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HIV Testing Behaviors of a Cohort of HIV-Positive Racial/Ethnic Minority YMSM

AIDS and Behavior volume 16, pages 1917–1925 (2012)Cite this article

Abstract

The HIV epidemic in the United States has disproportionately affected young racial/ethnic minority men who have sex with men (YMSM). However, HIV testing rates among young men of color remain low. Within this sample of racial/ethnic minority YMSM (n = 363), the first HIV test was a median of 2 years after men who have sex with men sexual debut. Individuals with less than 1 year between their first negative and first positive HIV test were significantly more likely to identify the reason for their first negative test as being sick (OR = 2.99; 95 % CI 1.23–7.27). This may suggest that these YMSM may have experienced symptoms of acute HIV infection. Of major concern is that many YMSM in our study tested positive for HIV on their first HIV test. Given recommendations for at least annual HIV testing, our findings reveal that medical providers YMSM need to know the importance of regular testing.

Resumen

La epidemia de VIH en los Estados Unidos ha afectado desproporcionadamente a hombres jóvenes de minorías raciales y étnicas que tienen sexo con hombres (JHSH). Sin embargo, las tasas de pruebas de VIH entre jóvenes de color siguen siendo bajas. Dentro de esta muestra de minorías raciales y étnicas JHSH (n = 363), la primera prueba de VIH fue un promedio de 2 años después debut sexual de HSH. Individuos con menos de un año entre su primera negativa y primer VIH positivo fueron significativamente más probabilidades de identificar la razón para su primera prueba nunca como enfermos (OR = 2.99; 95 % CI 1.23–7.27). Esto puede sugerir que estos JHSH puede han experimentado síntomas de infección de VIH. De las principales preocupaciones es que muchos JHSH en nuestro estudio prueba positiva del VIH en su primera prueba de VIH. Teniendo en cuenta las recomendaciones para la prueba de VIH al menos anual, nuestros hallazgos revelan que proveedores médicos JHSH necesitan saber la importancia de las pruebas regulares.

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References

  1. Prejean J, Song R, Hernandez A, Ziebell R, Green T, Walker F, et al. Estimated HIV Incidence in the United States, 2006–2009. PLoS ONE. 2011;6(8):1–13.

    Article  Google Scholar 

  2. Inungu J, Lewis A, Mustafa Y, Wood J, O’Brien S, Verdun D. HIV testing among adolescents and youth in the United States: update from the 2009 behavioral risk factor surveillance system. Open AIDS J. 2011;5:80–5.

    PubMed  Article  Google Scholar 

  3. Hall HI, Walker F, Shah D, Belle E. Trends in HIV diagnoses and testing among U.S. adolescents and young adults. AIDS Behav. 2012;16(1):36–43.

    PubMed  Article  Google Scholar 

  4. Murphy DA, Mitchell R, Vermund SH, Futterman D. Factors associated with HIV testing among HIV-positive and HIV-negative high-risk adolescents: the REACH Study. Reaching for Excellence in Adolescent Care and Health. Pediatrics. 2002;110(3):e36.

    PubMed  Article  Google Scholar 

  5. Peralta L, Deeds BG, Hipszer S, Ghalib K. Barriers and facilitators to adolescent HIV testing. AIDS Patient Care STDS. 2007;21(6):400–8.

    PubMed  Article  Google Scholar 

  6. Finlayson TJ, Le B, Smith A, Bowles K, Cribbin M, Miles I, et al. Prevalence and awareness of HIV infection among men who have sex with men—21 cities, United States, 2008. MMWR Morb Mortal Wkly Rep. 2010;59(37):1201–7.

    Google Scholar 

  7. Finlayson TJ, Le B, Smith A, Bowles K, Cribbin M, Miles I, et al. HIV risk, prevention, and testing behaviors among men who have sex with men—National HIV Behavioral Surveillance System, 21 U.S. Cities, United States, 2008. MMWR Surveill Summ. 2011;60(14):1–34.

    PubMed  Google Scholar 

  8. Stein R, Green K, Bell K, Toledo CA, Uhl G, Moore A, et al. Provision of HIV counseling and testing services at five community-based organizations among young men of color who have sex with men. AIDS Behav. 2011;15(4):743–50.

