Place-Based Predictors of HIV Viral Suppression and Durable Suppression Among Men Who Have Sex With Men in New York City.
Place-Based Predictors of HIV Viral Suppression and Durable Suppression Among Men Who Have Sex With Men in New York City.
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DOI：
10.1007/s10461-017-1810-x
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发表时间：
2017-10
影响因子：
4.4
通讯作者：
Cooper HLF
中科院分区：
文献类型：
--
作者：
Jefferson KA;Kersanske LS;Wolfe ME;Braunstein SL;Haardörfer R;Jarlais DCD;Campbell ANC;Cooper HLF
我们探讨了地点特征和纽约(NYC)男男性行为者(MSM)HIV阳性男性(MSM)HIV病毒抑制之间的关系。我们进行了多水平的分析，以检验联合医院基金(UHF)的水平特征与MSM中个人水平的压抑和持久压抑的相关性。个体水平的自变量和因变量来自纽约市艾滋病毒监测登记中的男男性接触者，他们在2009-2013年间被诊断(N=7159)。超高频级别的协变量涵盖了人口构成、经济劣势、医疗保健机会、社会混乱以及警察拦截和搜身的比率。56.89%的男男性接触者实现了抑制；35.49%的男男性接触者实现了持久抑制。在5-29%的居民是黑人的超高频人群中，男男性接触者有更大的抑制可能性(参考：≥30%黑人；调整后的相对风险[ARR]=1.07，p=0.04)。有30个MSM户主/10,000户的超高危人群中，实现持久遏制的可能性较低(参考：≥60个MSM户主/10,000户；ARR=0.82；P=0.05)。场所特征可能会影响病毒抑制。纵向研究应该证实这些关联。
We explore relationships between place characteristics and HIV viral suppression among HIV-positive men who have sex with men (MSM) in New York City (NYC). We conducted multilevel analyses to examine associations of United Hospital Fund (UHF)-level characteristics to individual-level suppression and durable suppression among MSM. Individual-level independent and dependent variables came from MSM in NYC’s HIV surveillance registry who had been diagnosed in 2009–2013 (N=7,159). UHF-level covariates captured demographic composition, economic disadvantage, healthcare access, social disorder, and police stop and frisk rates. 56.89% of MSM achieved suppression; 35.49% achieved durable suppression. MSM in UHFs where 5–29% of residents were Black had a greater likelihood of suppression (reference:≥30% Black; adjusted relative risk [ARR]=1.07, p=0.04). MSM in UHFs with <30 MSM-headed households/10,000 households had a lower likelihood of achieving durable suppression (reference:≥ 60 MSM-headed households/10,000; ARR=0.82; p=0.05). Place characteristics may influence viral suppression. Longitudinal research should confirm these associations.
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影响因子：
4.4
作者：
Frye, Victoria;Koblin, Beryl;Chin, John;Beard, John;Blaney, Shannon;Halkitis, Perry;Vlahov, David;Galea, Sandro
通讯作者：
Galea, Sandro
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通讯作者：
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作者：
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通讯作者：
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作者：
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