Lack of Awareness of Human Immunodeficiency Virus (HIV) Infection: Problems and Solutions With Self-reported HIV Serostatus of Men Who Have Sex With Men

Open Forum Infectious Diseases
Travis H SanchezPatrick S Sullivan

Abstract

Lack of human immunodeficiency virus (HIV) infection awareness may be a driver of racial disparities in HIV infection among men who have sex with men (MSM). Lack of awareness is typically measured by comparing HIV test result to self-reported HIV status. This measure may be subject to reporting bias and alternatives are needed. The InvolveMENt study examined HIV disparities between black and white MSM from Atlanta. Among HIV-positive participants who did not report knowing they were positive, we examined other measures of awareness: HIV viral load (VL) <1000 copies/mL (low VL), antiretroviral (ARV) drugs in blood, and previous HIV case surveillance report. Using self-report only, 32% (62 of 192) of black and 16% (7 of 45) of white MSM were not aware of their HIV infection (P = .03). Using self-report and low VL, 25% (48 of 192) black and 16% (7 of 45) white MSM lacked awareness (P = .18). Using self-report and ARVs, 26% (50 of 192) black and 16% (7 of 45) white MSM lacked awareness (P = .14). Using self-report and surveillance report, 15% (28 of 192) black and 13% (6 of 45) white MSM lacked awareness (P = .83). Self-report only may overestimate true lack of awareness of HIV status for black MSM. If, as our data suggest, black M...Continue Reading

References

Mar 17, 2004·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Patrick S SullivanUNKNOWN HITS-2000 Investigators
Aug 21, 2007·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Angela B HutchinsonScott E Kellerman
Aug 5, 2008·JAMA : the Journal of the American Medical Association·H Irene HallUNKNOWN HIV Incidence Surveillance Group
Aug 3, 2010·AIDS Patient Care and STDs·Jerilynn RadcliffeBret J Rudy
Mar 4, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Edward M GardnerWilliam J Burman
Mar 5, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Suzanne K WhitmoreJanet M Blair
Jul 20, 2011·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
Aug 10, 2011·PloS One·Joseph PrejeanUNKNOWN HIV Incidence Surveillance Group
Nov 4, 2011·Hormones and Behavior·Steven L Neese, Susan L Schantz
Nov 18, 2011·The Journal of Urology·Richard E Berger
Nov 26, 2011·AIDS Care·Peter J SmitMarc Thompson
Dec 17, 2011·International Journal of STD & AIDS·T PetloM Y Chen
Mar 2, 2012·MMWR. Morbidity and Mortality Weekly Report·UNKNOWN Centers for Disease Control and Prevention (CDC)
May 3, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Amy K WinterEli S Rosenberg
Oct 20, 2012·AIDS·Alexandra B BalajiUNKNOWN NHBS Study Group
Aug 3, 2013·The Journal of Infectious Diseases·Jessica M FogelSusan H Eshleman
Oct 5, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Mark A MarzinkeJessica M Fogel
Nov 7, 2013·PloS One·Cyprian WejnertUNKNOWN Gabriela Paz-Bailey for the NHBS Study Group

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Citations

Jul 31, 2013·AIDS and Behavior·David R HoltgraveRobin T Kelley
Nov 21, 2015·AIDS Patient Care and STDs·Andres F Camacho-GonzalezRana Chakraborty
Sep 1, 2015·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Alida BourisJohn A Schneider
Jul 28, 2015·Epidemiology·Patrick S Sullivan, Eli S Rosenberg
Mar 19, 2014·Drug and Alcohol Dependence·Darcy WhitePatrick S Sullivan
Feb 4, 2016·AIDS and Behavior·Robert A Bonacci, David R Holtgrave
Sep 29, 2020·International Journal of STD & AIDS·Cristian J ChandlerJames E Egan
Aug 16, 2016·Bulletin of the World Health Organization·Lisa G JohnstonH Fisher Raymond
Aug 7, 2021·Spatial and Spatio-temporal Epidemiology·Danielle SassDolores Albarracín
Dec 9, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Laura M MannPatrick S Sullivan

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Methods Mentioned

BETA
enzyme-linked immunosorbent assay

Software Mentioned

OpenEpi
InvolveMENt

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