Hannah R Schmidt, Megan J Heise, Kevin Sassaman, Alexa D'Angelo, Tyler Martinson, Shivani Mahuvakar, Dustin T Duncan, Keith J Horvath, Sabina Hirshfield, Renessa Williams, Mallory Johnson, Christian Grov, Adam Carrico, Monica Gandhi, Matthew A Spinelli
{"title":"High viral suppression amid demographic disparities: a U.S. national cohort of people with HIV on a popular dating app.","authors":"Hannah R Schmidt, Megan J Heise, Kevin Sassaman, Alexa D'Angelo, Tyler Martinson, Shivani Mahuvakar, Dustin T Duncan, Keith J Horvath, Sabina Hirshfield, Renessa Williams, Mallory Johnson, Christian Grov, Adam Carrico, Monica Gandhi, Matthew A Spinelli","doi":"10.1097/QAD.0000000000004173","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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).</p><p><strong>Design: </strong>Cross-sectional, observational study.</p><p><strong>Methods: </strong>U.S. 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.</p><p><strong>Results: </strong>Among 2,838 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.</p><p><strong>Conclusion: </strong>This remotely-recruited U.S. 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 PWH and lower VS among younger and stimulant-using PWH should be ameliorated through targeted care reengagement and adherence interventions, potentially via GSN-apps.</p>","PeriodicalId":7502,"journal":{"name":"AIDS","volume":" ","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"AIDS","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/QAD.0000000000004173","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"IMMUNOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
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: U.S. 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 2,838 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 U.S. 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 PWH and lower VS among younger and stimulant-using PWH should be ameliorated through targeted care reengagement and adherence interventions, potentially via GSN-apps.
期刊介绍：
Publishing the very latest ground breaking research on HIV and AIDS. Read by all the top clinicians and researchers, AIDS has the highest impact of all AIDS-related journals. With 18 issues per year, AIDS guarantees the authoritative presentation of significant advances. The Editors, themselves noted international experts who know the demands of your work, are committed to making AIDS the most distinguished and innovative journal in the field. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.
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