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Lack of Awareness of Human Immunodeficiency Virus (HIV) Infection: Problems and Solutions With Self-reported HIV Serostatus of Men Who Have Sex With Men

BACKGROUND:  Lack of human immunodeficiency virus (HIV) infection awareness may be a driver of racial disparities in HIV infection among men who have sex with men (MSM). Lack of awareness is typically measured by comparing HIV test result to self-reported HIV status. This measure may be subject to r...

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Autores principales: Sanchez, Travis H., Kelley, Colleen F., Rosenberg, Eli, Luisi, Nicole, O'Hara, Brandon, Lambert, Rodriques, Coleman, Raphael, Frew, Paula, Salazar, Laura F., Tao, Sijia, Clarke, William, del Rio, Carlos, Sullivan, Patrick S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4281805/
https://www.ncbi.nlm.nih.gov/pubmed/25734150
http://dx.doi.org/10.1093/ofid/ofu084
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author Sanchez, Travis H.
Kelley, Colleen F.
Rosenberg, Eli
Luisi, Nicole
O'Hara, Brandon
Lambert, Rodriques
Coleman, Raphael
Frew, Paula
Salazar, Laura F.
Tao, Sijia
Clarke, William
del Rio, Carlos
Sullivan, Patrick S.
author_facet Sanchez, Travis H.
Kelley, Colleen F.
Rosenberg, Eli
Luisi, Nicole
O'Hara, Brandon
Lambert, Rodriques
Coleman, Raphael
Frew, Paula
Salazar, Laura F.
Tao, Sijia
Clarke, William
del Rio, Carlos
Sullivan, Patrick S.
author_sort Sanchez, Travis H.
collection PubMed
description BACKGROUND:  Lack of human immunodeficiency virus (HIV) infection awareness may be a driver of racial disparities in HIV infection among men who have sex with men (MSM). Lack of awareness is typically measured by comparing HIV test result to self-reported HIV status. This measure may be subject to reporting bias and alternatives are needed. METHODS:  The InvolveMENt study examined HIV disparities between black and white MSM from Atlanta. Among HIV-positive participants who did not report knowing they were positive, we examined other measures of awareness: HIV viral load (VL) <1000 copies/mL (low VL), antiretroviral (ARV) drugs in blood, and previous HIV case surveillance report. RESULTS:  Using self-report only, 32% (62 of 192) of black and 16% (7 of 45) of white MSM were not aware of their HIV infection (P = .03). Using self-report and low VL, 25% (48 of 192) black and 16% (7 of 45) white MSM lacked awareness (P = .18). Using self-report and ARVs, 26% (50 of 192) black and 16% (7 of 45) white MSM lacked awareness (P = .14). Using self-report and surveillance report, 15% (28 of 192) black and 13% (6 of 45) white MSM lacked awareness (P = .83). CONCLUSIONS:  Self-report only may overestimate true lack of awareness of HIV status for black MSM. If, as our data suggest, black MSM are not less likely to be aware of their HIV infection than are white MSM, then this factor is not a substantial driver of HIV disparity. Future HIV research that depends on accurate measurement of HIV status awareness should consider including additional laboratory and case surveillance data.
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spelling pubmed-42818052015-03-02 Lack of Awareness of Human Immunodeficiency Virus (HIV) Infection: Problems and Solutions With Self-reported HIV Serostatus of Men Who Have Sex With Men Sanchez, Travis H. Kelley, Colleen F. Rosenberg, Eli Luisi, Nicole O'Hara, Brandon Lambert, Rodriques Coleman, Raphael Frew, Paula Salazar, Laura F. Tao, Sijia Clarke, William del Rio, Carlos Sullivan, Patrick S. Open Forum Infect Dis Major Articles BACKGROUND:  Lack of human immunodeficiency virus (HIV) infection awareness may be a driver of racial disparities in HIV infection among men who have sex with men (MSM). Lack of awareness is typically measured by comparing HIV test result to self-reported HIV status. This measure may be subject to reporting bias and alternatives are needed. METHODS:  The InvolveMENt study examined HIV disparities between black and white MSM from Atlanta. Among HIV-positive participants who did not report knowing they were positive, we examined other measures of awareness: HIV viral load (VL) <1000 copies/mL (low VL), antiretroviral (ARV) drugs in blood, and previous HIV case surveillance report. RESULTS:  Using self-report only, 32% (62 of 192) of black and 16% (7 of 45) of white MSM were not aware of their HIV infection (P = .03). Using self-report and low VL, 25% (48 of 192) black and 16% (7 of 45) white MSM lacked awareness (P = .18). Using self-report and ARVs, 26% (50 of 192) black and 16% (7 of 45) white MSM lacked awareness (P = .14). Using self-report and surveillance report, 15% (28 of 192) black and 13% (6 of 45) white MSM lacked awareness (P = .83). CONCLUSIONS:  Self-report only may overestimate true lack of awareness of HIV status for black MSM. If, as our data suggest, black MSM are not less likely to be aware of their HIV infection than are white MSM, then this factor is not a substantial driver of HIV disparity. Future HIV research that depends on accurate measurement of HIV status awareness should consider including additional laboratory and case surveillance data. Oxford University Press 2014-09-13 /pmc/articles/PMC4281805/ /pubmed/25734150 http://dx.doi.org/10.1093/ofid/ofu084 Text en © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com.
spellingShingle Major Articles
Sanchez, Travis H.
Kelley, Colleen F.
Rosenberg, Eli
Luisi, Nicole
O'Hara, Brandon
Lambert, Rodriques
Coleman, Raphael
Frew, Paula
Salazar, Laura F.
Tao, Sijia
Clarke, William
del Rio, Carlos
Sullivan, Patrick S.
Lack of Awareness of Human Immunodeficiency Virus (HIV) Infection: Problems and Solutions With Self-reported HIV Serostatus of Men Who Have Sex With Men
title Lack of Awareness of Human Immunodeficiency Virus (HIV) Infection: Problems and Solutions With Self-reported HIV Serostatus of Men Who Have Sex With Men
title_full Lack of Awareness of Human Immunodeficiency Virus (HIV) Infection: Problems and Solutions With Self-reported HIV Serostatus of Men Who Have Sex With Men
title_fullStr Lack of Awareness of Human Immunodeficiency Virus (HIV) Infection: Problems and Solutions With Self-reported HIV Serostatus of Men Who Have Sex With Men
title_full_unstemmed Lack of Awareness of Human Immunodeficiency Virus (HIV) Infection: Problems and Solutions With Self-reported HIV Serostatus of Men Who Have Sex With Men
title_short Lack of Awareness of Human Immunodeficiency Virus (HIV) Infection: Problems and Solutions With Self-reported HIV Serostatus of Men Who Have Sex With Men
title_sort lack of awareness of human immunodeficiency virus (hiv) infection: problems and solutions with self-reported hiv serostatus of men who have sex with men
topic Major Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4281805/
https://www.ncbi.nlm.nih.gov/pubmed/25734150
http://dx.doi.org/10.1093/ofid/ofu084
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