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AIDS Behav. 2018 Dec;22(12):3957-3961. doi: 10.1007/s10461-018-2185-3.

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

Author information

1
Division of Infectious Diseases and Global Public Health, University of California San Diego School of Medicine, 9500 Gilman Drive, San Diego, CA, 92093, USA. ascheim@ucsd.edu.
2
British Columbia Centre on Substance Use, Vancouver, BC, Canada.
3
Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
4
Department of Medicine, University of British Columbia, Vancouver, BC, Canada.

Abstract

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.

KEYWORDS:

HIV; Incidence; Injection drug use; Men who have sex with men

PMID:
29876756
PMCID:
PMC6281854
[Available on 2019-12-01]
DOI:
10.1007/s10461-018-2185-3

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