    PubMed  Article  Google Scholar 

  9. Workowski KA, Levine WC. Sexually transmitted diseases treatment guidelines 2002. Centers for Disease Control and Prevention. MMWR Recomm Rep. 2002;51(RR-6):1–78.

    Google Scholar 

  10. Workowski KA, Berman SM. Sexually transmitted diseases treatment guidelines, 2006. MMWR Recomm Rep. 2006;55(RR-11):1–94.

    PubMed  Google Scholar 

  11. Centers for Disease Control and Prevention. HIV among gay, bisexual, and other men who have sex with men (MSM) fact sheet. 2010.

  12. Magnus M, Jones K, Phillips G II, Binson D, Hightow-Weidman LB, Richards-Clarke C, et al. Characteristics associated with retention among African American and Latino adolescent HIV-positive men: results from the outreach, care, and prevention to engage HIV-seropositive young MSM of color special project of national significance initiative. J Acquir Immune Defic Syndr. 2010;53(4):529–36.

    PubMed  Article  Google Scholar 

  13. Radloff L. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.

    Article  Google Scholar 

  14. Outlaw AY, Phillips G II, Hightow-Weidman LB, Fields SD, Hidalgo J, Halpern-Felsher B, et al. Age of MSM sexual debut and risk factors: results from a multisite study of racial/ethnic minority YMSM living with HIV. AIDS Patient Care STDS. 2011;25(Suppl 1):S23–9.

    PubMed  Article  Google Scholar 

  15. Daar ES, Little S, Pitt J, Santangelo J, Ho P, Harawa N, et al. Diagnosis of primary HIV-1 infection. Los Angeles County Primary HIV Infection Recruitment Network. Ann Intern Med. 2001;134(1):25–9.

    PubMed  CAS  Google Scholar 

  16. Pilcher CD, Shugars DC, Fiscus SA, Miller WC, Menezes P, Giner J, et al. HIV in body fluids during primary HIV infection: implications for pathogenesis, treatment and public health. AIDS. 2001;15(7):837–45.

    PubMed  Article  CAS  Google Scholar 

  17. Pilcher CD, Tien HC, Eron JJ Jr, Vernazza PL, Leu SY, Stewart PW, et al. Brief but efficient: acute HIV infection and the sexual transmission of HIV. J Infect Dis. 2004;189(10):1785–92.

    PubMed  Article  Google Scholar 

  18. Pilcher CD, Joaki G, Hoffman IF, Martinson FE, Mapanje C, Stewart PW, et al. Amplified transmission of HIV-1: comparison of HIV-1 concentrations in semen and blood during acute and chronic infection. AIDS. 2007;21(13):1723–30.

    PubMed  Article  Google Scholar 

  19. Hightow-Weidman LB, Golin CE, Green K, Shaw EN, MacDonald PD, Leone PA. Identifying people with acute HIV infection: demographic features, risk factors, and use of health care among individuals with AHI in North Carolina. AIDS Behav. 2009;13(6):1075–83.

    PubMed  Article  Google Scholar 

  20. Zetola NM, Pilcher CD. Diagnosis and management of acute HIV infection. Infect Dis Clin N Am. 2007;21(1):19–48, vii.

    Google Scholar 

  21. Self WH. Acute HIV infection: diagnosis and management in the emergency department. Emerg Med Clin N Am. 2010;28(2):381–92, Table of Contents.

    Google Scholar 

  22. Kassutto S, Rosenberg ES. Primary HIV type 1 infection. Clin Infect Dis. 2004;38(10):1447–53.

    PubMed  Article  Google Scholar 

  23. Hidalgo J, Coombs E, Cobbs WO, Green-Jones M, Phillips G II, Wohl AR, et al. Roles and challenges of outreach workers in HIV clinical and support programs serving young racial/ethnic minority men who have sex with men. AIDS Patient Care STDS. 2011;25(Suppl 1):S15–22.

    PubMed  Article  Google Scholar 

  24. Oster AM, Wiegand RE, Sionean C, Miles IJ, Thomas PE, Melendez-Morales L, et al. Understanding disparities in HIV infection between black and white MSM in the United States. AIDS. 2011;25(8):1103–12.

