Early linkage to HIV care and antiretroviral treatment among men who have sex with men-20 Cities, United States, 2008 and 2011

Brooke E. Hoots, Teresa J. Finlayson, Cyprian Wejnert, Gabriela Paz-Bailey, Jennifer Taussig, Robert Gern, Tamika Hoyte, Laura Salazar, Jianglan White, Jeff Todd, Greg Bautista, Colin Flynn, Frangiscos Sifakis, Danielle German, Debbie Isenberg, Maura Driscoll, Elizabeth Hurwitz, [No Value] Miminos, Rose Doherty, Chris WittkeNikhil Prachand, Nanette Benbow, Sharon Melville, Praveen Pannala, Richard Yeager, Aaron Sayegh, Jim Dyer, Shane Sheu, Alicia Novoa, Mark Thrun, Alia Al-Tayyib, Ralph Wilmoth, Emily Higgins, Vivian Griffin, Eve Mokotoff, Karen MacMaster, Marcia Wolverton, Jan Risser, Hafeez Rehman, Paige Padgett, Trista Bingham, Ekow Kwa Sey, Marlene LaLota, Lisa Metsch, David Forrest, Dano Beck, Gabriel Cardenas, Chris Nemeth, Bridget J. Anderson, Carol Ann Watson, Lou Smith, William T. Robinson, DeAnn Gruber, Narquis Barak, Chris Murrill, Alan Neaigus, Samuel Jenness, Holly Hagan, Kathleen H. Reilly, Travis Wendel, Helene Cross, Barbara Bolden, Sally D'Errico, Afework Wogayehu, Henry Godette, Kathleen A. Brady, Althea Kirkland, Andrea Sifferman, Vanessa Miguelino-Keasling, Al Velasco, Veronica Tovar, H. Fisher Raymond, Sandra Miranda De Leo'n, Yadira Rolo'n-Colo'n, Melissa Marzan, Maria Courogen, Tom Jaenicke, Hanne Thiede, Richard Burt, Yujiang Jia, Jenevieve Opoku, Marie Sansone, Tiffany West, Manya Magnus, Irene Kuo

Research output: Contribution to journalArticlepeer-review


Early linkage to care and antiretroviral (ARV) treatment are associated with reduced HIV transmission. Male-to-male sexual contact represents the largest HIV transmission category in the United States; men who have sex with men (MSM) are an important focus of care and treatment efforts. With the release of the National HIV/AIDS Strategy and expanded HIV treatment guidelines, increases in early linkage to care and ARV treatment are expected.We examined differences in prevalence of early linkage to care and ARV treatment among HIV-positiveMSM between 2008 and 2011. Data are from the National HIV Behavioral Surveillance System, which monitors behaviors among populations at high risk of HIV infection in 20 U.S. cities with high AIDS burden. MSM were recruited through venuebased, time-space sampling. Prevalence ratios comparing 2011 to 2008 were estimated using linearmixed models. Early linkage was defined as an HIV clinic visit within 3 months of diagnosis. ARV treatment was defined as use at interview. Prevalence of early linkage to care was 79%(187/236) in 2008 and 83%(241/291) in 2011. Inmultivariable analysis, prevalence of early linkage did not differ significantly between years overall (P = 0.44). Prevalence of ARV treatment was 69% (790/1,142) in 2008 and 79%(1,049/1,336) in 2001. In multivariable analysis, ARV treatment increased overall (P = 0.0003) and among most sub-groups. Black MSM were less likely than white MSM to report ARV treatment (P = 0.01).While early linkage to care did not increase significantly between 2008 and 2011, ARV treatment increased among most sub-groups. Progress is being made in getting MSM on HIV treatment, but more efforts are needed to decrease disparities in ARV coverage.

Original languageEnglish (US)
Article numbere0132962
JournalPloS one
Issue number7
StatePublished - Jul 15 2015

ASJC Scopus subject areas

  • General


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