Place-Based Predictors of HIV Viral Suppression and Durable Suppression Among Men Who Have Sex With Men in New York City

• Type of Material: Article
• Authors: Kevin A. Jefferson, Emory University; Laura S. Kersanske, New York City Department of Health and Mental Hygiene; Mary E. Wolfe, Emory University; Sarah L. Braunstein, New York City Department of Health and Mental Hygiene; Regine Haardoerfer, Emory University; Don C. Des Jarlais, Icahn School of Medicine at Mount Sinai; Aimee N. C. Campbell, Columbia University; Hannah Cooper, Emory University
• Language: English
• Date: 2017-10-01
• Publisher: Springer (part of Springer Nature): Springer Open Choice Hybrid Journals
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2017, Springer Science+Business Media New York.
• Final Published Version (URL): http://dx.doi.org/10.1007/s10461-017-1810-x
• Title of Journal or Parent Work: AIDS and Behavior
• ISSN: 1090-7165
• Volume: 21
• Issue: 10
• Start Page: 2987
• End Page: 2999
• Grant/Funding Information: This work was supported by R01 DA035707 (Campbell, Des Jarlais) and by the Emory Center for AIDS Research (P30 AI050409; Curran).
• Keywords: HIV/AIDS; Biomedical Social Sciences; ANTIRETROVIRAL THERAPY ADHERENCE; Men who have sex with men; Place-based predictors; HIV viral suppression; New York City; PEOPLE; AIDS; Public, Environmental & Occupational Health; UNITED-STATES; RISK; HOMELESSNESS; MEDICAL-CARE; Science & Technology; Social Sciences; Life Sciences & Biomedicine; IMPACT; Social Sciences, Biomedical; PUBLIC-HEALTH
• Research Categories: Health Sciences, Public Health; Social Work; Biology, Virology

Abstract

We explore relationships between place characteristics and HIV viral suppression among HIV-positive men who have sex with men (MSM) in New York City (NYC). We conducted multilevel analyses to examine associations of United Hospital Fund (UHF)-level characteristics to individual-level suppression and durable suppression among MSM. Individual-level independent and dependent variables came from MSM in NYC’s HIV surveillance registry who had been diagnosed in 2009–2013 (N = 7159). UHF-level covariates captured demographic composition, economic disadvantage, healthcare access, social disorder, and police stop and frisk rates. 56.89% of MSM achieved suppression; 35.49% achieved durable suppression. MSM in UHFs where 5–29% of residents were Black had a greater likelihood of suppression (reference: ≥30% Black; adjusted relative risk (ARR) = 1.07, p = 0.04). MSM in UHFs with <30 MSM-headed households/10,000 households had a lower likelihood of achieving durable suppression (reference: ≥60 MSM-headed households/10,000; ARR = 0.82; p = 0.05). Place characteristics may influence viral suppression. Longitudinal research should confirm these associations.