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HIV Incidence Among Men Who Have Sex with Men and Inject Drugs in a Canadian Setting

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Abstract

Few data on HIV incidence among men who have sex with men and inject drugs (MSM-PWID) are available. Drawing on a prospective cohort in Vancouver, Canada, we examined the relationship between MSM status and HIV incidence among PWID using Kaplan–Meier analyses and extended Cox regression. Data were collected from 1996 to 2014 and analyzed in 2017. Of 1131 HIV-negative male PWID, 8.6% (n = 97) reported sex with men over the study period. MSM status was crudely associated with HIV incidence [Hazard Ratio (HR) = 1.81; 95% CI 1.08–3.03], but not after adjustment for daily cocaine injection and syringe borrowing (Adjusted HR = 1.33; 95% CI 0.78–2.28). Findings highlight the need for harm reduction interventions and socio-behavioral research focused on MSM-PWID.

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Acknowledgments

The authors thank the study participants for their contribution to the research, as well as current and past researchers and staff. The study was supported by the US National Institutes of Health (U01DA038886). This research was undertaken, in part, thanks to funding from the Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine which supports Dr. Evan Wood. Dr. Ayden Scheim is supported by a Canadian Institutes of Health Research Fellowship and the Pierre Elliott Trudeau Foundation. Dr. Kanna Hayashi is supported by a CIHR New Investigator Award (MSH-141971), a Michael Smith Foundation for Health Research (MSFHR) Scholar Award and the St. Paul’s Hospital Foundation. Dr. Rod Knight is supported by a MSFHR Scholar Award.

Funding

This study was funded by the National Institutes of Health (U01DA038886).

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Authors and Affiliations

  1. Division of Infectious Diseases and Global Public Health, University of California San Diego School of Medicine, 9500 Gilman Drive, San Diego, CA, 92093, USA

    Ayden I. Scheim

  2. British Columbia Centre on Substance Use, Vancouver, BC, Canada

    Ekaterina Nosova, Rod Knight, Kanna Hayashi & Thomas Kerr

  3. Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada

    Kanna Hayashi

  4. Department of Medicine, University of British Columbia, Vancouver, BC, Canada

    Thomas Kerr

Authors
  1. Ayden I. Scheim
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  2. Ekaterina Nosova
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  3. Rod Knight
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  4. Kanna Hayashi
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  5. Thomas Kerr
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Corresponding author

Correspondence to Ayden I. Scheim.

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All authors declare that they have no conflict of interest.

Ethical Approval

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.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Scheim, A.I., Nosova, E., Knight, R. et al. HIV Incidence Among Men Who Have Sex with Men and Inject Drugs in a Canadian Setting. AIDS Behav 22, 3957–3961 (2018). https://doi.org/10.1007/s10461-018-2185-3

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  • DOI: https://doi.org/10.1007/s10461-018-2185-3

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