Being unaware of being HIV-Infected is associated with alcohol use disorders and high-risk sexual behaviors among men who have sex with men in peru

Panagiotis Vagenas; Kaysia T. Ludford; Pedro Gonzales; Jesus Peinado; Cesar Cabezas; Fernando Gonzales; Javier R. Lama; Jorge Sanchez; Frederick L. Altice

doi:10.1007/s10461-013-0504-2

Being unaware of being HIV-Infected is associated with alcohol use disorders and high-risk sexual behaviors among men who have sex with men in peru

Panagiotis Vagenas, Kaysia T. Ludford, Pedro Gonzales, Jesus Peinado, Cesar Cabezas, Fernando Gonzales, Javier R. Lama, Jorge Sanchez, Frederick L. Altice

Research output: Contribution to journal › Article › peer-review

38 Scopus citations

Abstract

This study compared the correlates of HIV risk among men who have sex with men (MSM) with newly diagnosed versus previously known HIV infection among 5,148 MSM recruited using modified snowball sampling in 5 Peruvian cities. Participants, if age C18 years and reporting sex with a male in the previous 12 months, underwent standardized computer-assisted risk assessments and HIV and syphilis testing. Overall, 420 (8.2 %) participants tested HIV seropositive, most of whom (89.8 %) were unaware of their HIV status. Compared to those who knew themselves to be HIV-infected, multivariate logistic regression demonstrated that unprotected anal intercourse at last encounter [AOR = 2.84 (95 % CI 1.09-7.40)] and having an alcohol use disorder (AUD) [AOR = 2.14 (95 % CI 1.01-5.54)] were independently associated with a newly diagnosed HIV infection. Being unaware of being HIVinfected was associated with high-risk sexual behaviors and AUDs, both of which are amenable to behavioral and medication-assisted therapy interventions.

Original language	English
Pages (from-to)	120-127
Number of pages	8
Journal	AIDS and Behavior
Volume	18
Issue number	1
DOIs	https://doi.org/10.1007/s10461-013-0504-2
State	Published - Jan 2014

Bibliographical note

Funding Information:
Acknowledgments The authors would like to acknowledge the subjects who participated in this study; all the medical and research personnel at Impacta, Peru; Dr. Jeffrey Wickersham at the Yale AIDS Program and the Yale University StatLab for their help and advice with the statistical analyses; Enrico Ferro at Yale College; Paula Dellamura and Ruthanne Marcus at the Yale AIDS Program for their continued support of this project. This research was funded by The Global Fund to Fight AIDS, Tuberculosis and Malaria Grants PER-506-G03-H and PER-607-G05-H awarded to CARE PERU; unrestricted discretionary core funds from Asociacion Civil Impacta Ed-ucacion y Salud; and from the National Institute on Drug Abuse through research (R01 DA032106) and career development awards (K24 DA017072) to FLA. The funding sources played no role in study design, data collection, data analysis, data interpretation, writing of the manuscript or the decision to submit the paper for publication.

Keywords

Alcohol use disorders
Extended-release naltrexone
HIV infection
Male homosexuality
Medication-assisted therapies
Peru
Sexual risk

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10.1007/s10461-013-0504-2

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title = "Being unaware of being HIV-Infected is associated with alcohol use disorders and high-risk sexual behaviors among men who have sex with men in peru",

abstract = "This study compared the correlates of HIV risk among men who have sex with men (MSM) with newly diagnosed versus previously known HIV infection among 5,148 MSM recruited using modified snowball sampling in 5 Peruvian cities. Participants, if age C18 years and reporting sex with a male in the previous 12 months, underwent standardized computer-assisted risk assessments and HIV and syphilis testing. Overall, 420 (8.2 %) participants tested HIV seropositive, most of whom (89.8 %) were unaware of their HIV status. Compared to those who knew themselves to be HIV-infected, multivariate logistic regression demonstrated that unprotected anal intercourse at last encounter [AOR = 2.84 (95 % CI 1.09-7.40)] and having an alcohol use disorder (AUD) [AOR = 2.14 (95 % CI 1.01-5.54)] were independently associated with a newly diagnosed HIV infection. Being unaware of being HIVinfected was associated with high-risk sexual behaviors and AUDs, both of which are amenable to behavioral and medication-assisted therapy interventions.",

