Risk patterns preceding diagnosis among newly HIV-diagnosed men who have sex with men in New York City
Men who have sex with men (MSM) are at high risk for contracting and transmitting HIV. They are increasingly encouraged to get tested, but understanding of the interplay between HIV testing and risk behavior is limited. One hundred fifty newly HIV-diagnosed (within past 3 months) MSM were recruited...
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| Veröffentlicht in: | AIDS patient care and STDs 2013-06, Vol.27 (6), p.333-341 |
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| creator | Drabkin, Anya S Sikkema, Kathleen J Wilson, Patrick A Meade, Christina S Hansen, Nathan B DeLorenzo, Allyson Kochman, Arlene MacFarlane, Jessica C Watt, Melissa H Aunon, Frances M Ranby, Krista W Mayer, Gal |
| description | Men who have sex with men (MSM) are at high risk for contracting and transmitting HIV. They are increasingly encouraged to get tested, but understanding of the interplay between HIV testing and risk behavior is limited. One hundred fifty newly HIV-diagnosed (within past 3 months) MSM were recruited from a community clinic in New York City. Participants completed an interview assessing sexual behavior and substance use during the 3 months pre-diagnosis, current depressive symptoms, and prior HIV testing. HIV-related health characteristics at diagnosis were abstracted from medical records. Analyses examined factors associated with unprotected anal intercourse (UAI) in the 3 months pre-diagnosis, and with a negative HIV test in the 12 months pre-diagnosis. The sample was young (mean age=32.5, SD=8.8), ethnically diverse (62% racial/ethnic minority), low-income (71%≤$30,000/year), and educated (48% college/advanced degree). Most (95%) had a prior negative HIV test, 55% within the last 12 months. Significant risk behavior was reported, with 79% reporting UAI. UAI was associated with recent testing and use of substances during sexual behavior. Recent testing was associated with being employed/a student, having had UAI, and higher CD4 count. Implications for future research addressing perceived HIV risk, HIV testing utilization, and risk behavior are discussed. |
| doi_str_mv | 10.1089/apc.2012.0313 |
| format | Article |
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They are increasingly encouraged to get tested, but understanding of the interplay between HIV testing and risk behavior is limited. One hundred fifty newly HIV-diagnosed (within past 3 months) MSM were recruited from a community clinic in New York City. Participants completed an interview assessing sexual behavior and substance use during the 3 months pre-diagnosis, current depressive symptoms, and prior HIV testing. HIV-related health characteristics at diagnosis were abstracted from medical records. Analyses examined factors associated with unprotected anal intercourse (UAI) in the 3 months pre-diagnosis, and with a negative HIV test in the 12 months pre-diagnosis. The sample was young (mean age=32.5, SD=8.8), ethnically diverse (62% racial/ethnic minority), low-income (71%≤$30,000/year), and educated (48% college/advanced degree). Most (95%) had a prior negative HIV test, 55% within the last 12 months. Significant risk behavior was reported, with 79% reporting UAI. UAI was associated with recent testing and use of substances during sexual behavior. Recent testing was associated with being employed/a student, having had UAI, and higher CD4 count. Implications for future research addressing perceived HIV risk, HIV testing utilization, and risk behavior are discussed.</description><identifier>ISSN: 1087-2914</identifier><identifier>EISSN: 1557-7449</identifier><identifier>DOI: 10.1089/apc.2012.0313</identifier><identifier>PMID: 23730703</identifier><identifier>CODEN: APACEF</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adult ; Alcohol use ; Behavioral and Psychosocial Research ; CD4 Lymphocyte Count ; Condoms - statistics & numerical data ; Drug use ; Gays & lesbians ; Health Behavior ; Health risks ; HIV ; HIV Infections - diagnosis ; HIV Infections - epidemiology ; HIV Infections - psychology ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Interviews as Topic ; Lentivirus ; Male ; Mass Screening ; Medical diagnosis ; Medical tests ; New York City - epidemiology ; Population Surveillance ; Retroviridae ; Risk Factors ; Risk taking ; Sexual behavior ; Sexually transmitted diseases ; Socioeconomic Factors ; STD ; Substance use ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - psychology ; Surveys and Questionnaires ; Time Factors ; Unsafe Sex - psychology ; Unsafe Sex - statistics & numerical data ; Viral Load ; Young Adult</subject><ispartof>AIDS patient care and STDs, 2013-06, Vol.27 (6), p.333-341</ispartof><rights>Copyright Mary Ann Liebert Inc. 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They are increasingly encouraged to get tested, but understanding of the interplay between HIV testing and risk behavior is limited. One hundred fifty newly HIV-diagnosed (within past 3 months) MSM were recruited from a community clinic in New York City. Participants completed an interview assessing sexual behavior and substance use during the 3 months pre-diagnosis, current depressive symptoms, and prior HIV testing. HIV-related health characteristics at diagnosis were abstracted from medical records. Analyses examined factors associated with unprotected anal intercourse (UAI) in the 3 months pre-diagnosis, and with a negative HIV test in the 12 months pre-diagnosis. The sample was young (mean age=32.5, SD=8.8), ethnically diverse (62% racial/ethnic minority), low-income (71%≤$30,000/year), and educated (48% college/advanced degree). Most (95%) had a prior negative HIV test, 55% within the last 12 months. Significant risk behavior was reported, with 79% reporting UAI. 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They are increasingly encouraged to get tested, but understanding of the interplay between HIV testing and risk behavior is limited. One hundred fifty newly HIV-diagnosed (within past 3 months) MSM were recruited from a community clinic in New York City. Participants completed an interview assessing sexual behavior and substance use during the 3 months pre-diagnosis, current depressive symptoms, and prior HIV testing. HIV-related health characteristics at diagnosis were abstracted from medical records. Analyses examined factors associated with unprotected anal intercourse (UAI) in the 3 months pre-diagnosis, and with a negative HIV test in the 12 months pre-diagnosis. The sample was young (mean age=32.5, SD=8.8), ethnically diverse (62% racial/ethnic minority), low-income (71%≤$30,000/year), and educated (48% college/advanced degree). Most (95%) had a prior negative HIV test, 55% within the last 12 months. Significant risk behavior was reported, with 79% reporting UAI. 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| subjects | Adult Alcohol use Behavioral and Psychosocial Research CD4 Lymphocyte Count Condoms - statistics & numerical data Drug use Gays & lesbians Health Behavior Health risks HIV HIV Infections - diagnosis HIV Infections - epidemiology HIV Infections - psychology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Interviews as Topic Lentivirus Male Mass Screening Medical diagnosis Medical tests New York City - epidemiology Population Surveillance Retroviridae Risk Factors Risk taking Sexual behavior Sexually transmitted diseases Socioeconomic Factors STD Substance use Substance-Related Disorders - epidemiology Substance-Related Disorders - psychology Surveys and Questionnaires Time Factors Unsafe Sex - psychology Unsafe Sex - statistics & numerical data Viral Load Young Adult |
| title | Risk patterns preceding diagnosis among newly HIV-diagnosed men who have sex with men in New York City |
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