HIV transmission risk behaviors among HIV-infected persons who are successfully linked to care

Lisa R. Metsch, Margaret Pereyra, Shari Messinger, Carlos Del Rio, Steffanie A. Strathdee, Pamela Anderson-Mahoney, Ellen Rudy, Gary Marks, Lytt Gardner

Research output: Contribution to journalArticle

119 Citations (Scopus)

Abstract

Objectives. We examined the relationship between receipt of medical care for human immunodeficiency virus (HIV) infection and HIV transmission risk behavior among persons who had received a recent diagnosis of HIV infection. Methods. We enrolled 316 participants from 4 US cities and prospectively followed up participants for 1 year. Generalized estimating equations were used to examine whether having at least 3 medical care visits in a 6-month period was associated with unprotected vaginal or anal intercourse with an HIV-negative partner or partner with unknown HIV status. Results. A total of 27.5% of the participants (84 of 305) self-reported having unprotected sex with an HIV-negative or unknown status partner at enrollment, decreasing to 12% (31 of 258) and 14.2% (36 of 254) at 6-month and 12-month follow-ups, respectively. At follow-up, people who had received medical care for HIV infection at least 3 times had reduced odds of engaging in risk behavior, compared with those with fewer visits. Other factors associated with reduced risk behavior were being >30 years of age, male sex, not having depressive symptoms, and not using crack cocaine. Conclusions. Being in HIV care is associated with a reduced prevalence of sexual risk behavior among persons living with HIV infection. Persons linked to care can benefit from prevention services available in primary care settings.

Original languageEnglish
Pages (from-to)577-584
Number of pages8
JournalClinical Infectious Diseases
Volume47
Issue number4
DOIs
StatePublished - Aug 15 2008

Fingerprint

Risk-Taking
HIV
Virus Diseases
Crack Cocaine
Unsafe Sex
Sexual Behavior
Primary Health Care
Depression

ASJC Scopus subject areas

  • Immunology

Cite this

Metsch, L. R., Pereyra, M., Messinger, S., Del Rio, C., Strathdee, S. A., Anderson-Mahoney, P., ... Gardner, L. (2008). HIV transmission risk behaviors among HIV-infected persons who are successfully linked to care. Clinical Infectious Diseases, 47(4), 577-584. https://doi.org/10.1086/590153

HIV transmission risk behaviors among HIV-infected persons who are successfully linked to care. / Metsch, Lisa R.; Pereyra, Margaret; Messinger, Shari; Del Rio, Carlos; Strathdee, Steffanie A.; Anderson-Mahoney, Pamela; Rudy, Ellen; Marks, Gary; Gardner, Lytt.

In: Clinical Infectious Diseases, Vol. 47, No. 4, 15.08.2008, p. 577-584.

Research output: Contribution to journalArticle

Metsch, LR, Pereyra, M, Messinger, S, Del Rio, C, Strathdee, SA, Anderson-Mahoney, P, Rudy, E, Marks, G & Gardner, L 2008, 'HIV transmission risk behaviors among HIV-infected persons who are successfully linked to care', Clinical Infectious Diseases, vol. 47, no. 4, pp. 577-584. https://doi.org/10.1086/590153
Metsch, Lisa R. ; Pereyra, Margaret ; Messinger, Shari ; Del Rio, Carlos ; Strathdee, Steffanie A. ; Anderson-Mahoney, Pamela ; Rudy, Ellen ; Marks, Gary ; Gardner, Lytt. / HIV transmission risk behaviors among HIV-infected persons who are successfully linked to care. In: Clinical Infectious Diseases. 2008 ; Vol. 47, No. 4. pp. 577-584.
@article{2ee14849fbfb4a608f43f514853b0e69,
title = "HIV transmission risk behaviors among HIV-infected persons who are successfully linked to care",
abstract = "Objectives. We examined the relationship between receipt of medical care for human immunodeficiency virus (HIV) infection and HIV transmission risk behavior among persons who had received a recent diagnosis of HIV infection. Methods. We enrolled 316 participants from 4 US cities and prospectively followed up participants for 1 year. Generalized estimating equations were used to examine whether having at least 3 medical care visits in a 6-month period was associated with unprotected vaginal or anal intercourse with an HIV-negative partner or partner with unknown HIV status. Results. A total of 27.5{\%} of the participants (84 of 305) self-reported having unprotected sex with an HIV-negative or unknown status partner at enrollment, decreasing to 12{\%} (31 of 258) and 14.2{\%} (36 of 254) at 6-month and 12-month follow-ups, respectively. At follow-up, people who had received medical care for HIV infection at least 3 times had reduced odds of engaging in risk behavior, compared with those with fewer visits. Other factors associated with reduced risk behavior were being >30 years of age, male sex, not having depressive symptoms, and not using crack cocaine. Conclusions. Being in HIV care is associated with a reduced prevalence of sexual risk behavior among persons living with HIV infection. Persons linked to care can benefit from prevention services available in primary care settings.",
author = "Metsch, {Lisa R.} and Margaret Pereyra and Shari Messinger and {Del Rio}, Carlos and Strathdee, {Steffanie A.} and Pamela Anderson-Mahoney and Ellen Rudy and Gary Marks and Lytt Gardner",
year = "2008",
month = "8",
day = "15",
doi = "10.1086/590153",
language = "English",
volume = "47",
pages = "577--584",
journal = "Clinical Infectious Diseases",
issn = "1058-4838",
publisher = "Oxford University Press",
number = "4",

