TY - JOUR
T1 - HIV Treatment Cascade and PrEP Care Continuum Among Serodiscordant Male Couples in the United States
AU - Jin, Harry
AU - Biello, Katie B.
AU - Garofalo, Robert
AU - Lurie, Mark
AU - Sullivan, Patrick S.
AU - Stephenson, Rob
AU - Mimiaga, Matthew J.
N1 - Funding Information:
No authors listed on this manuscript has conflicts of interest to report. H. Jin was supported by the U.S. NIH, NIAID, T32 Training Program in HIV Epidemiology and Prevention Science at the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health (5T32AI102623-08). Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under Award Number R01HD075655 (MPIs: Drs. Garofalo, Mimiaga, and Stephenson). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/11
Y1 - 2021/11
N2 - A large proportion of HIV infections among men who have sex with men occur within primary partnerships, however, there is a lack of research focused on serodiscordant male couples. We used baseline data collected as part of Project Stronger Together—a randomized controlled trial to improve treatment outcomes among 155 serodiscordant male couples. We described engagement in HIV care/prevention using the HIV treatment cascade and PrEP care continuum. Among partners living with HIV, 86.5% were linked to care, 77.4% retained in care, 81.3% prescribed ART, 60.7% adherent, and 67.7%virally suppressed. Among HIV-negative partners, 62.6% were willing to take PrEP, 48.4% had ever taken PrEP, and 26.5% were adherent to PrEP. Black partners living with HIV had lower odds of being virally suppressed compared to White partners. Our findings provide evidence to suggest designing programs to address the racial disparities in viral suppression, addressing barriers to HIV prevention/treatment, and improving PrEP education.
AB - A large proportion of HIV infections among men who have sex with men occur within primary partnerships, however, there is a lack of research focused on serodiscordant male couples. We used baseline data collected as part of Project Stronger Together—a randomized controlled trial to improve treatment outcomes among 155 serodiscordant male couples. We described engagement in HIV care/prevention using the HIV treatment cascade and PrEP care continuum. Among partners living with HIV, 86.5% were linked to care, 77.4% retained in care, 81.3% prescribed ART, 60.7% adherent, and 67.7%virally suppressed. Among HIV-negative partners, 62.6% were willing to take PrEP, 48.4% had ever taken PrEP, and 26.5% were adherent to PrEP. Black partners living with HIV had lower odds of being virally suppressed compared to White partners. Our findings provide evidence to suggest designing programs to address the racial disparities in viral suppression, addressing barriers to HIV prevention/treatment, and improving PrEP education.
KW - Antiretroviral therapy
KW - Engagement in care
KW - Men who have sex with men
KW - Pre-exposure prophylaxis
KW - Serodiscordant
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U2 - 10.1007/s10461-021-03315-8
DO - 10.1007/s10461-021-03315-8
M3 - Article
C2 - 34046761
AN - SCOPUS:85106697717
SN - 1090-7165
VL - 25
SP - 3563
EP - 3573
JO - AIDS and behavior
JF - AIDS and behavior
IS - 11
ER -
