4.3 Article Proceedings Paper

Infrequent HIV Testing and Late HIV Diagnosis Are Common Among a Cohort of Black Men Who Have Sex With Men in 6 US Cities

Journal

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/QAI.0000000000000334

Keywords

HIV; HIV testing; late HIV diagnosis; men who have sex with men; black men; African American men

Funding

  1. NCATS NIH HHS [UL1 TR000454] Funding Source: Medline
  2. NCRR NIH HHS [UL1 RR025008] Funding Source: Medline
  3. NIAID NIH HHS [P30AI050409, 5U01 AI069418, UM1 AI068619, UM1 AI068617, UM1 AI069418, U01 AI069466, P30 AI050409, 5U01 AI069466, UM1 AI069480, U01 AI069418, P30AI060354, 3U01 AI069496-03S1, P30 AI060354, U01 AI069424, UM1 AI068613, UM1 AI069496, P30 AI087714, U01 AI069412, U01 AI069496, UM1 AI069470, UM1 AI069412, 3U01AI069496-03S2, 3U01 AI069466-03S1] Funding Source: Medline
  4. NICHD NIH HHS [R25 HD045810] Funding Source: Medline
  5. NIDA NIH HHS [K01 DA031035] Funding Source: Medline
  6. NIMH NIH HHS [P30 MH062246] Funding Source: Medline

Ask authors/readers for more resources

Objective: US guidelines recommend at least annual HIV testing for those at risk. This analysis assessed frequency and correlates of infrequent HIV testing and late diagnosis among black men who have sex with men (BMSM). Methods: HIV testing history was collected at enrollment from participants in HPTN 061, an HIV prevention trial for at-risk US BMSM. Two definitions of late HIV diagnosis were assessed: CD4 cell count <200 cells per cubic millimeter or <350 cells per cubic millimeter at diagnosis. Results: HPTN 061 enrolled 1553 BMSM. HIV testing questions were completed at enrollment by 1284 (98.7%) of 1301 participants with no previous HIV diagnosis; 272 (21.2%) reported no HIV test in previous 12 months (infrequent testing); 155 of whom (12.1% of the 1284 with testing data) reported never testing. Infrequent HIV testing was associated with: not seeing a medical provider in the previous 6 months (relative risk [RR]: 1.08, 95% confidence interval [CI]: 1.03 to 1.13), being unemployed (RR: 1.04, CI: 1.01 to 1.07), and having high internalized HIV stigma (RR: 1.03, CI: 1.0 to 1.05). New HIV diagnoses were more likely among infrequent testers compared with men tested in the previous year (18.4% vs. 4.4%; odds ratio: 4.8, 95% CI: 3.2 to 7.4). Among men with newly diagnosed HIV, 33 (39.3%) had a CD4 cell count <350 cells per cubic millimeter including 17 (20.2%) with CD4 <200 cells per cubic millimeter. Conclusions: Infrequent HIV testing, undiagnosed infection, and late diagnosis were common among BMSM in this study. New HIV diagnoses were more common among infrequent testers, underscoring the need for additional HIV testing and prevention efforts among US BMSM.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available