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HIV Incidence Among Men Who Have Sex with Men and Inject Drugs in a Canadian Setting
Journal article   Open access   Peer reviewed

HIV Incidence Among Men Who Have Sex with Men and Inject Drugs in a Canadian Setting

Ayden I Scheim, Ekaterina Nosova, Rod Knight, Kanna Hayashi and Thomas Kerr
AIDS and behavior, v 22(12), pp 3957-3961
Dec 2018
PMID: 29876756
url
https://europepmc.org/articles/pmc6281854View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Adult Canada - epidemiology Cohort Studies Female HIV Infections - diagnosis HIV Infections - epidemiology Homosexuality, Male - psychology Homosexuality, Male - statistics & numerical data Humans Incidence Kaplan-Meier Estimate Male Middle Aged Proportional Hazards Models Prospective Studies Substance Abuse, Intravenous - complications Substance Abuse, Intravenous - epidemiology Substance Abuse, Intravenous - psychology Young Adult
Few data on HIV incidence among men who have sex with men and inject drugs (MSM-PWID) are available. Drawing on a prospective cohort in Vancouver, Canada, we examined the relationship between MSM status and HIV incidence among PWID using Kaplan-Meier analyses and extended Cox regression. Data were collected from 1996 to 2014 and analyzed in 2017. Of 1131 HIV-negative male PWID, 8.6% (n = 97) reported sex with men over the study period. MSM status was crudely associated with HIV incidence [Hazard Ratio (HR) = 1.81; 95% CI 1.08-3.03], but not after adjustment for daily cocaine injection and syringe borrowing (Adjusted HR = 1.33; 95% CI 0.78-2.28). Findings highlight the need for harm reduction interventions and socio-behavioral research focused on MSM-PWID.

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Web of Science research areas
Public, Environmental & Occupational Health
Social Sciences, Biomedical
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