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

Kevin A. Jefferson, Laura S. Kersanske, Mary E. Wolfe, Sarah L. Braunstein, Regine Haardörfer, Don C.Des Jarlais, Aimee N.C. Campbell, Hannah L.F. Cooper

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)2987-2999
Number of pages13
JournalAIDS and Behavior
Volume21
Issue number10
DOIs
StatePublished - Oct 1 2017

Keywords

  • HIV viral suppression
  • Men who have sex with men
  • New York City
  • Place-based predictors

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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    Jefferson, K. A., Kersanske, L. S., Wolfe, M. E., Braunstein, S. L., Haardörfer, R., Jarlais, D. C. D., Campbell, A. N. C., & Cooper, H. L. F. (2017). Place-Based Predictors of HIV Viral Suppression and Durable Suppression Among Men Who Have Sex With Men in New York City. AIDS and Behavior, 21(10), 2987-2999. https://doi.org/10.1007/s10461-017-1810-x