Place-Based Predictors of HIV Viral Suppression and Durable Suppression Among Men Who Have Sex With Men in New York City

We explore relationships between place characteristics and HIV viral suppression among HIV-positive men who have sex with men (MSM) in New York City (NYC). We conducted multilevel analyses to examine associations of United Hospital Fund (UHF)-level characteristics to individual-level suppression and...

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Bibliographic Details
Published in:AIDS and behavior 2017-10, Vol.21 (10), p.2987-2999
Main Authors: Jefferson, Kevin A., Kersanske, Laura S., Wolfe, Mary E., Braunstein, Sarah L., Haardörfer, Regine, Jarlais, Don C. Des, Campbell, Aimee N. C., Cooper, Hannah L. F.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
Anti-HIV Agents - therapeutic use
Cross-Sectional Studies
Demographics
Dependent variables
Gays & lesbians
Health care access
Health Psychology
Health services
HIV
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV Infections - virology
Homosexuality, Male
Households
Human immunodeficiency virus
Humans
Independent variables
Infectious Diseases
Male
Medicine
Medicine & Public Health
Men who have sex with men
Mens health
Middle Aged
Multilevel
Multilevel Analysis
New York City - epidemiology
Original Paper
Physicians
Police
Police - psychology
Population Surveillance - methods
Public Health
Registries
Risk
Risk-Taking
Sexually transmitted diseases
Socioeconomic Factors
STD
Surveillance
Treatment Outcome
Very high frequencies
Young Adult
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Summary:We explore relationships between place characteristics and HIV viral suppression among HIV-positive men who have sex with men (MSM) in New York City (NYC). We conducted multilevel analyses to examine associations of United Hospital Fund (UHF)-level characteristics to individual-level suppression and durable suppression among MSM. Individual-level independent and dependent variables came from MSM in NYC’s HIV surveillance registry who had been diagnosed in 2009–2013 (N = 7159). UHF-level covariates captured demographic composition, economic disadvantage, healthcare access, social disorder, and police stop and frisk rates. 56.89% of MSM achieved suppression; 35.49% achieved durable suppression. MSM in UHFs where 5–29% of residents were Black had a greater likelihood of suppression (reference: ≥30% Black; adjusted relative risk (ARR) = 1.07, p = 0.04). MSM in UHFs with 
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-017-1810-x