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- Title
Change in Condom Use in Populations Newly Aware of HIV Diagnosis in the United States and Canada: A Systematic Review and Meta-Analysis.
- Authors
Malekinejad, Mohsen; Blodgett, Janet; Horvath, Hacsi; Parriott, Andrea; Hutchinson, Angela B.; Shrestha, Ram K.; McCabe, Devon; Volberding, Paul; Kahn, James G.
- Abstract
HIV-infected individuals "aware" of their infection are more likely to use condoms, compared to HIV-infected "unaware" persons. To quantify this likelihood, we undertook a systematic review and meta-analysis of U.S. and Canadian studies. Twenty-one eligible studies included men who have sex with men (MSM; k = 15), persons who inject drugs (PWID; k = 2), and mixed populations of high-risk heterosexuals (HRH; k = 4). Risk ratios (RR) of "not always using condoms" with partners of any serostatus were lower among aware MSM (RR 0.44 [not significant]), PWID (RR 0.70) and HRH (RR 0.27); and, in aware MSM, with partners of HIV-uninfected or unknown status (RR 0.46). Aware individuals had lower "condomless sex likelihood" with HIV-uninfected or unknown status partners (MSM: RR 0.58; male PWID: RR 0.44; female PWID: RR 0.65; HRH: RR 0.35) and with partners of any serostatus (MSM only, RR 0.72). The association diminished over time. High risk of bias compromised evidence quality.
- Subjects
CANADA; UNITED States; DIAGNOSIS of HIV infections; RISK-taking behavior; ONLINE information services; PSYCHOLOGY information storage &; retrieval systems; META-analysis; CONFIDENCE intervals; MEDICAL databases; INFORMATION storage &; retrieval systems; SYSTEMATIC reviews; COGNITION; HEALTH literacy; CENTERS for Disease Control &; Prevention (U.S.); DESCRIPTIVE statistics; CONDOMS; MEDLINE; ODDS ratio
- Publication
AIDS & Behavior, 2021, Vol 25, Issue 6, p1839
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-020-03113-8