Change in Condom Use in Populations Newly Aware of HIV Diagnosis in the United States and Canada: A Systematic Review and Meta-Analysis

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Malekinejad, Mohsen ; Blodgett, Janet ; Horvath, Hacsi ; Parriott, Andrea ; Hutchinson, Angela B. ; Shrestha, Ram K. ; McCabe, Devon ; Volberding, Paul ; Kahn, James G.
• Description:
  HIV-infected individuals "aware" of their infection are more likely to use condoms, compared to HIV-infected "unaware" persons. To quantify this likelihood, we undertook a systematic review and meta-analysis of U.S. and Canadian studies. Twenty-one eligible studies included men who have sex with men (MSM; k = 15), persons who inject drugs (PWID; k = 2), and mixed populations of high-risk heterosexuals (HRH; k = 4). Risk ratios (RR) of "not always using condoms" with partners of any serostatus were lower among aware MSM (RR 0.44 [not significant]), PWID (RR 0.70) and HRH (RR 0.27); and, in aware MSM, with partners of HIV-uninfected or unknown status (RR 0.46). Aware individuals had lower "condomless sex likelihood" with HIV-uninfected or unknown status partners (MSM: RR 0.58; male PWID: RR 0.44; female PWID: RR 0.65; HRH: RR 0.35) and with partners of any serostatus (MSM only, RR 0.72). The association diminished over time. High risk of bias compromised evidence quality.
• Subjects:
  Canada Condoms Drug Users Female HIV Infections Homosexuality, Male Humans Male Sexual And Gender Minorities Sexual Partners Substance Abuse, Intravenous United States

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• Keywords:
  Diagnosis HIV Risk Behaviors Systematic Review United States
• Source:
  AIDS Behav. 25(6):1839-1855
• Pubmed ID:
  33389321
• Pubmed Central ID:
  PMC9239206
• Document Type:
  Journal Article
• Funding:
  P30 AI027763/AI/NIAID NIH HHSUnited States/ ; R37 DA015612/DA/NIDA NIH HHSUnited States/ ; U38 PS004649/PS/NCHHSTP CDC HHSUnited States/ ; 5U38PS004649/National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention/
• Volume:
  25
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:091d0eb33eb4c4e3f047a46dd1229867e34e0248b735ccf319764073885d5a2b2017250e8d765bbb1930ebd6c21d92fbe0b03ab2783629487596b53abb55f122
• Download URL:
  https://stacks.cdc.gov/view/cdc/119326/cdc_119326_DS1.pdf
• File Type:
  [PDF - 710.00 KB ]