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首页> 外文期刊>AIDS care. >Past year and prior incarceration and HIV transmission risk among HIV-positive men who have sex with men in the US*
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Past year and prior incarceration and HIV transmission risk among HIV-positive men who have sex with men in the US*

机译：过去的一年和先前的艾滋病毒阳性男性与美国男子发生性关系的艾滋病毒传播风险*

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摘要

Three quarters of new HIV infections in the US are among men who have sex with men (MSM). In other populations, incarceration is a social determinant of elevations in viral load and HIV-related substance use and sex risk behavior. There has been limited research on incarceration and these HIV transmission risk determinants in HIV-positive MSM. We used the Veterans Aging Cohort Study (VACS) 2011-2012 follow-up survey to measure associations between past year and prior (more than one year ago) incarceration and HIV viral load and substance use and sex risk behavior among HIV-positive MSM (N = 532). Approximately 40% had ever been incarcerated, including 9% in the past year. In analyses adjusting for sociodemographic factors, past year and prior incarceration were strongly associated with detectable viral load (HIV-1 RNA 500 copies/mL) (past year adjusted odds ratio (AOR): 3.50 95% confidence interval (CI): 1.59, 7.71; prior AOR: 2.48 95% CI: 1.44, 4.29) and past 12 month injection drug use (AORs 6), multiple sex partnerships (AORs 1.8), and condomless sex in the context of substance use (AORs 3). Past year incarceration also was strongly associated with alcohol and non-injection drug use (AOR 2.5). Less than one in five HIV-positive MSM recently released from incarceration took advantage of a jail/prison re-entry health care program available to veterans. We need to reach HIV-positive MSM leaving jails and prisons to improve linkage to care and clinical outcomes and reduce transmission risk upon release.
机译：美国的三个新的艾滋病毒感染是与男性发生性关系的男性（MSM）。在其他群体中，监禁是病毒载荷和艾滋病毒相关物质使用和性风险行为的升高的社会决定因素。艾滋病毒阳性MSM的监禁和这些HIV传输风险决定簇有限。我们使用了退伍军人老龄化队员研究（VAC）2011-2012后续调查来衡量过去一年和前一年（一年多）的协会（超过一年前）艾滋病毒阳性MSM中的艾滋病病毒病毒载荷和物质使用和性风险行为（ n = 532）。大约40％的被监禁，在过去一年中包括9％。在分析中调整社会渗塑因子的调整，过去的一年和先前的陶瓷与可检测的病毒载荷（HIV-1 RNA＆GT; 500拷贝/ mL）强烈有关（过去一年调整的赔率比（AOR）：3.50 95％置信区间（CI）： 1.59,7.71;先前的AOR：2.48 95％CI：1.44,4.29）和过去12个月注射药物使用（AORS＆GT; 6），多种性伙伴关系（AORS＆GT; 1.8），以及在物质使用的背景下的通用性行为（ aors＆ 3）。过去的年度监禁也与酒精和非注射药物（AOR＆GT; 2.5）密切相关。最近从监禁释放的五个艾滋病毒阳性MSM中不到一个，利用了退伍军人可用的监狱/监狱再入境医疗计划。我们需要达到艾滋病毒阳性MSM留下监狱和监狱，以改善关怀和临床结果的联系，并在释放时降低传输风险。

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