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Title

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

Authors

CL Mattson, M Freedman, JL Fagan, et al.

Network Affiliation

 

Organization

 

Journal Name

AIDS

Publication Date

5/1/2014

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/25000558

Link to full-text

 

PMID

25000558

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 HIV-infected 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.

Keywords

 

Topic

Behavior; Women

Attachments

Created at 7/14/2014 1:27 PM by Davis, Gregory P
Last modified at 7/14/2014 1:27 PM by Davis, Gregory P