Correlates of Durable Viral Suppression (DVS) Among Criminal Justice-involved (CJI) Black Men Living with HIV in Louisiana
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Durable viral suppression (DVS) is needed to reduce HIV transmission risk and prevent new HIV infections. We examined changes in viral suppression and correlates of DVS among 97 criminal justice-involved (CJI) Black men living with HIV in Louisiana enrolled in a linkage, re-engagement, and retention in care intervention. Most participants (75%) were Black men who have sex with men. Forty-four percent (44%) were virally suppressed at baseline and only 20% had achieved DVS over a 12-month period. Multinomial logistic regression analyses showed that compared with DVS participants, those with no viral suppression (NVS) and some viral suppression (SVS) were more likely to have lived with HIV for a longer period of time and were less likely to be adherent at baseline. Medication adherence was critical for DVS among this sample of CJI Black men living with HIV who represent a high priority population for HIV care and treatment interventions.
KeywordsDurable viral suppression Black men who have sex with men (BMSM) Criminal justice-involved HIV South
We would like to thank our study participants, intervention sites, and collaborators.
All authors contributed to concept development. RB generated the manuscript outline and contributed to the initial and subsequent versions. MM, RI, and MO contributed to data cleaning, methods, analyses, and the results section. SC, SM, and JAS contributed to the introduction, results, and discussion section. In addition, RB served as PI for the study with SC and SM as Co-Investigators.
This project was supported by a grant from AIDS United and the Corporation for National and Community Service (CNCS) with match funding provided by MAC AIDS Fund, Gilead Sciences, Inc., the Baton Rouge Area Foundation, and the Huey and Angelina Wilson Foundation. R. Brewer’s time was also supported by a grant from NIMH (R25MH067127) for the Visiting Professor Program at the University of California, San Francisco; The Centers for Disease Control and Prevention’s National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (5U01PS005122-03); and NIDA (3P30DA027828-08S1).
Compliance with Ethical Standards
Conflict of interest
Dr. Russell Brewer currently serves as advisory to Gilead’s Implementation Science Group and ViiV Healthcare’s Accelerate Initiative.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Institutional Review Board approval was obtained for the study.
Informed consent was obtained from all study participants.
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