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28.03.2017 | Original Paper

A Longitudinal Analysis of Treatment Optimism and HIV Acquisition and Transmission Risk Behaviors Among Black Men Who Have Sex with Men in HPTN 061

verfasst von: Matthew E. Levy, Gregory Phillips II, Manya Magnus, Irene Kuo, Geetha Beauchamp, Lynda Emel, Christopher Hucks-Ortiz, Erica L. Hamilton, Leo Wilton, Iris Chen, Sharon Mannheimer, Hong-Van Tieu, Hyman Scott, Sheldon D. Fields, Carlos del Rio, Steven Shoptaw, Kenneth Mayer

Erschienen in: AIDS and Behavior | Ausgabe 10/2017

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Abstract

Little is known about HIV treatment optimism and risk behaviors among Black men who have sex with men (BMSM). Using longitudinal data from BMSM in the HPTN 061 study, we examined participants’ self-reported comfort with having condomless sex due to optimistic beliefs regarding HIV treatment. We assessed correlates of treatment optimism and its association with subsequent risk behaviors for HIV acquisition or transmission using multivariable logistic regression with generalized estimating equations. Independent correlates of treatment optimism included age ≥35 years, annual household income <$20,000, depressive symptoms, high HIV conspiracy beliefs, problematic alcohol use, and previous HIV diagnosis. Treatment optimism was independently associated with subsequent condomless anal sex with a male partner of serodiscordant/unknown HIV status among HIV-infected men, but this association was not statistically significant among HIV-uninfected men. HIV providers should engage men in counseling conversations to assess and minimize willingness to have condomless sex that is rooted in optimistic treatment beliefs without knowledge of viral suppression.

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Titel: A Longitudinal Analysis of Treatment Optimism and HIV Acquisition and Transmission Risk Behaviors Among Black Men Who Have Sex with Men in HPTN 061
verfasst von: Matthew E. Levy
Gregory Phillips II
Manya Magnus
Irene Kuo
Geetha Beauchamp
Lynda Emel
Christopher Hucks-Ortiz
Erica L. Hamilton
Leo Wilton
Iris Chen
Sharon Mannheimer
Hong-Van Tieu
Hyman Scott
Sheldon D. Fields
Carlos del Rio
Steven Shoptaw
Kenneth Mayer
Publikationsdatum: 28.03.2017
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 10/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-017-1756-z

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A Longitudinal Analysis of Treatment Optimism and HIV Acquisition and Transmission Risk Behaviors Among Black Men Who Have Sex with Men in HPTN 061

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