Sexual risk behaviour and viral suppression among HIV-infected adults receiving medical care in the United States

Details

• Alternative Title:
  AIDS
• Personal Author:
  Mattson, Christine L. ; Freedman, Mark S. ; Fagan, Jennifer L. ; Frazier, Emma L. ; Beer, Linda ; Huang, Ping ; Valverde, Eduardo E. ; Johnson, Christopher ; Sanders, Catherine C. ; McNaghten, A. D. ; Sullivan, Patrick ; Lansky, Amy ; Mermin, Jonathan ; Heffelfinger, James D. ; Skarbinski, Jacek
• Description:
  Objective:
  
  To describe the prevalence and association of sexual risk behaviours and viral suppression among HIV-infected adults in the United States.
  
  Design:
  
  Cross-sectional analysis of weighted data from a probability sample of HIV-infected adults receiving outpatient medical care. The facility and patient response rates were 76 and 51%, respectively.
  
  Methods:
  
  We analysed 2009 interview and medical record data. Sexual behaviours were self-reported in the past 12 months. Viral suppression was defined as all viral load measurements in the medical record during the past 12 months less than 200 copies/ml.
  
  Results:
  
  An estimated 98 022 (24%) HIV-infected adults engaged in unprotected vaginal or anal sex; 50 953 (12%) engaged in unprotected vaginal or anal sex with at least one partner of negative or unknown HIV status; 23 933 (6%) did so while not virally suppressed. Persons who were virally suppressed were less likely than persons who were not suppressed to engage in vaginal or anal sex [prevalence ratio, 0.88; 95% confidence interval (CI), 0.82–0.93]; unprotected vaginal or anal sex (prevalence ratio, 0.85; 95% CI, 0.73–0.98); and unprotected vaginal or anal sex with a partner of negative or unknown HIV status (prevalence ratio, 0.79; 95% CI, 0.64–0.99).
  
  Conclusion:
  
  The majority of HIV-infected adults receiving medical care in the U.S. did not engage in sexual risk behaviours that have the potential to transmit HIV, and of the 12% who did, approximately half were not virally suppressed. Persons who were virally suppressed were less likely than persons who were not suppressed to engage in sexual risk behaviours.
  
  
• Subjects:
  Antiretroviral Therapy Epidemiology And Social HIV-infected Persons Sexual Behaviour Unsafe Sex Viral Load
• Source:
  AIDS. 2014; 28(8):1203-1211.
• Document Type:
  Journal Article
• Volume:
  28
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:bda1875e12ad74853f02cd78bdd48454292817f09d50f05b206d2a217b76c610d6ccd999a762255ce497a09d97e82c8c9f3e5021da3229a753c92ab836ecc01b
• Download URL:
  https://stacks.cdc.gov/view/cdc/23488/cdc_23488_DS1.pdf
• File Type:
  [PDF - 375.85 KB ]