Viral suppression and HIV transmission behaviors among hospitalized patients living with HIV

From July 2012 to January 2014, the CTN0049 study, Project HOPE (Hospital Visit as Opportunity for Prevention and Engagement for HIV-infected Drug Users) interviewed 1227 people with HIV infection from 11 hospitals in the US to determine eligibility for participation in a randomized trial. Using the...

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Bibliographic Details
Published in:International journal of STD & AIDS 2019-08, Vol.30 (9), p.891-901
Main Authors: Pan, Yue, Metsch, Lisa R, Gooden, Lauren K, Philbin, Morgan M, Daar, Eric S, Douaihy, Antoine, Jacobs, Petra, del Rio, Carlos, Rodriguez, Allan E, Feaster, Daniel J
Format: Article
Language:English
Subjects:
Adult
AIDS/HIV
Anti-HIV Agents - therapeutic use
Cross-Sectional Studies
Female
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - transmission
HIV Infections - virology
Humans
Inpatients - statistics & numerical data
Male
Risk-Taking
Sexual Behavior - psychology
Sexual Partners
Substance Abuse, Intravenous - epidemiology
Substance Abuse, Intravenous - psychology
Sustained Virologic Response
United States - epidemiology
Unsafe Sex - psychology
Viral Load - statistics & numerical data
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Summary:From July 2012 to January 2014, the CTN0049 study, Project HOPE (Hospital Visit as Opportunity for Prevention and Engagement for HIV-infected Drug Users) interviewed 1227 people with HIV infection from 11 hospitals in the US to determine eligibility for participation in a randomized trial. Using these screening interviews, we conducted a cross-sectional study with multivariable analysis to examine groups that are at highest risk for having a detectable viral load (VL) and engaging in HIV transmission behaviors. Viral suppression was 42.8%. Persons with a detectable VL were more likely to have sex partners who were HIV-negative or of unknown status (OR = 1.72, 95% CI = 1.22–2.38), report not cleaning needles after injecting drugs (OR = 3.13, 95% CI = 1.33–7.14), and to engage in sex acts while high on drugs or alcohol (OR = 1.85, 95% CI = 1.28–2.7) compared to their counterparts. Many hospitalized people with HIV infection are unsuppressed and more likely to engage in HIV transmission behaviors than those with viral suppression. Developing behavioral interventions targeting HIV transmission behaviors toward patients with unsuppressed HIV VLs in the hospital setting has the potential to prevent HIV transmission.
ISSN:0956-4624
1758-1052
DOI:10.1177/0956462419846726