Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality
Autor: | Vaibhav Penukonda, Sabina A. Haberlen, Timothy Utz, Andre L. Brown, Steven Meanley, Michael Plankey, James E. Egan, Deanna Ware, Steven Shoptaw, Mark Brennan-Ing, Linda A. Teplin, M. Reuel Friedman, Nicholas S. Perry |
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Přispěvatelé: | Bavinton, Benjamin R |
Rok vydání: | 2021 |
Předmět: |
RNA viruses
Male Aging Physiology Emotions Multicenter AIDS Cohort Study Human immunodeficiency virus (HIV) Social Sciences HIV Infections medicine.disease_cause Pathology and Laboratory Medicine Men who have sex with men Cohort Studies Sexual and Gender Minorities Immunodeficiency Viruses Sociology Medicine and Health Sciences Medicine Ethnicities Psychology Viral suppression Hispanic People Multidisciplinary Schools Homosexuality Viral Load Middle Aged Sexual Partners Infectious Diseases Medical Microbiology General partnership Viral Pathogens Viruses symbols HIV/AIDS Pathogens Infection Viral load Research Article Adult General Science & Technology Science Sexual Behavior Clinical Trials and Supportive Activities Men WHO Have Sex with Men Microbiology Education symbols.namesake Negatively associated Clinical Research Virology Retroviruses Mental Health and Psychiatry Behavioral and Social Science Humans Poisson regression Homosexuality Male Microbial Pathogens Aged business.industry Lentivirus Organisms Biology and Life Sciences HIV People and Places Quality of Life Population Groupings business Physiological Processes Organism Development Viral Transmission and Infection Demography Sexuality Groupings Developmental Biology |
Zdroj: | PloS one, vol 16, iss 10 PLoS ONE PLoS ONE, Vol 16, Iss 10, p e0258032 (2021) |
Popis: | Functional support—the availability of material aid, emotional support, or companionship—promotes general well-being. For men who have sex with men (MSM) living with HIV, having a person who supports you associates with viral suppression. This study examines the association between supportive partnerships and HIV viral suppression among middle-aged and aging MSM living with HIV. A total of 423 middle-aged and aging MSM (mean age, 58.2 years) from the Multicenter AIDS Cohort Study provided self-reported data about their partnerships. Separate Poisson regression models assessed how partnership type, support, strain, and duration from April 2017 were associated with repeated viral load measurements up to April 2019. Of the follow-up visits (N = 1289), 90.0% of participants were virally suppressed. Most participants reported being non-Hispanic White (61.0%) and college-educated (83.4%). Participants were asked about their primary partnerships (i.e., “someone they are committed to above anyone else”) and secondary partnerships (i.e., those who can also be intimate or supportive but not necessarily romantic or sexual). The participants reported: no partnerships (45.2%), only primary partnerships (31.0%), only secondary partnerships (11.1%), or both primary and secondary partnerships (12.8%). Primary and secondary partnerships had mean (SD) durations of 15.9 (11.3) and 25.2 (16.5) years, respectively. Participants reporting both primary and secondary partnerships (compared with no partnership) showed significantly higher odds of being virally suppressed (adjusted prevalence ratio [aPR], 1.04; 95% CI, 1.00–1.08; p = 0.043). Albeit not statistically significant, primary-only (aPR, 1.01; 95% CI, 0.97–1.06; p = 0.547) or secondary-only (aPR, 1.03; 95% CI, 0.98–1.08; p = 0.224) partnership types were positively associated with viral suppression. Partner support and strain were not associated with viral suppression in any partnership group. Being older and non-Hispanic Black were positively and negatively associated with viral suppression, respectively. Encouraging partnerships should be considered one of clinicians’ many tools to help middle-aged and aging MSM achieve long-term viral suppression. |
Databáze: | OpenAIRE |
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