scholarly journals Syphilis Testing Among Sexually Active Men Who Have Sex With Men and Who Are Receiving Medical Care for Human Immunodeficiency Virus in the United States: Medical Monitoring Project, 2013–2014

2018 ◽  
Vol 68 (6) ◽  
pp. 934-939 ◽  
Author(s):  
Alex de Voux ◽  
Kyle T Bernstein ◽  
Heather Bradley ◽  
Robert D Kirkcaldy ◽  
Yunfeng Tie ◽  
...  
Keyword(s):  
United States ◽  
Human Immunodeficiency Virus ◽  
Medical Care ◽  
The United States ◽  
Sexually Active ◽  
Medical Monitoring ◽  
Syphilis Testing ◽  
Immunodeficiency Virus ◽  
Medical Monitoring Project ◽  
Sex With Men

scholarly journals Epidemiology of Human Immunodeficiency Virus in the United States

2007 ◽  
Vol 20 (3) ◽  
pp. 478-488 ◽  
Author(s):  
Susan Hariri ◽  
Matthew T. McKenna
Keyword(s):  
United States ◽  
Human Immunodeficiency Virus ◽  
Hiv Infection ◽  
Hiv Transmission ◽  
The United States ◽  
Population Based ◽  
True Incidence ◽  
Immunodeficiency Virus ◽  
Sex With Men ◽  
Fundamental Shift

SUMMARY The human immunodeficiency virus (HIV) epidemic emerged in the early 1980s with HIV infection as a highly lethal disease among men who have sex with men and among frequent recipients of blood product transfusions. Advances in the treatment of HIV infection have resulted in a fundamental shift in its epidemiology, to a potentially chronic and manageable condition. However, challenges in the prevention of this infection remain. In particular, increasing evidence suggests that transmission of drug-resistant virus is becoming more common and that the epidemic is having a profound impact on morbidity and mortality in ethnic and racial minority subgroups in the United States. New population-based data collection systems designed to describe trends in behaviors associated with HIV transmission and better methods for measuring the true incidence of transmission will better elucidate the characteristics of HIV infection in the United States and inform future public health policies.

Exchange sex among people receiving medical care for HIV in the United States – medical monitoring project 2009–2013

AIDS Care ◽  
2018 ◽  
Vol 30 (10) ◽  
pp. 1315-1321 ◽  
Author(s):  
Oluwatosin Olaiya ◽  
Lina Nerlander ◽  
Christine L. Mattson ◽  
Linda Beer
Keyword(s):  
United States ◽  
Medical Care ◽  
The United States ◽  
Medical Monitoring ◽  
Exchange Sex ◽  
Medical Monitoring Project

The Impact of Competing Subsistence Needs and Barriers on Access to Medical Care for Persons With Human Immunodeficiency Virus Receiving Care in the United States

Medical Care ◽  
1999 ◽  
Vol 37 (12) ◽  
pp. 1270-1281 ◽  
Author(s):  
William E. Cunningham ◽  
Ronald M. Andersen ◽  
Mitchell H. Katz ◽  
Michael D. Stein ◽  
Barbara J. Turner ◽  
...  
Keyword(s):  
United States ◽  
Human Immunodeficiency Virus ◽  
Medical Care ◽  
The United States ◽  
Immunodeficiency Virus ◽  
Access To Medical Care ◽  
The Impact

scholarly journals Optimizing Human Immunodeficiency Virus Testing Interventions for Men Who Have Sex With Men in the United States: A Modeling Study

2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Kevin P. Delaney ◽  
Eli S. Rosenberg ◽  
Michael R. Kramer ◽  
Lance A. Waller ◽  
Patrick S. Sullivan
Keyword(s):  
United States ◽  
Human Immunodeficiency Virus ◽  
Hiv Testing ◽  
Viral Suppression ◽  
The United States ◽  
Hiv Care ◽  
Hiv Incidence ◽  
Test Sensitivity ◽  
Immunodeficiency Virus ◽  
Sex With Men

Abstract Background.  In the United States, public health recommendations for men who have sex with men (MSM) include testing for human immunodeficiency virus (HIV) at least annually. We model the impact of different possible HIV testing policies on HIV incidence in a simulated population parameterized to represent US MSM. Methods.  We used exponential random graph models to explore, among MSM, the short-term impact on baseline (under current HIV testing practices and care linkage) HIV incidence of the following: (1) increasing frequency of testing; (2) increasing the proportion who ever test; (3) increasing test sensitivity; (4) increasing the proportion of the diagnosed population achieving viral suppression; and combinations of 1–4. We simulated each scenario 20 times and calculated the median and interquartile range of 3-year cumulative incidence of HIV infection. Results.  The only intervention that reduced HIV incidence on its own was increasing the proportion of the diagnosed population achieving viral suppression; increasing frequency of testing, the proportion that ever test or test sensitivity did not appreciably reduce estimated incidence. However, in an optimal scenario in which viral suppression improved to 100%, HIV incidence could be reduced by an additional 17% compared with baseline by increasing testing frequency to every 90 days and test sensitivity to 22 days postinfection. Conclusions.  Increased frequency, coverage, or sensitivity of HIV testing among MSM is unlikely to result in reduced HIV incidence unless men diagnosed through enhanced testing programs are also engaged in effective HIV care resulting in viral suppression at higher rates than currently observed.

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