Transmission Risk among Youth Living with HIV in the United States

dc.contributor.authorvan den Berg, Jacob J.
dc.contributor.authorGamarel, Kristi E.
dc.contributor.authorWestfall, Andrew O.
dc.contributor.authorFortenberry, J. Dennis
dc.contributor.authorHosek, Sybil G.
dc.contributor.authorWilson, Craig M.
dc.contributor.authorLally, Michelle A.
dc.contributor.departmentMedicine, School of Medicineen_US
dc.date.accessioned2023-02-08T19:48:08Z
dc.date.available2023-02-08T19:48:08Z
dc.date.issued2020-07
dc.description.abstractPurpose: HIV treatment as prevention is effective for reducing the risk of HIV transmission and the messaging campaign, undetectable = untransmittable, is gaining recognition. As youth living with HIV (YLWH) who have condomless sex may acquire and potentially transmit other sexually transmitted infections (STIs), the purpose of this study was to assess potential differences in transmission risk of HIV and other STIs among YLWH to inform subsequent HIV and STI prevention efforts. Methods: A cohort of 600 HIV behaviorally infected youth aged 13-24 years who were engaged in medical care completed an audio computer-assisted self-interview including questions about demographics, HIV disclosure, mental health, substance use, and sexual behaviors and beliefs. HIV viral loads and the presence of other STIs were abstracted from medical records. A viral load <200 copies/mL was considered undetectable. Univariate and bivariate analyses were conducted to examine differences by viral load and STIs. Results: Participants were categorized into four groups: (1) undetectable without STIs (55.2%); (2) undetectable with STIs (14.2%); (3) detectable without STIs (22.8%); and (4) detectable with STIs (7.8%). In comparison to the other three groups, youth in the undetectable group with STIs reported more favorable sexual risk reduction attitudes and beliefs, internet use for finding sex partners, anal sex with male partners, and condomless anal sex with male partners. Conclusions: YLWH with undetectable viral loads and other STIs engaged in higher risk behaviors. To realize the promise of the messaging campaign, undetectable = untransmittable, efforts must focus on sustained viral suppression and prevention of STIs among YLWH.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationvan den Berg JJ, Gamarel KE, Westfall AO, et al. Transmission Risk Among Youth Living With HIV in the U.S. J Adolesc Health. 2020;67(1):61-68. doi:10.1016/j.jadohealth.2020.01.008en_US
dc.identifier.urihttps://hdl.handle.net/1805/31185
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.relation.isversionof10.1016/j.jadohealth.2020.01.008en_US
dc.relation.journalJournal of Adolescent Healthen_US
dc.rightsPublisher Policyen_US
dc.sourcePMCen_US
dc.subjectHIV continuum of careen_US
dc.subjectSexually transmitted infectionsen_US
dc.subjectTreatment as preventionen_US
dc.subjectViral load suppressionen_US
dc.subjectYouth living with HIVen_US
dc.titleTransmission Risk among Youth Living with HIV in the United Statesen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
nihms-1569202.pdf
Size:
363.46 KB
Format:
Adobe Portable Document Format
Description:
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.99 KB
Format:
Item-specific license agreed upon to submission
Description: