Differences in Characteristics and Clinical Outcomes Among Hispanic/Latino Men and Women Receiving HIV Medical Care — United States, 2013–2014

Luna-Gierke, Ruth E.; Shouse, R. Luke; Luo, Qingwei; Frazier, Emma L.; Chen, Guangnan; Beer, Linda

doi:10.15585/mmwr.mm6740a2

Cited by 7 publications

(4 citation statements)

References 6 publications

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“…Our finding that young MSM had lower odds of sustained viral suppression is consistent with national studies of the general population of PLHIV [7,9,[13][14][15]. A study of 33 United States jurisdictions with complete reporting of viral load tests found that in 2014, [13][14][15][16][17][18][19][20][21][22][23][24] year old PLHIV were more likely to have unsuppressed viral loads Fig. 1 Factors associated with sustained viral suppression among men who have sex with men.…”

Section: Discussionsupporting

confidence: 83%

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Sustained HIV viral suppression among men who have sex with men in the Miami-Dade County Ryan White Program: the effect of demographic, psychosocial, provider and neighborhood factors

et al. 2020

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Background: HIV viral suppression is associated with health benefits for people living with HIV and a decreased risk of HIV transmission to others. The objective was to identify demographic, psychosocial, provider and neighborhood factors associated with sustained viral suppression among gay, bisexual, and other men who have sex with men. Methods: Data from adult men who have sex with men (MSM) enrolled in the Miami-Dade County Ryan White Program (RWP) before 2017 were used. Sustained viral suppression was defined as having an HIV viral load < 200 copies/ml in all viral load tests in 2017. Three-level (individual, medical case management site, and neighborhood) cross-classified mixed-effect models were used to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for sustained viral suppression. Results: Of 3386 MSM, 90.8% were racial/ethnic minorities, and 84.4% achieved sustained viral suppression. The odds of achieving sustained viral suppression was lower for 18-24 and 25-34 year-old MSM compared with 35-49 year-old MSM, and for non-Latino Black MSM compared with White MSM. Those not enrolled in the Affordable Care Act, and those with current AIDS symptoms and a history of AIDS had lower odds of achieving sustained viral suppression. Psychosocial factors significantly associated with lower odds of sustained viral suppression included drug/alcohol use, mental health symptoms, homelessness, and transportation to appointment needs. Individuals with an HIV physician who serves a larger volume of RWP clients had greater odds of sustained viral suppression. Neighborhood factors were not associated with sustained viral suppression.(Continued on next page)

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Section: Discussionsupporting

confidence: 83%

“…Furthermore, previous studies have focused on the general population of PLHIV. Studies have reported that sustained viral suppression is higher among men compared with women [19] and among MSM compared with all other HIV risk groups [7].…”

Section: Discussionmentioning

confidence: 99%

Sustained HIV viral suppression among men who have sex with men in the Miami-Dade County Ryan White Program: the effect of demographic, psychosocial, provider and neighborhood factors

et al. 2020

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“…19,20 As PrEP referrals and discussions tend to occur in healthcare settings, alternative strategies to enhance the accessibility of PrEP services (eg, community-based approaches) might reduce this gap in Latino SMM who may be less likely to have health insurance or a regular healthcare provider. 21,22 Alongside overall increases in PrEP awareness and PrEP discussions with a provider, our results indicated that PrEP use in the past 12 months significantly increased from 4% in 2014 to 15% in 2020. The steady increase in PrEP use may be attributed to an increased awareness of PrEP alongside an increased acceptance of its use.…”

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%