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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Sexual risk behaviour and viral suppression among HIV-infected adults receiving medical care in the United States
AIDS, Volume 28, No. 8, Year 2014
Notification
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Description
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. © 2014 Wolters Kluwer Health - Lippincott Williams & Wilkins.
Authors & Co-Authors
Mattson, Christine L.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Fagan, Jennifer L.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Valverde, Eduardo E.
United States, Atlanta
Centers for Disease Control and Prevention
McNaghten, A. D.
United States, Atlanta
Emory University
Sullivan, Patrick Sean
United States, Atlanta
Emory University
Mermin, Jonathan H.
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Heffelfinger, James Dawson
United States, Atlanta
Centers for Disease Control and Prevention
Skarbinski, Jacek
United States, Atlanta
National Center for Hiv, Viral Hepatitis, Std, and tb Prevention
Statistics
Citations: 32
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1097/QAD.0000000000000273
ISSN:
02699370
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study