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Author Notes:

Correspondence to Christine L. Mattson, PhD, CDC/Division of HIV/AIDS Prevention, 1600 Clifton Road NE, MS E-46, Atlanta, GA 30329, USA. E-mail: CMattson@cdc.gov

The following are the contributions of the authors to this analysis: C.L.M, M.F. and J.S.: analysis conception, data analysis, wrote the article; E.F., P.H., C.J. provided statistical and data analysis support; J.F., L.B., E.E.V, C.S., A.D.M, P.S., A.L., J.M. and J.H. were involved in conception, design and/or implementation of the MMP.

All authors contributed to data interpretation, article writing and/or review and editing.

The authors thank the MMP patients, facilities and Community and Provider Advisory Board members.

They also thank the 2009 MMP staff: goo.gl/eX2T8N

The authors are grateful to Ms. Marie Morgan for her editorial assistance and the reviewers at AIDS for their valuable input on the manuscript.

The authors declare no conflicts of interest.

Subject:

Research Funding:

Funding for the MMP is provided by the CDC.

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Immunology
  • Infectious Diseases
  • Virology
  • IMMUNOLOGY
  • INFECTIOUS DISEASES
  • VIROLOGY
  • sexual behaviour
  • unsafe sex
  • HIV-infected persons
  • viral load
  • antiretroviral therapy
  • ACTIVE ANTIRETROVIRAL TREATMENT
  • SAN-FRANCISCO
  • PREVENTION
  • THERAPY
  • TRANSMISSION
  • METAANALYSIS
  • IMPACT
  • MEN
  • SAMPLE
  • VIRUS

Sexual risk behaviour and viral suppression among HIV-infected adults receiving medical care in the United States

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Journal Title:

AIDS

Volume:

Volume 28, Number 8

Publisher:

, Pages 1203-1211

Type of Work:

Article | Final Publisher PDF

Abstract:

Objective: To describe the prevalence and association of sexual risk behaviours and viral suppression among HIV-infected adults in the United States. Design: Cross-sectional analysis of weighted data from a probability sample of HIVinfected adults receiving outpatient medical care. The facility and patient response rates were 76 and 51%, respectively. Methods: We analysed 2009 interview and medical record data. Sexual behaviours were self-reported in the past 12 months. Viral suppression was defined as all viral load measurements in the medical record during the past 12 months less than 200 copies/ml. Results: An estimated 98 022 (24%) HIV-infected adults engaged in unprotected vaginal or anal sex; 50 953 (12%) engaged in unprotected vaginal or anal sex with at least one partner of negative or unknown HIV status; 23 933 (6%) did so while not virally suppressed. Persons who were virally suppressed were less likely than persons who were not suppressed to engage in vaginal or anal sex [prevalence ratio, 0.88; 95% confidence interval (CI), 0.82-0.93]; unprotected vaginal or anal sex (prevalence ratio, 0.85; 95% CI, 0.73-0.98); and unprotected vaginal or anal sex with a partner of negative or unknown HIV status (prevalence ratio, 0.79; 95% CI, 0.64-0.99). Conclusion: The majority of HIV-infected adults receiving medical care in the U.S. did not engage in sexual risk behaviours that have the potential to transmit HIV, and of the 12% who did, approximately half were not virally suppressed. Persons who were virally suppressed were less likely than persons who were not suppressed to engage in sexual risk behaviours.

Copyright information:

© 2014 Wolters Kluwer Health - Lippincott Williams & Wilkins.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommerical-NoDerivs 3.0 Unported License (http://creativecommons.org/licenses/by-nc-nd/3.0/).

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