Improvements in Virologic Control Among PWH Over Time: Narrowing the Gap Between Those With and Without STIs

Using the incidence of bacterial sexually transmitted infection (STI) as a surrogate for condomless sexual behavior, we assessed the association between STI and uncontrolled HIV replication among in-care persons with HIV (PWH) enrolled in a longitudinal HIV cohort study in the District of Columbia (...

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Bibliographic Details
Published in:AIDS and behavior 2023-02, Vol.27 (2), p.673-677
Main Authors: Akselrod, Hana, Byrne, Morgan, Lundberg, Jeannette, Czeresnia, Jonathan Mamber, Lucar, Jose, Secco, Alessandra, Levy, Matt, Monroe, Anne, Castel, Amanda, Horberg, Michael, Doshi, Rupali, Rivasplata, Heather, Squires, Leah, Parenti, David, Benator, Debra
Format: Article
Language:English
Subjects:
Adolescent
Adult
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Cohort Studies
Disease transmission
Gays & lesbians
Health care access
Health Psychology
HIV
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV Infections - prevention & control
Homosexuality, Male
Human immunodeficiency virus
Humans
Infectious Diseases
Male
Medicine
Medicine & Public Health
Men who have sex with men
Mens health
Original Paper
Public Health
Sexual and Gender Minorities
Sexual Behavior
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - prevention & control
STD
Young Adult
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Summary:Using the incidence of bacterial sexually transmitted infection (STI) as a surrogate for condomless sexual behavior, we assessed the association between STI and uncontrolled HIV replication among in-care persons with HIV (PWH) enrolled in a longitudinal HIV cohort study in the District of Columbia (the DC Cohort). Although STI occurrence initially correlated with higher HIV viral load (VL), this difference became more attenuated over time (2012–2016). This was true overall and among those with the greatest number of STIs [age 18–34, men who have sex with men (MSM)]. This likely reflects gains in population-wide virologic control through improved antiretroviral therapy and access to care, which helps mitigate the risk of HIV transmission.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-022-03802-6