Improvements in Virologic Control Among PWH Over Time: Narrowing the Gap Between Those With and Without STIs.


Journal

AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133

Informations de publication

Date de publication:
Feb 2023
Historique:
accepted: 24 07 2022
pmc-release: 01 02 2024
pubmed: 20 8 2022
medline: 11 2 2023
entrez: 19 8 2022
Statut: ppublish

Résumé

Using the incidence of bacterial sexually transmitted infection (STI) as a surrogate for condomless sexual behavior, we assessed the association between STI and uncontrolled HIV replication among in-care persons with HIV (PWH) enrolled in a longitudinal HIV cohort study in the District of Columbia (the DC Cohort). Although STI occurrence initially correlated with higher HIV viral load (VL), this difference became more attenuated over time (2012-2016). This was true overall and among those with the greatest number of STIs [age 18-34, men who have sex with men (MSM)]. This likely reflects gains in population-wide virologic control through improved antiretroviral therapy and access to care, which helps mitigate the risk of HIV transmission.

Identifiants

pubmed: 35984609
doi: 10.1007/s10461-022-03802-6
pii: 10.1007/s10461-022-03802-6
pmc: PMC10176187
mid: NIHMS1888247
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

673-677

Subventions

Organisme : NIAID NIH HHS
ID : P30 AI117970
Pays : United States
Organisme : NIAID NIH HHS
ID : R24 AI152598
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI069503
Pays : United States

Investigateurs

Lawrence D'Angelo (L)
Natella Rakhmanina (N)
Michael Kharfen (M)
Michael Serlin (M)
Princy Kumar (P)
Vinay Bhandaru (V)
Tsedenia Bezabeh (T)
Nisha Grover-Fairchild (N)
Lisa Mele (L)
Susan Reamer (S)
Alla Sapozhnikova (A)
Greg Strylewicz (G)
Marinella Temprosa (M)
Naji Younes (N)
Kevin Xiao (K)
Morgan Byrne (M)
Amanda Castel (A)
Alan Greenberg (A)
Maria Jaurretche (M)
Paige Kulie (P)
Anne Monroe (A)
James Peterson (J)
Bianca Stewart (B)
Brittany Wilbourn (B)
Yan Ma (Y)
Hana Akselrod (H)
Jhansi L Gajjala (JL)
Sohail Rana (S)
Michael Horberg (M)
Ricardo Fernandez (R)
Annick Hebou (A)
Carl Dieffenbach (C)
Henry Masur (H)
Jose Bordon (J)
Gebeyehu Teferi (G)
Debra Benator (D)
Maria Elena Ruiz (ME)
Stephen Abbott (S)

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

Lancet. 1998;351 Suppl 3:5-7
pubmed: 9652712
Sex Transm Dis. 2019 Jun;46(6):357-363
pubmed: 31095100
JMIR Public Health Surveill. 2020 Apr 15;6(2):e16061
pubmed: 32293567
AIDS Care. 2019 Dec;31(12):1476-1483
pubmed: 30897926
JMIR Public Health Surveill. 2018 Mar 16;4(1):e23
pubmed: 29549065
J Int AIDS Soc. 2019 Aug;22 Suppl 6:e25357
pubmed: 31468731
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pubmed: 29479550
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pubmed: 31907326

Auteurs

Hana Akselrod (H)

Division of Infectious Diseases, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Morgan Byrne (M)

Department of Epidemiology, George Washington University Milken Institute School of Public Health, Washington, DC, USA. byrne410@gwu.edu.

Jeannette Lundberg (J)

Infectious Diseases Section, DC Veterans Administration Medical Center, Washington, DC, USA.

Jonathan Mamber Czeresnia (JM)

Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Jose Lucar (J)

Division of Infectious Diseases, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Alessandra Secco (A)

Division of Infectious Diseases, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Matt Levy (M)

Department of Epidemiology, George Washington University Milken Institute School of Public Health, Washington, DC, USA.
Westat, Rockville, MD, USA.

Anne Monroe (A)

Department of Epidemiology, George Washington University Milken Institute School of Public Health, Washington, DC, USA.

Amanda Castel (A)

Department of Epidemiology, George Washington University Milken Institute School of Public Health, Washington, DC, USA.

Michael Horberg (M)

Kaiser Permanente Mid-Atlantic Permanente Research Institute, Rockville, MD, USA.

Rupali Doshi (R)

DC Department of Health, HIV/AIDS, Hepatitis, STD, and TB Administration, Washington, DC, USA.

Heather Rivasplata (H)

Infectious Diseases Section, DC Veterans Administration Medical Center, Washington, DC, USA.

Leah Squires (L)

Department of Psychology, DC Veterans Affairs Medical Center, Washington, DC, USA.

David Parenti (D)

Division of Infectious Diseases, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Debra Benator (D)

Division of Infectious Diseases, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Infectious Diseases Section, DC Veterans Administration Medical Center, Washington, DC, USA.

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