Antiretroviral therapy and reasons for not taking it among men having sex with men (MSM)--results from the European MSM Internet Survey (EMIS)

PloS One
U MarcusEMIS Network

Abstract

The preventive effects of antiretroviral treatment (ART) on onward transmission of HIV are a major reason for broadening eligibility for ART. In the WHO European Region, surveillance reveals substantial differences in access to ART across regions and sub-populations. We analysed self-reported data on ART and reasons for not taking ART from EMIS, a large Pan-European Internet survey among men-who-have-sex-with-men (MSM). Respondents from 38 European countries reported their last HIV test result and, if diagnosed with HIV, their treatment status, and reasons for not taking or having stopped ART from a 7 item multiple choice list and/ or answered an open-ended question to give other reasons. Responses were classified as fear of consequences, perceived lack of need, and ART inaccessibility based on factor analysis. Associations between not taking ART because of fear of consequences, and demographic, behavioural and contextual indicators were identified in a multivariable regression model. 13,353 (7.7%) of 174,209 respondents had been diagnosed with HIV. Among them 3,391 (25.4%) had never received ART, and 278 (2.1%) had stopped taking ART. Perceived lack of need was by far the most common reason for not taking or stopping ART (ment...Continue Reading

References

Dec 17, 2004·International Journal of STD & AIDS·W J Anderson, P Weatherburn
Apr 3, 2008·The Journal of Clinical Investigation·Myron S CohenJoep Lange
Mar 14, 2009·Current Opinion in Infectious Diseases·Caroline A Sabin, Andrew N Phillips
Jun 14, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jens D Lundgren, Robin Wood
Feb 18, 2014·HIV Medicine·Mark BowerUNKNOWN British HIV Association
Jun 20, 2014·Journal of the International AIDS Society·Bruno HoenUNKNOWN 2013 French HIV expert group

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Citations

May 9, 2015·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·S StromdahlA Thorson
Jan 1, 2019·Vulnerable Children and Youth Studies·Kelly BojanSybil Hosek

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