}

TY - JOUR

T1 - HIV transmission risk behaviors among HIV-infected persons who are successfully linked to care

AU - Metsch, Lisa R.

AU - Pereyra, Margaret

AU - Messinger, Shari

AU - Del Rio, Carlos

AU - Strathdee, Steffanie A.

AU - Anderson-Mahoney, Pamela

AU - Rudy, Ellen

AU - Marks, Gary

AU - Gardner, Lytt

PY - 2008/8/15

Y1 - 2008/8/15

N2 - Objectives. We examined the relationship between receipt of medical care for human immunodeficiency virus (HIV) infection and HIV transmission risk behavior among persons who had received a recent diagnosis of HIV infection. Methods. We enrolled 316 participants from 4 US cities and prospectively followed up participants for 1 year. Generalized estimating equations were used to examine whether having at least 3 medical care visits in a 6-month period was associated with unprotected vaginal or anal intercourse with an HIV-negative partner or partner with unknown HIV status. Results. A total of 27.5% of the participants (84 of 305) self-reported having unprotected sex with an HIV-negative or unknown status partner at enrollment, decreasing to 12% (31 of 258) and 14.2% (36 of 254) at 6-month and 12-month follow-ups, respectively. At follow-up, people who had received medical care for HIV infection at least 3 times had reduced odds of engaging in risk behavior, compared with those with fewer visits. Other factors associated with reduced risk behavior were being >30 years of age, male sex, not having depressive symptoms, and not using crack cocaine. Conclusions. Being in HIV care is associated with a reduced prevalence of sexual risk behavior among persons living with HIV infection. Persons linked to care can benefit from prevention services available in primary care settings.

AB - Objectives. We examined the relationship between receipt of medical care for human immunodeficiency virus (HIV) infection and HIV transmission risk behavior among persons who had received a recent diagnosis of HIV infection. Methods. We enrolled 316 participants from 4 US cities and prospectively followed up participants for 1 year. Generalized estimating equations were used to examine whether having at least 3 medical care visits in a 6-month period was associated with unprotected vaginal or anal intercourse with an HIV-negative partner or partner with unknown HIV status. Results. A total of 27.5% of the participants (84 of 305) self-reported having unprotected sex with an HIV-negative or unknown status partner at enrollment, decreasing to 12% (31 of 258) and 14.2% (36 of 254) at 6-month and 12-month follow-ups, respectively. At follow-up, people who had received medical care for HIV infection at least 3 times had reduced odds of engaging in risk behavior, compared with those with fewer visits. Other factors associated with reduced risk behavior were being >30 years of age, male sex, not having depressive symptoms, and not using crack cocaine. Conclusions. Being in HIV care is associated with a reduced prevalence of sexual risk behavior among persons living with HIV infection. Persons linked to care can benefit from prevention services available in primary care settings.

UR - http://www.scopus.com/inward/record.url?scp=48749104189&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=48749104189&partnerID=8YFLogxK

U2 - 10.1086/590153

DO - 10.1086/590153

M3 - Article

C2 - 18624629

AN - SCOPUS:48749104189

VL - 47

SP - 577

EP - 584

JO - Clinical Infectious Diseases

JF - Clinical Infectious Diseases

SN - 1058-4838

IS - 4

ER -