Social and Structural Factors Associated with Sustained Viral Suppression Among Heterosexual Black Men with Diagnosed HIV in the United States, 2015-2017.

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ID: 91751
2020
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Abstract
This paper describes sociodemographic, sexual risk behavior, and clinical care factors associated with sustained viral suppression (SVS) among heterosexual Black men with diagnosed HIV in the US. Sample was 968 men, 2015-2017 cycles of Medical Monitoring Project. We used prevalence ratios and a multivariable logistic regression model to identify independent predictors of SVS. About 9% of sexually active men had sex that carries a risk of HIV transmission. Nearly 2/3 lived at or below the poverty level, 13% were under or uninsured, 1/4 experienced food insecurity and 15% reported recent homelessness. About 26% were not engaged in HIV care, 8% not currently taking antiretroviral therapy (ART) and 59% had SVS. Among men taking ART, care engagement and adherence were the only significant independent predictors of SVS. Efforts to increase VS should focus on increasing ART use, care engagement, and ART adherence, and include strategies that address the social and structural factors that influence them.
Reference Key
mccree2020socialaids Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors McCree, Donna Hubbard;Beer, Linda;Fugerson, Angelica Geter;Tie, Yunfeng;Bradley, Erin L P;
Journal aids and behavior
Year 2020
DOI
10.1007/s10461-020-02805-5
URL
Keywords
social determinants of health racial/ethnic disparities black/african american heterosexual men hiv treatment and care sustained viral suppression

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