A Longitudinal Analysis of Treatment Optimism and HIV Acquisition and Transmission Risk Behaviors Among Black Men Who Have Sex with Men in HPTN 061

Matthew E. Levy; Gregory Phillips; Manya Magnus; Irene Kuo; Geetha Beauchamp; Lynda Emel; Christopher Hucks-Ortiz; Erica L. Hamilton; Leo Wilton; Iris Chen; Sharon Mannheimer; Hong Van Tieu; Hyman Scott; Sheldon D. Fields; Carlos del Rio; Steven Shoptaw; Kenneth Mayer

doi:10.1007/s10461-017-1756-z

A Longitudinal Analysis of Treatment Optimism and HIV Acquisition and Transmission Risk Behaviors Among Black Men Who Have Sex with Men in HPTN 061

Matthew E. Levy, Gregory Phillips, Manya Magnus, Irene Kuo, Geetha Beauchamp, Lynda Emel, Christopher Hucks-Ortiz, Erica L. Hamilton, Leo Wilton, Iris Chen, Sharon Mannheimer, Hong Van Tieu, Hyman Scott, Sheldon D. Fields, Carlos del Rio, Steven Shoptaw, Kenneth Mayer

Ross and Carol Nese College of Nursing

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Little is known about HIV treatment optimism and risk behaviors among Black men who have sex with men (BMSM). Using longitudinal data from BMSM in the HPTN 061 study, we examined participants’ self-reported comfort with having condomless sex due to optimistic beliefs regarding HIV treatment. We assessed correlates of treatment optimism and its association with subsequent risk behaviors for HIV acquisition or transmission using multivariable logistic regression with generalized estimating equations. Independent correlates of treatment optimism included age ≥35 years, annual household income <20,000, depressive symptoms, high HIV conspiracy beliefs, problematic alcohol use, and previous HIV diagnosis. Treatment optimism was independently associated with subsequent condomless anal sex with a male partner of serodiscordant/unknown HIV status among HIV-infected men, but this association was not statistically significant among HIV-uninfected men. HIV providers should engage men in counseling conversations to assess and minimize willingness to have condomless sex that is rooted in optimistic treatment beliefs without knowledge of viral suppression.

Original language	English (US)
Pages (from-to)	2958-2972
Number of pages	15
Journal	AIDS and Behavior
Volume	21
Issue number	10
DOIs	https://doi.org/10.1007/s10461-017-1756-z
State	Published - Oct 1 2017

All Science Journal Classification (ASJC) codes

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

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10.1007/s10461-017-1756-z

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Levy, M. E., Phillips, G., Magnus, M., Kuo, I., Beauchamp, G., Emel, L., Hucks-Ortiz, C., Hamilton, E. L., Wilton, L., Chen, I., Mannheimer, S., Tieu, H. V., Scott, H., Fields, S. D., del Rio, C., Shoptaw, S., & Mayer, K. (2017). A Longitudinal Analysis of Treatment Optimism and HIV Acquisition and Transmission Risk Behaviors Among Black Men Who Have Sex with Men in HPTN 061. AIDS and Behavior, 21(10), 2958-2972. https://doi.org/10.1007/s10461-017-1756-z

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title = "A Longitudinal Analysis of Treatment Optimism and HIV Acquisition and Transmission Risk Behaviors Among Black Men Who Have Sex with Men in HPTN 061",

abstract = "Little is known about HIV treatment optimism and risk behaviors among Black men who have sex with men (BMSM). Using longitudinal data from BMSM in the HPTN 061 study, we examined participants{\textquoteright} self-reported comfort with having condomless sex due to optimistic beliefs regarding HIV treatment. We assessed correlates of treatment optimism and its association with subsequent risk behaviors for HIV acquisition or transmission using multivariable logistic regression with generalized estimating equations. Independent correlates of treatment optimism included age ≥35 years, annual household income <20,000, depressive symptoms, high HIV conspiracy beliefs, problematic alcohol use, and previous HIV diagnosis. Treatment optimism was independently associated with subsequent condomless anal sex with a male partner of serodiscordant/unknown HIV status among HIV-infected men, but this association was not statistically significant among HIV-uninfected men. HIV providers should engage men in counseling conversations to assess and minimize willingness to have condomless sex that is rooted in optimistic treatment beliefs without knowledge of viral suppression.",