    PubMed  Article  Google Scholar 

  25. Centers for Disease Control and Prevention. HIV prevalence, unrecognized infection, and HIV testing among men who have sex with men—five U.S. cities, June 2004–April 2005. MMWR Morb Mortal Wkly Rep. 2005;54(24):597–601.

    Google Scholar 

  26. Centers for Disease Control and Prevention. Unrecognized HIV infection, risk behaviors, and perceptions of risk among young black men who have sex with men—six U.S. cities, 1994–1998. MMWR Morb Mortal Wkly Rep. 2002;51(33):733–6.

    Google Scholar 

  27. Bingham TA, Harawa NT, Johnson DF, Secura GM, MacKellar DA, Valleroy LA. The effect of partner characteristics on HIV infection among African American men who have sex with men in the Young Men’s Survey, Los Angeles, 1999–2000. AIDS Educ Prev. 2003;15(1 Suppl A):39–52.

    PubMed  Article  Google Scholar 

  28. Berry M, Raymond HF, McFarland W. Same race and older partner selection may explain higher HIV prevalence among black men who have sex with men. AIDS. 2007;21(17):2349–50.

    PubMed  Article  Google Scholar 

  29. Raymond HF, McFarland W. Racial mixing and HIV risk among men who have sex with men. AIDS Behav. 2009;13(4):630–7.

    PubMed  Article  Google Scholar 

  30. Weinhardt LS, Carey MP, Johnson BT, Bickham NL. Effects of HIV counseling and testing on sexual risk behavior: a meta-analytic review of published research, 1985–1997. Am J Public Health. 1999;89(9):1397–405.

    PubMed  Article  CAS  Google Scholar 

  31. Phillips G II, Outlaw AY, Hightow-Weidman LB, Jones KC, Wohl AR, Futterman D, et al. Sexual behaviors of racial/ethnic minority young men who have sex with men. AIDS Patient Care STDS. 2011;25(Suppl 1):S47–53.

    PubMed  Article  Google Scholar 

  32. Hightow-Weidman LB, Jones K, Wohl AR, Futterman D, Outlaw A, Phillips G II, et al. Early linkage and retention in care: findings from the outreach, linkage, and retention in care initiative among young men of color who have sex with men. AIDS Patient Care STDS. 2011;25(Suppl 1):S31–8.

    PubMed  Article  Google Scholar 

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Author information

Affiliations

  1. Department of Epidemiology and Biostatistics, The George Washington University School of Public Health and Health Services, 2100-W Pennsylvania Avenue, NW, Suite 800, Washington, DC, 20037, USA

    Gregory Phillips II & Julia Hidalgo

  2. University of North Carolina, Chapel Hill, NC, USA

    Lisa B. Hightow-Weidman

  3. Baylor College of Medicine, Houston, TX, USA

    Monisha Arya

  4. Florida International University—College of Nursing and Health Sciences, Miami, FL, USA

    Sheldon D. Fields

  5. University of San Francisco, San Francisco, CA, USA

    Bonnie Halpern-Felsher

  6. Wayne State University, Horizons Project, Detroit, MI, USA

    Angulique Y. Outlaw

  7. Los Angeles County Department of Public Health, Los Angeles, CA, USA

    Amy R. Wohl

Authors
  1. Gregory Phillips II
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  2. Lisa B. Hightow-Weidman
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  3. Monisha Arya
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  4. Sheldon D. Fields
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  5. Bonnie Halpern-Felsher
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  6. Angulique Y. Outlaw
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  7. Amy R. Wohl
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  8. Julia Hidalgo
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Correspondence to Gregory Phillips II.

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Phillips, G., Hightow-Weidman, L.B., Arya, M. et al. HIV Testing Behaviors of a Cohort of HIV-Positive Racial/Ethnic Minority YMSM. AIDS Behav 16, 1917–1925 (2012). https://doi.org/10.1007/s10461-012-0193-2

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  • DOI: https://doi.org/10.1007/s10461-012-0193-2

Keywords

  • HIV
  • MSM
  • Acute infection
  • HIV testing