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Place-Based Predictors of HIV Viral Suppression and Durable Suppression Among Men Who Have Sex With Men in New York City.

We explore relationships between place characteristics and HIV viral suppression among HIV-positive men who have sex with men (MSM) in New York City (NYC). We conducted multilevel analyses to examine associations of United Hospital Fund (UHF)-level characteristics to individual-level suppression and...

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Published in:AIDS & Behavior Vol. 21; no. 10; pp. 2987 - 3000
Main Authors: Jefferson, Kevin, Kersanske, Laura, Wolfe, Mary, Braunstein, Sarah, Haardörfer, Regine, Jarlais, Don, Campbell, Aimee, Cooper, Hannah
Format: research tables/charts Journal Article
Published: Springer Nature Oct2017
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Place-Based Predictors of HIV Viral Suppression and Durable Suppression Among Men Who Have Sex With Men in New York City.
      aug:
        au:
          Jefferson, Kevin
          Kersanske, Laura
          Wolfe, Mary
          Braunstein, Sarah
          Haardörfer, Regine
          Jarlais, Don
          Campbell, Aimee
          Cooper, Hannah
        affil: Rollins School of Public Health at Emory University , 1518 Clifton Road NE Atlanta 30322 USA
      sug:
        subj:
          Residence Characteristics
          HIV Infections Prevention and Control
          HIV Seropositivity
          Men Who Have Sex With Men New York
          Human
          Male
          New York
          Analysis of Covariance
          Descriptive Statistics
          Relative Risk
          Race Factors
          Viral Load
          Male
      ab: We explore relationships between place characteristics and HIV viral suppression among HIV-positive men who have sex with men (MSM) in New York City (NYC). We conducted multilevel analyses to examine associations of United Hospital Fund (UHF)-level characteristics to individual-level suppression and durable suppression among MSM. Individual-level independent and dependent variables came from MSM in NYC's HIV surveillance registry who had been diagnosed in 2009-2013 (N = 7159). UHF-level covariates captured demographic composition, economic disadvantage, healthcare access, social disorder, and police stop and frisk rates. 56.89% of MSM achieved suppression; 35.49% achieved durable suppression. MSM in UHFs where 5-29% of residents were Black had a greater likelihood of suppression (reference: ≥30% Black; adjusted relative risk (ARR) = 1.07, p = 0.04). MSM in UHFs with <30 MSM-headed households/10,000 households had a lower likelihood of achieving durable suppression (reference: ≥60 MSM-headed households/10,000; ARR = 0.82; p = 0.05). Place characteristics may influence viral suppression. Longitudinal research should confirm these associations.
      pubtype: Academic Journal
      doctype:
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      ougenre: Article
    language: English
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