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Place-Based Predictors of HIV Viral Suppression and Durable Suppression Among Men Who Have Sex With Men in New York City

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Abstract

We explore relationships between place characteristics and HIV viral suppression among HIV-positive men who have sex with men (MSM) in New York City (NYC). We conducted multilevel analyses to examine associations of United Hospital Fund (UHF)-level characteristics to individual-level suppression and durable suppression among MSM. Individual-level independent and dependent variables came from MSM in NYC’s HIV surveillance registry who had been diagnosed in 2009–2013 (N = 7159). UHF-level covariates captured demographic composition, economic disadvantage, healthcare access, social disorder, and police stop and frisk rates. 56.89% of MSM achieved suppression; 35.49% achieved durable suppression. MSM in UHFs where 5–29% of residents were Black had a greater likelihood of suppression (reference: ≥30% Black; adjusted relative risk (ARR) = 1.07, p = 0.04). MSM in UHFs with <30 MSM-headed households/10,000 households had a lower likelihood of achieving durable suppression (reference: ≥60 MSM-headed households/10,000; ARR = 0.82; p = 0.05). Place characteristics may influence viral suppression. Longitudinal research should confirm these associations.

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Acknowledgements

This work was supported by R01 DA035707 (Campbell, Des Jarlais) and by the Emory Center for AIDS Research (P30 AI050409; Curran).

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Authors and Affiliations

  1. Rollins School of Public Health at Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322, USA

    Kevin A. Jefferson, Regine Haardörfer & Hannah L. F. Cooper

  2. New York City Department of Health and Mental Hygiene, 42-09 28th Street, Queens, NY, 11101, USA

    Laura S. Kersanske & Sarah L. Braunstein

  3. Icahn School of Medicine at Mount Sinai, 39 Broadway, Suite 530, New York, NY, 10006, USA

    Don C. Des Jarlais

  4. Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Drive, Box 120, New York, NY, 10032, USA

    Aimee N. C. Campbell

  5. Emory Healthcare, 1364 Clifton Road, Atlanta, GA, 30322, USA

    Mary E. Wolfe

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  1. Kevin A. Jefferson
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent in not required. This article does not contain any studies with animals performed by any of the authors. The study was approved by the Mount Sinai St. Luke’s IRB and the New York City Department of Health IRB.

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Table 4 Components generated by principal components analysis of economic disadvantage and healthcare access variables
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Jefferson, K.A., Kersanske, L.S., Wolfe, M.E. et al. Place-Based Predictors of HIV Viral Suppression and Durable Suppression Among Men Who Have Sex With Men in New York City. AIDS Behav 21, 2987–2999 (2017). https://doi.org/10.1007/s10461-017-1810-x

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