HIV Treatment Knowledge in the Context of “Treatment as Prevention” (TasP)

Margaret M. Paschen-Wolff; Aimee N.C. Campbell; Susan Tross; Michael Castro; Hayley Berg; Sarah Braunstein; Christine Borges; Don Des Jarlais

doi:10.1007/s10461-020-02849-7

HIV Treatment Knowledge in the Context of “Treatment as Prevention” (TasP)

Margaret M. Paschen-Wolff, Aimee N.C. Campbell, Susan Tross, Michael Castro, Hayley Berg, Sarah Braunstein, Christine Borges, Don Des Jarlais

Global Public Health

Research output: Contribution to journal › Article › peer-review

Abstract

According to 2012 universal ART guidelines, as part of “treatment as prevention” (TasP), all people living with HIV (PLWH) should immediately initiate antiretroviral therapy post-diagnosis to facilitate viral suppression. PLWH who are virally suppressed have no risk of sexually transmitting HIV. This study used descriptive analysis of quantitative data (N = 99) and thematic analysis of qualitative interviews (n = 36) to compare participants recruited from a hospital-based detoxification (detox) unit, largely diagnosed with HIV pre-2012 (n = 63) vs. those recruited from public, urban sexual health clinics (SHCs), mainly diagnosed in 2012 or later (n = 36). Detox participants were significantly more knowledgeable than SHC participants about HIV treatment, except regarding TasP. SHC participants’ desire for rapid linkage to care and ART initiation was in line with 2012 universal ART guidelines and TasP messaging regarding viral suppression. More targeted messaging to PLWH pre-2012 could ensure that all PLWH benefit from scientific advances in HIV treatment.

Original language	English (US)
Pages (from-to)	2984-2994
Number of pages	11
Journal	AIDS and Behavior
Volume	24
Issue number	10
DOIs	https://doi.org/10.1007/s10461-020-02849-7
State	Published - Oct 1 2020

Keywords

Antiretroviral treatment
HIV/AIDS
Health knowledge
Treatment as prevention

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-020-02849-7

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title = "HIV Treatment Knowledge in the Context of “Treatment as Prevention” (TasP)",

abstract = "According to 2012 universal ART guidelines, as part of “treatment as prevention” (TasP), all people living with HIV (PLWH) should immediately initiate antiretroviral therapy post-diagnosis to facilitate viral suppression. PLWH who are virally suppressed have no risk of sexually transmitting HIV. This study used descriptive analysis of quantitative data (N = 99) and thematic analysis of qualitative interviews (n = 36) to compare participants recruited from a hospital-based detoxification (detox) unit, largely diagnosed with HIV pre-2012 (n = 63) vs. those recruited from public, urban sexual health clinics (SHCs), mainly diagnosed in 2012 or later (n = 36). Detox participants were significantly more knowledgeable than SHC participants about HIV treatment, except regarding TasP. SHC participants{\textquoteright} desire for rapid linkage to care and ART initiation was in line with 2012 universal ART guidelines and TasP messaging regarding viral suppression. More targeted messaging to PLWH pre-2012 could ensure that all PLWH benefit from scientific advances in HIV treatment.",

keywords = "Antiretroviral treatment, HIV/AIDS, Health knowledge, Treatment as prevention",

author = "Paschen-Wolff, {Margaret M.} and Campbell, {Aimee N.C.} and Susan Tross and Michael Castro and Hayley Berg and Sarah Braunstein and Christine Borges and Jarlais, {Don Des}",

note = "Funding Information: Dr. Margaret Paschen-Wolff was supported by a training grant (T32 MH019139; PI: Theodorus Sandfort, Ph.D.) from the National Institute of Mental Health at the HIV Center for Clinical and Behavioral Studies at the NY State Psychiatric Institute and Columbia University (P30-MH43520; Center Principal Investigator: Robert Remien, Ph.D.). The authors would like to acknowledge our research assistants (Laurel Weaver, Jeannie Ortiz, and Martha Nelson) and our study participants. Funding Information: This work was supported by grants from the National Institutes of Health, National Institute on Drug Abuse R01 DA035707 (Des Jarlais and Campbell) and R01 DA003574 (Des Jarlais) and National Institute of Mental Health T32 MH019139 (Sandfort). Acknowledgements Publisher Copyright: {\textcopyright} 2020, Springer Science+Business Media, LLC, part of Springer Nature.",

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AU - Paschen-Wolff, Margaret M.

AU - Campbell, Aimee N.C.

AU - Tross, Susan

AU - Castro, Michael

AU - Berg, Hayley

AU - Braunstein, Sarah

AU - Borges, Christine

AU - Jarlais, Don Des

N1 - Funding Information: Dr. Margaret Paschen-Wolff was supported by a training grant (T32 MH019139; PI: Theodorus Sandfort, Ph.D.) from the National Institute of Mental Health at the HIV Center for Clinical and Behavioral Studies at the NY State Psychiatric Institute and Columbia University (P30-MH43520; Center Principal Investigator: Robert Remien, Ph.D.). The authors would like to acknowledge our research assistants (Laurel Weaver, Jeannie Ortiz, and Martha Nelson) and our study participants. Funding Information: This work was supported by grants from the National Institutes of Health, National Institute on Drug Abuse R01 DA035707 (Des Jarlais and Campbell) and R01 DA003574 (Des Jarlais) and National Institute of Mental Health T32 MH019139 (Sandfort). Acknowledgements Publisher Copyright: © 2020, Springer Science+Business Media, LLC, part of Springer Nature.

PY - 2020/10/1

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N2 - According to 2012 universal ART guidelines, as part of “treatment as prevention” (TasP), all people living with HIV (PLWH) should immediately initiate antiretroviral therapy post-diagnosis to facilitate viral suppression. PLWH who are virally suppressed have no risk of sexually transmitting HIV. This study used descriptive analysis of quantitative data (N = 99) and thematic analysis of qualitative interviews (n = 36) to compare participants recruited from a hospital-based detoxification (detox) unit, largely diagnosed with HIV pre-2012 (n = 63) vs. those recruited from public, urban sexual health clinics (SHCs), mainly diagnosed in 2012 or later (n = 36). Detox participants were significantly more knowledgeable than SHC participants about HIV treatment, except regarding TasP. SHC participants’ desire for rapid linkage to care and ART initiation was in line with 2012 universal ART guidelines and TasP messaging regarding viral suppression. More targeted messaging to PLWH pre-2012 could ensure that all PLWH benefit from scientific advances in HIV treatment.

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HIV Treatment Knowledge in the Context of “Treatment as Prevention” (TasP)

Abstract

Keywords

ASJC Scopus subject areas

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