HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services Among Black Men Who Have Sex with Men — Non–Health Care Facilities, 20 Southern U.S. Jurisdictions, 2016

Marano, Mariette; Stein, Roger B.; Song, Wei; Patel, Deesha A.; Taylor-Aidoo, Nicole; Xu, Songli; Scales, Lamont

doi:10.15585/mmwr.mm6728a3

Cited by 14 publications

(17 citation statements)

References 7 publications

(5 reference statements)

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“…Black MSM are disproportionately affected by HIV and have lower rates of engagement in HIV care and prevention; these disparities are more pronounced in the Southern US. Testing rates overall are lower among Black MSM in the South [25] and fewer Black men are consistently retained in HIV care compared to White men and Black women [26] . PrEP uptake is also under-utilized among Black MSM in the South [27] .…”

Section: Discussionmentioning

confidence: 99%

HIV-1 Transmission linkages among persons with incident infection to inform public health surveillance

et al. 2021

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Background We evaluated features of HIV transmission networks involving persons diagnosed during incident HIV infection (IHI) to assess network-based opportunities to curtail onward transmission. Methods Transmission networks were constructed using partial pol sequences reported to North Carolina surveillance among persons with recent (2014–2018) and past (<2014) HIV diagnoses. IHI were defined as documented acute infections or seroconversion. Demographic and virologic features of HIV genetic clusters (<1.5% pairwise genetic distance) involving ≥ 1 IHI were assessed. Persons with viral genetic links and who had diagnoses >90 days prior to an IHI were further characterized. We assessed named partner outcomes among IHI index persons using contact tracing data. Findings Of 4,405 HIV diagnoses 2014–2018 with sequences, there were 323 (7%) IHI index persons; most were male (88%), Black (65%), young (68% <30 years), and reported sex with men (MSM) risk (79%). Index persons were more likely to be cluster members compared to non-index persons diagnosed during the same period (72% vs. 49%) . In total, 162 clusters were identified involving 233 IHI, 577 recent diagnoses, and 163 past diagnoses. Most IHI cases (53%) had viral linkages to ≥1 previously diagnosed person without evidence of HIV viral suppression in the year prior to the diagnosis of the IHI index. In contact tracing, only 53% IHI cases named an HIV-positive contact, resulting in 0.5 previously diagnosed persons detected per IHI investigated. When combined with viral analyses, the detection rate of viremic previously diagnosed persons increased to 1.3. Interpretation Integrating public health with molecular epidemiology, revealed that more than half of IHI have viral links to persons with previously diagnosed unsuppressed HIV infection which was largely unrecognized by traditional contact tracing. Enhanced partner services to support engagement and retention in HIV care and improved case finding supported by rapid phylogenetic analysis are tools to substantially reduce onward HIV transmission.

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Section: Discussionmentioning

confidence: 99%

HIV-1 Transmission linkages among persons with incident infection to inform public health surveillance

et al. 2021

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“…Young men who have sex with men (YMSM) aged 18–35 years accounted for more than 50% of all new Human Immunodeficiency Virus (HIV) infections in the United States (US) in 2019 [ 1 , 2 ]. HIV testing is crucial to the implementation of effective HIV treatment and intervention strategies, such as “test-and-treat” for newly HIV-diagnosed individuals and pre-exposure prophylaxis (PrEP) linkage for those with high risk for HIV [ 3 , 4 , 5 , 6 ]. Without timely HIV screening, the undiagnosed infections may further exacerbate HIV transmissions among YMSM via condomless sex and result in poor HIV care continuum outcomes among HIV-positive YMSM who are not effectively linked to care or treated [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing the Prevalence and Determinants of Exposure-Influenced HIV Testing among a Sample of Pre- and Post-Exposure Prophylaxis-Naïve Young Men Who Have Sex with Men in the United States

Liu

Hawkins²,

Osman³

et al. 2022

TropicalMed

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Self-initiated Human Immunodeficiency Virus (HIV) testing after potential sexual exposure to HIV (i.e., exposure-influenced HIV testing) has high utility in detecting individuals with the highest probabilities of HIV seroconversion. We conducted a cross-sectional study among a sample of sexually active, pre/post-exposure prophylaxis (PrEP/PEP)-naïve young men who have sex with men (YMSM) in two US cities to assess the determinants (e.g., demographic, psychosocial, sexual, substance use, and HIV prevention characteristics) of exposure-influenced HIV testing (never/rarely vs. mostly/always) in their lifetime. Of 261 YMSM, only 26.5% reported mostly/always seeking exposure-influenced prior to the study. Multivariable analyses showed that younger age, sexual orientation non-disclosure, perceived HIV stigma, internalized homophobia, lower general resilience, and lower social support were associated with a lower likelihood of mostly/always seeking exposure-influenced HIV testing. YMSM who never/rarely sought exposure-influenced HIV testing were more likely to use recreational drugs before sex, binge alcohol, and have group sex; while less likely to be aware of PrEP, test for sexually transmitted infections, or use condoms compared to those mostly/always seeking exposure-influenced HIV testing. Exposure-influenced HIV testing is suboptimal among YMSM with elevated risk for HIV. Our findings provide important implications for designing targeted interventions to promote exposure-influenced HIV testing among high-risk YMSM.

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“…Division of HIV/AIDS Prevention, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention,). Young Black SMM also have the lowest rates of engagement along the HIV care continuum (Marano et al, 2018). Despite the lack of firm correlations between risk behaviors and sex-seeking via apps, there is benefit to frequent HIV testing among young Black SMM (YBSMM) who use apps, and mHealth interventions therefore often target this population.…”

Section: Introductionmentioning

confidence: 99%

Online sex partner seeking and HIV testing frequency among young black sexual minority men

Rosengren

Davy-Méndez

Hightow-Weidman

2020

Journal of HIV/AIDS & Social Services

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Dating apps are a novel means of delivering HIV prevention messages. Young black sexual minority men (YBSMM) app users are at high risk for HIV and could benefit from frequent testing. Understanding testing behaviors among YBSMM is critical to inform tailored prevention interventions. We analyzed testing behaviors of 273 YBSMM, comparing typical testing frequency between app users and non-users using odds ratios. Overall, testing rates were high. App users were more likely than non-users to test at least every 12 months. App-using YBSMM exhibit high compliance with testing guidelines, which may indicate future successful uptake of biomedical preventions, such as Pre-Exposure Prophylaxis.

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HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services Among Black Men Who Have Sex with Men — Non–Health Care Facilities, 20 Southern U.S. Jurisdictions, 2016

Cited by 14 publications

References 7 publications

HIV-1 Transmission linkages among persons with incident infection to inform public health surveillance

HIV-1 Transmission linkages among persons with incident infection to inform public health surveillance

Assessing the Prevalence and Determinants of Exposure-Influenced HIV Testing among a Sample of Pre- and Post-Exposure Prophylaxis-Naïve Young Men Who Have Sex with Men in the United States

Online sex partner seeking and HIV testing frequency among young black sexual minority men

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