High-risk behaviours, and their associations with mental health, adherence to antiretroviral therapy and HIV parameters, in HIV-positive men who have sex with men
- PMID: 30548745
- PMCID: PMC6519017
- DOI: 10.1111/hiv.12690
High-risk behaviours, and their associations with mental health, adherence to antiretroviral therapy and HIV parameters, in HIV-positive men who have sex with men
Abstract
Objectives: To investigate the patterns and frequency of multiple risk behaviours (alcohol, drugs, smoking, higher risk sexual activity) among men who have sex with men (MSM) living with HIV.
Methods: Cross sectional study.
Results: 147 out of 819 HIV-positive MSM exhibited a high-risk phenotype (defined as >3 of smoking, excess alcohol, sexually transmitted infection and recent recreational drug use). This phenotype was associated with younger age, depressive symptoms and <90% adherence in multivariable logistic regression.
Conclusion: In a cohort of MSM, a small, but significant proportion exhibited multiple concurrent risk behaviours.
Keywords: HIV; adherence; mental health; recreational drugs; risk behaviours.
© 2018 The Authors. HIV Medicine published by John Wiley & Sons Ltd on behalf of British HIV Association.
References
-
- Smith CJ, Ryom L, Weber R et al Trends in underlying causes of death in people with HIV from 1999 to 2011 (D:A:D): a multicohort collaboration. Lancet 2014; 384: 241–248. - PubMed
-
- Singer M. Aids and the health crisis of the U.S. urban poor; the perspective of critical medical anthropology. Soc Sci Med 1994; 39: 931–948. - PubMed
-
- Elford J, Ibrahim F, Bukutu C, Anderson J. Sexual behaviour of people living with HIV in London: implications for HIV transmission. AIDS 2007; 21 (Suppl 1): S63–S70. - PubMed
MeSH terms
Grants and funding
- MR/M004236/1/MRC_/Medical Research Council/United Kingdom
- AbbVie/International
- ViiV Healthcare/International
- Janssen/International
- NIHR Academic Clinical Fellowship/International
- MSD/International
- National Institute for Health Research (NIHR) Biomedical Research Centre based at Imperial College Healthcare NHS Trust/International
- Gilead Sciences/International
- Janssen-Cilag/International
- BMS/International
- Imperial College London/International
- WT_/Wellcome Trust/United Kingdom
- NF-SI-0514-10075/NIHR Senior Investigator Award/International
