Friends Research Institute, Inc., Los Angeles, California, USA.
Department of Public Health, Rongxiang Xu College of Health & Human Services, California State University, Los Angeles, Los Angeles, California, USA.
AIDS Patient Care STDS. 2022 Oct;36(S1):S46-S53. doi: 10.1089/apc.2022.0105.
Black men who have sex with men (BMSM) in the United States are at elevated risk for HIV relative to their heterosexual and/or non-BMSM counterparts, yet on average demonstrate suboptimal HIV care linkage and rates of HIV primary care retention. From October 2019 to December 2020, 69 adult (i.e., aged 18-65) BMSM enrolled in (), a 6-session peer case management intervention delivered across 3 months and designed to improve retention in HIV primary care through to full viral suppression. Peer case management sessions included detailed assessment of participants' needs and barriers to treatment, which led to the development of a participant-centered treatment plan. All participants self-identified as Black, about three-quarters self-identified as gay (72.5%), and 46.4% reported an annual income of $5000 or less. A total of 69 participants enrolled in ; however, multiply imputed chained equation logistic regressions were carried out on the final analytical data set ( = 40; 99 imputations) due to a large amount of COVID-19-related missing data. Although analyses of retention and achievement of viral suppression did not reach full significance, the probability of a Type-II hypothesis testing error was high, and viral load results (adjusted odds ratio = 1.56; 95% confidence interval = 0.94-2.60; = 0.08) suggested that increased attendance to peer case management sessions may be associated with improved odds of achieving full viral suppression among BMSM. The significant impact of national race-related civil unrest and the COVID-19 pandemic on the target population during implementation of is underscored.
美国与男性发生性关系的黑人男性（BMSM）相对于异性恋和/或非 BMSM 男性，感染艾滋病毒的风险更高，但平均而言，他们的艾滋病毒护理衔接和艾滋病毒初级保健保留率较低。2019 年 10 月至 2020 年 12 月，69 名成年（即 18-65 岁）BMSM 参加了 （），这是一项为期 6 节的同伴病例管理干预措施，分 3 个月进行，旨在通过提高 HIV 初级保健的保留率来实现完全病毒抑制。同伴病例管理会议包括对参与者的需求和治疗障碍进行详细评估，这导致制定了以参与者为中心的治疗计划。所有参与者均自我认定为黑人，约四分之三自我认定为男同性恋者（72.5%），46.4%报告年收入在 5000 美元或以下。共有 69 名参与者参加了 ；然而，由于与 COVID-19 相关的大量缺失数据，对最终分析数据集（ = 40；99 次插补）进行了多重插补链式方程逻辑回归。尽管保留和实现病毒抑制的分析没有达到完全显著水平，但 II 型假设检验错误的概率很高，病毒载量结果（调整后的优势比 = 1.56；95%置信区间 = 0.94-2.60； = 0.08）表明，增加参加同伴病例管理会议可能与提高 BMSM 实现完全病毒抑制的几率相关。在 实施期间，全国范围内与种族有关的内乱和 COVID-19 大流行对目标人群的重大影响得到了强调。
