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Exploring the HIV continuum of care among young black MSM

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  • Lisa Hightow-Weidman
  • Sara LeGrand
  • Seul Ki Choi
  • Joseph Egger
  • Christopher B Hurt
  • Kathryn E Muessig

Abstract

Background: HIV disproportionately impacts young, black men who have sex with men (YBMSM) who experience disparities across the HIV care continuum. A more nuanced understanding of facilitators and barriers to engagement in care, missed visits, antiretroviral uptake, adherence and viral suppression could improve care and intervention design. Methods: A randomized controlled trial of an online intervention, healthMpowerment, enrolled 465 YBMSM (18–30 years); 193 identified as HIV-positive. Bivariable and multivariable analyses of baseline data explored predictors of: engagement in care, missed visits, antiretroviral uptake, self-reported adherence, and viral suppression. Results: Mean age was 24.9 years; most identified as gay (71.0%) and were receiving HIV care (89.1%). Among those in care, 52.1% reported no missed visits in the past 12 months, 41 (24.6%) reported one missed visit, and 39 (23.4%) reported two or more. Having insurance (prevalence odds ratio [POR] 4.5; 95% CI: 1.3, 15.8) and provider self-efficacy (POR 20.1; 95% CI: 6.1, 64.1) were associated with being in care. Those with a college degree (POR 9.1; 95% CI: 1.9, 45.2) and no recent marijuana (POR 2.6; 95% CI: 1.2, 5.6) or methamphetamine use (POR 5.4; 95% CI: 1.0, 28.5) were less likely to miss visits. Most (n = 153, 84.1%) had been prescribed antiretroviral therapy. A majority of participants (70.8%) reported ≥90% adherence; those with depressive symptoms had 4.7 times the odds of reporting adherence

Suggested Citation

  • Lisa Hightow-Weidman & Sara LeGrand & Seul Ki Choi & Joseph Egger & Christopher B Hurt & Kathryn E Muessig, 2017. "Exploring the HIV continuum of care among young black MSM," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-20, June.
    • Handle: RePEc:plo:pone00:0179688
    DOI: 10.1371/journal.pone.0179688
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    References listed on IDEAS

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    3. Garofalo, R. & Herrick, A. & Mustanski, B.S. & Donenberg, G.R., 2007. "Tip of the iceberg: Young men who have sex with men, the internet, and HIV risk," American Journal of Public Health, American Public Health Association, vol. 97(6), pages 1113-1117.
    4. Shoshana Y Kahana & Richard A Jenkins & Douglas Bruce & Maria I Fernandez & Lisa B Hightow-Weidman & Jose A Bauermeister & Adolescent Medicine Trials Network for HIV/AIDS Interventions, 2016. "Structural Determinants of Antiretroviral Therapy Use, HIV Care Attendance, and Viral Suppression among Adolescents and Young Adults Living with HIV," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-19, April.
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    1. Anees Bahji & Yu Li & Rachel Vickers-Smith & Stephen Crystal & Robert D. Kerns & Kirsha S. Gordon & Alexandria Macmadu & Melissa Skanderson & Kaku So-Armah & Minhee L. Sung & Fiona Bhondoekhan & Brand, 2022. "Self-Reported Cannabis Use and HIV Viral Control among Patients with HIV Engaged in Care: Results from a National Cohort Study," IJERPH, MDPI, vol. 19(9), pages 1-15, May.

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