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 language | English |
|---|---|
| Pages (from-to) | 577-584 |
| Number of pages | 8 |
| Journal | Clinical Infectious Diseases |
| Volume | 47 |
| Issue number | 4 |
| DOIs | |
| State | Published - Aug 15 2008 |
Fingerprint
ASJC Scopus subject areas
- Immunology
Cite this
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 journal › Article
}
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 -