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
N1 - Funding Information:
Financial support. The ARTAS project was funded by the Centers for Disease Control and Prevention (U64/CCU417672) and supported by the University of Miami Developmental Center for AIDS Research and the Emory University Center for AIDS Research. Potential conflicts of interest. All authors: no conflicts.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
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.
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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 -
