Undiagnosed HIV Prevalence Among Adults and Adolescents in the United States at the End of 2006

Campsmith, Michael; Rhodes, Philip; Hall, H. Irene; Green, Timothy A.

doi:10.1097/qai.0b013e3181bf1c45

Cited by 200 publications

(133 citation statements)

References 25 publications

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“…18 A 2008 study that included multiple partner-level factors found that having a partner with an unknown HIV status was associated with HIV and was more commonly reported by black than white MSM. 19 Furthermore, black men are estimated to have the highest number of unidentified HIV infections, 20 and studies have found that minority MSM (black, Hispanic, mixed race) were more likely to be unaware of their HIV infection. [21][22][23] Additionally, access to antiretroviral therapy which has been associated with reduced HIV transmission 24 is lower among black MSM.…”

Section: Resultsmentioning

confidence: 99%

Temporal Trends in Sexual Behavior Among Men Who Have Sex With Men in the United States, 2002 to 2006–2010

Leichliter

Haderxhanaj²,

Chesson³

et al. 2013

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Little is known about national trends in sexual behavior among MSM in the U.S. Data from the 2002 and 2006-10 National Survey of Family Growth were used to compare sexual behaviors of sexually active MSM. Mean number of recent male partners significantly decreased from 2.9 in 2002 to 2.1 in 2006-10 (p=.027), particularly among young MSM. Other sexual risk behaviors did not change or decreased over time. Our findings that sexual risk decreased as HIV and syphilis increased among MSM suggest that factors in addition to individual-level sexual risk should also be examined in relation to recent disease increases.

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Section: Resultsmentioning

confidence: 99%

Temporal Trends in Sexual Behavior Among Men Who Have Sex With Men in the United States, 2002 to 2006–2010

Leichliter

Haderxhanaj²,

Chesson³

et al. 2013

JAIDS Journal of Acquired Immune Deficiency Syndromes

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show abstract

“…It is important to note that rates in our study approximate the self-report rates of known HIV infection in the NHBS sample. Although the GRINDR sample did not acquire any biologic specimens for HIV or STI testing, self-reports of HIV-positive serostatus almost universally underestimate the true seroprevalence rate 16 attributable primarily to occult and undiagnosed HIV infection and secondarily to the persistent stigma associated with reporting an HIVpositive diagnosis among MSM. 17 Participants demonstrated a high rate of ongoing transmission-associated risk behavior, indicating that the sample is an excellent target for recruitment for and ultimate deployment of HIV prevention studies and interventions, respectively.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology, Sexual Risk Behavior, and HIV Prevention Practices of Men who Have Sex with Men Using GRINDR in Los Angeles, California

et al. 2012

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Young men who have sex with men (YMSM) are at alarming risk for HIV acquisition, demonstrating the highest rates of incident infection of any age-risk group. GRINDR is a global positioning service-based social networking application popular with YMSM for sexual partnering. To assess the characteristics of YMSM who use GRINDR, we conducted a computer-assisted self-interview-based survey of 375 YMSM using GRINDR in metropolitan Los Angeles, recruited using the GRINDR platform. The median age was 25 (interquartile range, 22-27) years old, 42.4 % caucasian, 6.4 % African American, 33.6 % Latino, and 14.1 % Asian/Pacific Islander. Participants reported high rates of sexual partnering and unprotected anal intercourse (UAI). The majority (70 %) of those reporting unprotected anal intercourse reported low perception of HIV-acquisition risk. Of the participants, 83.1 % reported HIV testing within the past 12 months; 4.3 % had never been HIV tested. Of the participants, 4.5 % reported HIV-positive serostatus; 51.7 % indicated that they would be interested in participating in a future HIV prevention trial. Latinos were more likely than either caucasians or African Americans to endorse trial participation interest (odds ratio, 1.9; 95 % confidence interval [1.1-3.3]). HIV-positive test results were associated with increased number of anal sex partners in the past 3 months (adjusted odds ratio (AOR), 1.53 [0.97-2.40]), inconsistent inquiry about partners' serostatus (AOR,.64]), reporting the purpose for GRINDR use including "friendship" (AOR, 0.17 [0.03-1.06), and meeting a sexual partner in a bookstore in the past 3 months (AOR, 33.84 [0.99-1152]). Men recruited via GRINDR were high risk for HIV acquisition or transmission and interested in clinical trial participation, suggesting potential for this method to be used for recruitment of YMSM to HIV prevention trials.

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“…6 But overall adoption of routine HIV testing remains low 7 and it is estimated that 21% of people living with HIV still remain undiagnosed. 8 Although an additional 11 million Americans have been tested since 2006, approximately 100 million adolescents and adults are unaware of their HIV status.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Clinician Educator Encouragement of Routine HIV Testing Among Trainees

et al. 2012

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Undiagnosed HIV Prevalence Among Adults and Adolescents in the United States at the End of 2006

Abstract: Differences in undiagnosed HIV were evident across demographic and behavior groups. Effective testing programs and early access to treatment and prevention services are necessary to reduce undiagnosed HIV infections and HIV prevalence.

Cited by 200 publications

References 25 publications

Temporal Trends in Sexual Behavior Among Men Who Have Sex With Men in the United States, 2002 to 2006–2010

Temporal Trends in Sexual Behavior Among Men Who Have Sex With Men in the United States, 2002 to 2006–2010

Epidemiology, Sexual Risk Behavior, and HIV Prevention Practices of Men who Have Sex with Men Using GRINDR in Los Angeles, California

Factors Affecting Clinician Educator Encouragement of Routine HIV Testing Among Trainees

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