author = "Levy, {Matthew E.} and Gregory Phillips and Manya Magnus and Irene Kuo and Geetha Beauchamp and Lynda Emel and Christopher Hucks-Ortiz and Hamilton, {Erica L.} and Leo Wilton and Iris Chen and Sharon Mannheimer and Tieu, {Hong Van} and Hyman Scott and Fields, {Sheldon D.} and {del Rio}, Carlos and Steven Shoptaw and Kenneth Mayer",

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doi = "10.1007/s10461-017-1756-z",

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Levy, ME, Phillips, G, Magnus, M, Kuo, I, Beauchamp, G, Emel, L, Hucks-Ortiz, C, Hamilton, EL, Wilton, L, Chen, I, Mannheimer, S, Tieu, HV, Scott, H, Fields, SD, del Rio, C, Shoptaw, S & Mayer, K 2017, 'A Longitudinal Analysis of Treatment Optimism and HIV Acquisition and Transmission Risk Behaviors Among Black Men Who Have Sex with Men in HPTN 061', AIDS and Behavior, vol. 21, no. 10, pp. 2958-2972. https://doi.org/10.1007/s10461-017-1756-z

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AU - Levy, Matthew E.

AU - Phillips, Gregory

AU - Magnus, Manya

AU - Kuo, Irene

AU - Beauchamp, Geetha

AU - Emel, Lynda

AU - Hucks-Ortiz, Christopher

AU - Hamilton, Erica L.

AU - Wilton, Leo

AU - Chen, Iris

AU - Mannheimer, Sharon

AU - Tieu, Hong Van

AU - Scott, Hyman

AU - Fields, Sheldon D.

AU - del Rio, Carlos

AU - Shoptaw, Steven

AU - Mayer, Kenneth

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N2 - Little is known about HIV treatment optimism and risk behaviors among Black men who have sex with men (BMSM). Using longitudinal data from BMSM in the HPTN 061 study, we examined participants’ self-reported comfort with having condomless sex due to optimistic beliefs regarding HIV treatment. We assessed correlates of treatment optimism and its association with subsequent risk behaviors for HIV acquisition or transmission using multivariable logistic regression with generalized estimating equations. Independent correlates of treatment optimism included age ≥35 years, annual household income <20,000, depressive symptoms, high HIV conspiracy beliefs, problematic alcohol use, and previous HIV diagnosis. Treatment optimism was independently associated with subsequent condomless anal sex with a male partner of serodiscordant/unknown HIV status among HIV-infected men, but this association was not statistically significant among HIV-uninfected men. HIV providers should engage men in counseling conversations to assess and minimize willingness to have condomless sex that is rooted in optimistic treatment beliefs without knowledge of viral suppression.

AB - Little is known about HIV treatment optimism and risk behaviors among Black men who have sex with men (BMSM). Using longitudinal data from BMSM in the HPTN 061 study, we examined participants’ self-reported comfort with having condomless sex due to optimistic beliefs regarding HIV treatment. We assessed correlates of treatment optimism and its association with subsequent risk behaviors for HIV acquisition or transmission using multivariable logistic regression with generalized estimating equations. Independent correlates of treatment optimism included age ≥35 years, annual household income <20,000, depressive symptoms, high HIV conspiracy beliefs, problematic alcohol use, and previous HIV diagnosis. Treatment optimism was independently associated with subsequent condomless anal sex with a male partner of serodiscordant/unknown HIV status among HIV-infected men, but this association was not statistically significant among HIV-uninfected men. HIV providers should engage men in counseling conversations to assess and minimize willingness to have condomless sex that is rooted in optimistic treatment beliefs without knowledge of viral suppression.

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A Longitudinal Analysis of Treatment Optimism and HIV Acquisition and Transmission Risk Behaviors Among Black Men Who Have Sex with Men in HPTN 061

Abstract

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