Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality.

Functional support-the availability of material aid, emotional support, or companionship-promotes general well-being. For men who have sex with men (MSM) living with HIV, having a person who supports you associates with viral suppression. This study examines the association between supportive partne...

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Autores principales: Vaibhav Penukonda, Timothy Utz, Nicholas S Perry, Deanna Ware, Mark Brennan-Ing, Steven Meanley, Andre Brown, Sabina Haberlen, James Egan, Steven Shoptaw, Linda A Teplin, M Reuel Friedman, Michael Plankey
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:0f8ecae904ee4be7b49949d4519b89022021-12-02T20:17:25ZViral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality.1932-620310.1371/journal.pone.0258032https://doaj.org/article/0f8ecae904ee4be7b49949d4519b89022021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258032https://doaj.org/toc/1932-6203Functional support-the availability of material aid, emotional support, or companionship-promotes general well-being. For men who have sex with men (MSM) living with HIV, having a person who supports you associates with viral suppression. This study examines the association between supportive partnerships and HIV viral suppression among middle-aged and aging MSM living with HIV. A total of 423 middle-aged and aging MSM (mean age, 58.2 years) from the Multicenter AIDS Cohort Study provided self-reported data about their partnerships. Separate Poisson regression models assessed how partnership type, support, strain, and duration from April 2017 were associated with repeated viral load measurements up to April 2019. Of the follow-up visits (N = 1289), 90.0% of participants were virally suppressed. Most participants reported being non-Hispanic White (61.0%) and college-educated (83.4%). Participants were asked about their primary partnerships (i.e., "someone they are committed to above anyone else") and secondary partnerships (i.e., those who can also be intimate or supportive but not necessarily romantic or sexual). The participants reported: no partnerships (45.2%), only primary partnerships (31.0%), only secondary partnerships (11.1%), or both primary and secondary partnerships (12.8%). Primary and secondary partnerships had mean (SD) durations of 15.9 (11.3) and 25.2 (16.5) years, respectively. Participants reporting both primary and secondary partnerships (compared with no partnership) showed significantly higher odds of being virally suppressed (adjusted prevalence ratio [aPR], 1.04; 95% CI, 1.00-1.08; p = 0.043). Albeit not statistically significant, primary-only (aPR, 1.01; 95% CI, 0.97-1.06; p = 0.547) or secondary-only (aPR, 1.03; 95% CI, 0.98-1.08; p = 0.224) partnership types were positively associated with viral suppression. Partner support and strain were not associated with viral suppression in any partnership group. Being older and non-Hispanic Black were positively and negatively associated with viral suppression, respectively. Encouraging partnerships should be considered one of clinicians' many tools to help middle-aged and aging MSM achieve long-term viral suppression.Vaibhav PenukondaTimothy UtzNicholas S PerryDeanna WareMark Brennan-IngSteven MeanleyAndre BrownSabina HaberlenJames EganSteven ShoptawLinda A TeplinM Reuel FriedmanMichael PlankeyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258032 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Vaibhav Penukonda
Timothy Utz
Nicholas S Perry
Deanna Ware
Mark Brennan-Ing
Steven Meanley
Andre Brown
Sabina Haberlen
James Egan
Steven Shoptaw
Linda A Teplin
M Reuel Friedman
Michael Plankey
Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality.
description Functional support-the availability of material aid, emotional support, or companionship-promotes general well-being. For men who have sex with men (MSM) living with HIV, having a person who supports you associates with viral suppression. This study examines the association between supportive partnerships and HIV viral suppression among middle-aged and aging MSM living with HIV. A total of 423 middle-aged and aging MSM (mean age, 58.2 years) from the Multicenter AIDS Cohort Study provided self-reported data about their partnerships. Separate Poisson regression models assessed how partnership type, support, strain, and duration from April 2017 were associated with repeated viral load measurements up to April 2019. Of the follow-up visits (N = 1289), 90.0% of participants were virally suppressed. Most participants reported being non-Hispanic White (61.0%) and college-educated (83.4%). Participants were asked about their primary partnerships (i.e., "someone they are committed to above anyone else") and secondary partnerships (i.e., those who can also be intimate or supportive but not necessarily romantic or sexual). The participants reported: no partnerships (45.2%), only primary partnerships (31.0%), only secondary partnerships (11.1%), or both primary and secondary partnerships (12.8%). Primary and secondary partnerships had mean (SD) durations of 15.9 (11.3) and 25.2 (16.5) years, respectively. Participants reporting both primary and secondary partnerships (compared with no partnership) showed significantly higher odds of being virally suppressed (adjusted prevalence ratio [aPR], 1.04; 95% CI, 1.00-1.08; p = 0.043). Albeit not statistically significant, primary-only (aPR, 1.01; 95% CI, 0.97-1.06; p = 0.547) or secondary-only (aPR, 1.03; 95% CI, 0.98-1.08; p = 0.224) partnership types were positively associated with viral suppression. Partner support and strain were not associated with viral suppression in any partnership group. Being older and non-Hispanic Black were positively and negatively associated with viral suppression, respectively. Encouraging partnerships should be considered one of clinicians' many tools to help middle-aged and aging MSM achieve long-term viral suppression.
format article
author Vaibhav Penukonda
Timothy Utz
Nicholas S Perry
Deanna Ware
Mark Brennan-Ing
Steven Meanley
Andre Brown
Sabina Haberlen
James Egan
Steven Shoptaw
Linda A Teplin
M Reuel Friedman
Michael Plankey
author_facet Vaibhav Penukonda
Timothy Utz
Nicholas S Perry
Deanna Ware
Mark Brennan-Ing
Steven Meanley
Andre Brown
Sabina Haberlen
James Egan
Steven Shoptaw
Linda A Teplin
M Reuel Friedman
Michael Plankey
author_sort Vaibhav Penukonda
title Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality.
title_short Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality.
title_full Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality.
title_fullStr Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality.
title_full_unstemmed Viral suppression among middle-aged and aging MSM living with HIV: Partnership type and quality.
title_sort viral suppression among middle-aged and aging msm living with hiv: partnership type and quality.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/0f8ecae904ee4be7b49949d4519b8902
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