Increased HIV diagnoses in West Virginia counties highly vulnerable to rapid HIV dissemination through injection drug use: a cautionary tale

Details

• Alternative Title:
  Ann Epidemiol
• Personal Author:
  Bradley, Heather ; Hogan, Vicki ; Agnew-Brune, Christine ; Armstrong, John ; Broussard, Dawn ; Buchacz, Kate ; Burton, Kenya ; Cope, Scott ; Dawson, Erica ; De La Garza, Gloria ; Gerard, Anthony ; Granado, Michael ; Gupta, Rahul ; Haddy, Loretta ; Hoffman, William ; Johnson, Shacara D. ; Kirk, Nathan ; Lee, Chang ; Lyss, Sheryl ; Mark-Carew, Miguella ; Quilter, Laura ; Reynolds, Pamela ; Rose, Bridget ; Thompson, Antoine ; Varella, Lisa ; Weidle, Paul ; White, Brunilis ; Wills, David ; Young, Sherri A. ; Hoots, Brooke E.
• Description:
  Purpose:
  
  To investigate HIV transmission potential from a cluster of HIV infections among men who have sex with men to persons who inject drugs in 15 West Virginia counties. These counties were previously identified as highly vulnerable to rapid HIV dissemination through injection drug use (IDU) associated with high levels of opioid misuse.
  
  Methods:
  
  We interviewed persons with 2017 HIV diagnoses about past-year risk behaviors and elicited sexual, IDU, and social contacts. We tested contacts for HIV and assessed risk behaviors. To determine HIV transmission potential from persons with 2017 diagnoses to persons who inject drugs, we assessed viral suppression status, HIV status of contacts, and IDU risk behaviors of persons living with HIV and contacts.
  
  Results:
  
  We interviewed 78 persons: 39 with 2017 diagnoses and 39 contacts. Overall, 13/78 (17%) injected drugs in the past year. Of 19 persons with 2017 diagnoses and detectable virus, 9 (47%) had more than or equal to 1 sexual or IDU contacts of negative or unknown HIV status. During the past year, 2/9 had injected drugs and shared equipment, and 1/9 had more than or equal to 1 partner who did so.
  
  Conclusions:
  
  We identified IDU risk behavior among persons with 2017 diagnoses and their contacts. West Virginia HIV prevention programs should continue to give high priority to IDU harm reduction.
  
  
• Subjects:
  Adolescent Adult Age Distribution Contact Tracing Drug Users Female HIV Infections Homosexuality, Male Humans Interviews As Topic Male Middle Aged Population Surveillance Risk-Taking Substance Abuse, Intravenous Unsafe Sex Vulnerable Populations West Virginia Young Adult

  More +
• Keywords:
  Epidemiology HIV Prevention Injection Drug Use Investigation Sexual Network
• Source:
  Ann Epidemiol. 34:12-17
• Pubmed ID:
  30967302
• Pubmed Central ID:
  PMC11585324
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  34
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:e4062b3f7cb8b18ec1444762c6494228f1398980c383752b73407ea90dd19ba2809cdc160918d21424367181f79c7d8a02645555d6f08877f15f5f3f3d76273a
• Download URL:
  https://stacks.cdc.gov/view/cdc/170654/cdc_170654_DS1.pdf
• File Type:
  [PDF - 762.27 KB ]