assessed how partnership type, support, strain, and duration from April 2017 were associated with repeated viral load measurements up to April 2019. Of the follow-up visits (N = 1289), 90.0% of participants were virally suppressed. Most participants reported being non-Hispanic White (61.0%) and college-educated (83.4%). Participants were asked about their primary partnerships (i.e., “someone they are committed to above anyone else”) and secondary partnerships (i.e., those who can also be intimate or supportive but not necessarily romantic or sexual). The participants reported: no partnerships (45.2%), only primary partnerships (31.0%), only secondary partnerships (11.1%), or both primary and secondary partnerships (12.8%). Primary and secondary partnerships had mean (SD) durations of 15.9 (11.3) and 25.2 (16.5) years, respectively. Participants reporting both primary and secondary partnerships (compared with no partnership) showed significantly higher odds of being virally suppressed (adjusted prevalence ratio [aPR], 1.04; 95% CI, 1.00–1.08; p = 0.043). Albeit not statistically significant, primary-only (aPR, 1.01; 95% CI, 0.97–1.06; p = 0.547) or secondary-only (aPR, 1.03; 95% CI, 0.98–1.08; p = 0.224) partnership types were positively associated with viral suppression. Partner support and strain were not associated with viral suppression in any partnership group. Being older and non-Hispanic Black were positively and negatively associated with viral suppression, respectively. Encouraging partnerships should be considered one of clinicians’ many tools to help middle-aged and aging MSM achieve long-term viral suppression.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>34597316</pmid><doi>10.1371/journal.pone.0258032</doi><tpages>e0258032</tpages><orcidid>https://orcid.org/0000-0001-5923-1864</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
| recordid | cdi_plos_journals_2578375907 |
| source | DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome Aged men Aging AIDS Biology and Life Sciences Demographic aspects Gays & lesbians Health aspects Health care Health risks Health sciences HIV HIV patients Human immunodeficiency virus Infectious diseases Medicine Medicine and Health Sciences Mens health Middle age Middle aged men MSM (Men who have sex with men) Partnerships People and Places Public health Regression analysis Regression models Sexually transmitted diseases Social aspects Social Sciences Social support Statistical analysis STD Well being |
| title | Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T02%3A37%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Viral%20suppression%20among%20middle-aged%20and%20aging%20MSM%20living%20with%20HIV:%20Partnership%20type%20and%20quality&rft.jtitle=PloS%20one&rft.au=Penukonda,%20Vaibhav&rft.date=2021-10-01&rft.volume=16&rft.issue=10&rft.spage=e0258032&rft.epage=e0258032&rft.pages=e0258032-e0258032&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0258032&rft_dat=%3Cgale_plos_%3EA677537315%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2578375907&rft_id=info:pmid/34597316&rft_galeid=A677537315&rft_doaj_id=oai_doaj_org_article_0f8ecae904ee4be7b49949d4519b8902&rfr_iscdi=true |