keywords = "Alcohol use disorders, Extended-release naltrexone, HIV infection, Male homosexuality, Medication-assisted therapies, Peru, Sexual risk",

author = "Panagiotis Vagenas and Ludford, {Kaysia T.} and Pedro Gonzales and Jesus Peinado and Cesar Cabezas and Fernando Gonzales and Lama, {Javier R.} and Jorge Sanchez and Altice, {Frederick L.}",

note = "Funding Information: Acknowledgments The authors would like to acknowledge the subjects who participated in this study; all the medical and research personnel at Impacta, Peru; Dr. Jeffrey Wickersham at the Yale AIDS Program and the Yale University StatLab for their help and advice with the statistical analyses; Enrico Ferro at Yale College; Paula Dellamura and Ruthanne Marcus at the Yale AIDS Program for their continued support of this project. This research was funded by The Global Fund to Fight AIDS, Tuberculosis and Malaria Grants PER-506-G03-H and PER-607-G05-H awarded to CARE PERU; unrestricted discretionary core funds from Asociacion Civil Impacta Ed-ucacion y Salud; and from the National Institute on Drug Abuse through research (R01 DA032106) and career development awards (K24 DA017072) to FLA. The funding sources played no role in study design, data collection, data analysis, data interpretation, writing of the manuscript or the decision to submit the paper for publication.",

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AU - Ludford, Kaysia T.

AU - Gonzales, Pedro

AU - Peinado, Jesus

AU - Cabezas, Cesar

AU - Gonzales, Fernando

AU - Lama, Javier R.

AU - Sanchez, Jorge

AU - Altice, Frederick L.

N1 - Funding Information: Acknowledgments The authors would like to acknowledge the subjects who participated in this study; all the medical and research personnel at Impacta, Peru; Dr. Jeffrey Wickersham at the Yale AIDS Program and the Yale University StatLab for their help and advice with the statistical analyses; Enrico Ferro at Yale College; Paula Dellamura and Ruthanne Marcus at the Yale AIDS Program for their continued support of this project. This research was funded by The Global Fund to Fight AIDS, Tuberculosis and Malaria Grants PER-506-G03-H and PER-607-G05-H awarded to CARE PERU; unrestricted discretionary core funds from Asociacion Civil Impacta Ed-ucacion y Salud; and from the National Institute on Drug Abuse through research (R01 DA032106) and career development awards (K24 DA017072) to FLA. The funding sources played no role in study design, data collection, data analysis, data interpretation, writing of the manuscript or the decision to submit the paper for publication.

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N2 - This study compared the correlates of HIV risk among men who have sex with men (MSM) with newly diagnosed versus previously known HIV infection among 5,148 MSM recruited using modified snowball sampling in 5 Peruvian cities. Participants, if age C18 years and reporting sex with a male in the previous 12 months, underwent standardized computer-assisted risk assessments and HIV and syphilis testing. Overall, 420 (8.2 %) participants tested HIV seropositive, most of whom (89.8 %) were unaware of their HIV status. Compared to those who knew themselves to be HIV-infected, multivariate logistic regression demonstrated that unprotected anal intercourse at last encounter [AOR = 2.84 (95 % CI 1.09-7.40)] and having an alcohol use disorder (AUD) [AOR = 2.14 (95 % CI 1.01-5.54)] were independently associated with a newly diagnosed HIV infection. Being unaware of being HIVinfected was associated with high-risk sexual behaviors and AUDs, both of which are amenable to behavioral and medication-assisted therapy interventions.

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KW - Male homosexuality

KW - Medication-assisted therapies

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Being unaware of being HIV-Infected is associated with alcohol use disorders and high-risk sexual behaviors among men who have sex with men in peru

Abstract

Bibliographical note

Keywords

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