Schmidt Hannah R, Heise Megan J, Sassaman Kevin, D'Angelo Alexa, Martinson Tyler, Mahuvakar Shivani, Duncan Dustin T, Horvath Keith J, Hirshfield Sabina, Williams Renessa, Johnson Mallory, Grov Christian, Carrico Adam, Gandhi Monica, Spinelli Matthew A
University of California San Francisco, San Francisco, CA.
Graduate School of Public Health and Health Policy, City University of New York.
AIDS. 2025 Jul 1;39(8):1080-1085. doi: 10.1097/QAD.0000000000004173. Epub 2025 Mar 5.
OBJECTIVE: We sought to determine the prevalence and examine demographic disparities of viral suppression (VS, <200 copies/ml) and awareness of VS status among people with HIV (PWH) on a popular geosocial networking/dating application (GSN-app). DESIGN: Cross-sectional, observational study. METHODS: US adult PWH were remotely-recruited through a GSN-app to complete a survey from January-September 2024. We assessed the prevalence and correlates of self-reported awareness of VS status and VS using modified Poisson regression with the following variables: demographics, substance use, region, and Ending-the-HIV-Epidemic priority jurisdiction. Laboratory-based viral loads were collected from a sub-sample of the cohort, allowing comparison of laboratory-based VS to self-reported VS. RESULTS: Among 2838 geographically diverse participants, 28% were Black, 32% aged 18-34 years, and 36% reported stimulant use. Overall, 94.9% reported knowing their VS status. Younger, Black, and stimulant-using PWH were less likely to know their VS status. When VS status was known, 93.5% reported VS. Younger and stimulant-using PWH were less likely to report VS. Of the sub-sample with laboratory verification ( n = 923), 91.6% who self-reported VS demonstrated laboratory-confirmed VS. CONCLUSION: This remotely-recruited US national survey showed high self-reported VS among PWH on a popular GSN-app, in high concordance with laboratory-confirmed VS in a sub-sample. Stimulant use was reported by over one-third of participants, with lower reported VS in this group. Inequities in awareness of VS status among younger, Black, and stimulant-using people with HIV (PWH) and lower VS among younger and stimulant-using PWH should be ameliorated through targeted care reengagement and adherence interventions, potentially via GSN-apps.
目的:我们试图确定在一款流行的地理社交网络/约会应用程序(GSN应用)上,艾滋病毒感染者(PWH)中病毒抑制(VS,<200拷贝/毫升)的患病率,并研究其人口统计学差异以及对VS状态的知晓情况。 设计:横断面观察性研究。 方法:2024年1月至9月,通过一款GSN应用远程招募美国成年PWH来完成一项调查。我们使用修正泊松回归,通过以下变量评估自我报告的VS状态知晓情况和VS的患病率及相关因素:人口统计学、物质使用情况、地区以及“终结艾滋病流行”优先管辖地区。从队列的一个子样本中收集基于实验室检测的病毒载量,以便将基于实验室检测的VS与自我报告的VS进行比较。 结果:在2838名来自不同地理位置的参与者中,28%为黑人,32%年龄在18 - 34岁之间,36%报告有兴奋剂使用情况。总体而言,94.9%的人报告知晓自己的VS状态。年龄较小、黑人以及使用兴奋剂的PWH知晓自己VS状态的可能性较小。当知晓VS状态时,93.5%的人报告病毒得到抑制。年龄较小以及使用兴奋剂的PWH报告病毒得到抑制的可能性较小。在有实验室检测验证的子样本(n = 923)中,自我报告病毒得到抑制的人中有91.6%经实验室确认病毒得到抑制。 结论:这项通过远程招募的美国全国性调查显示,在一款流行的GSN应用上,PWH中自我报告的病毒抑制率较高,在一个子样本中与实验室确认的病毒抑制情况高度一致。超过三分之一的参与者报告有兴奋剂使用情况,该组中报告的病毒抑制率较低。应通过有针对性的重新参与护理和依从性干预措施(可能通过GSN应用)改善年轻、黑人以及使用兴奋剂的艾滋病毒感染者(PWH)在VS状态知晓方面的不平等情况,以及年轻和使用兴奋剂的PWH中较低的病毒抑制率。
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