Discordance of Self-report and Laboratory Measures of HIV Viral Load Among Young Men Who Have Sex with Men and Transgender Women in Chicago: Implications for Epidemiology, Care, and Prevention

Suppressing HIV viral load through daily antiretroviral therapy (ART) substantially reduces the risk of HIV transmission, however, the potential population impact of treatment as prevention (TasP) is mitigated due to challenges with sustained care engagement and ART adherence. For an undetectable vi...

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Bibliographic Details
Published in:AIDS and behavior 2018-07, Vol.22 (7), p.2360-2367
Main Authors: Mustanski, Brian, Ryan, Daniel T., Remble, Thomas A., D’Aquila, Richard T., Newcomb, Michael E., Morgan, Ethan
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
Anti-Retroviral Agents - therapeutic use
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Bisexuality
Chicago - epidemiology
Cohort Studies
Condoms
Decision making
Discordance
Disease transmission
Epidemiology
Female
Gays & lesbians
Health behavior
Health Psychology
HIV
HIV Infections - blood
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV Infections - prevention & control
Homosexuality, Male
Human immunodeficiency virus
Humans
Infectious Diseases
Laboratories
Laboratory tests
Male
Medical records
Medicine
Medicine & Public Health
Men
Men who have sex with men
Mens health
Original Paper
Patient compliance
Patients
Prescription drugs
Prevention
Public Health
Risk
Risk reduction
Self Report
Serologic Tests
Sexual and Gender Minorities
Sexual Behavior
Sexually transmitted diseases
STD
Transgender Persons
Transsexuality
Viral Load
Women
Womens health
Young Adult
Young adults
Young men
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Summary:Suppressing HIV viral load through daily antiretroviral therapy (ART) substantially reduces the risk of HIV transmission, however, the potential population impact of treatment as prevention (TasP) is mitigated due to challenges with sustained care engagement and ART adherence. For an undetectable viral load (VL) to inform decision making about transmission risk, individuals must be able to accurately classify their VL as detectable or undetectable. Participants were 205 HIV-infected young men who have sex with men (YMSM) and transgender women (TGW) from a large cohort study in the Chicago area. Analyses examined correspondence among self-reported undetectable VL, study-specific VL, and most recent medical record VL. Among HIV-positive YMSM/TGW, 54% had an undetectable VL (
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-018-2112-7