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A cross sectional examination of HIV, aging, and chronic health conditions among gay and bisexual men

A cross sectional examination of HIV, aging, and chronic health conditions among gay and bisexual men
A cross sectional examination of HIV, aging, and chronic health conditions among gay and bisexual men

Purpose The purpose of this study was to evaluate the association between HIV status and the presence of chronic health conditions among gay and bisexual men (gbMSM). Most existing on this topic studies fail to account for behavioral factors-such as smoking and alcohol consumption-or focus on the general population without attention to the unique circumstances of gbMSM. Methods Sexually active gbMSM, aged >16 years, were recruited using respondent-driven sampling (RDS) between February 2012 and February 2015. HIV serology confirmed the HIV status. Chronic health conditions were classified into one of six broader categories (i.e., cardiovascular, cancer, gastrointestinal, respiratory, mental health, and other). Logistic regression models tested whether HIV status was associated with any of the six categories. All these models used an interaction term between HIV status and age, and adjusted for race/ethnicity, annual income, body mass index, daily smoking, and "risky drinking". Results Overall, 223 HIV-positive gbMSM and 551 HIV-negative gbMSM reported histories of cardiovascular disease (16.1%), cancer (5.1%), gastrointestinal illness (7.2%), respiratory problems (16.1%), mental health conditions (49.2%), and "other" co-/morbidities (13.1%). Compared with older HIV-negative gbMSM, those with HIV were more likely to report cardiovascular (aOR=1.15, 95% CI:1.07, 1.24) and respiratory (aOR = 1.08, 95% CI:1.02, 1.14) disease. There were no differences by HIV status for other co-/morbidities. Conclusion Findings support the need for increased resources focused on aging, HIV, and cardiovascular and respiratory health among gbMSM aging with HIV.

Aging, Chronic health, Comorbidities, Gay and bisexual men, People living with HIV
1529-1197
e60-e74
Card, Kiffer George
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Lachowsky, Nathan J.
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Armstrong, Heather
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Cui, Zishan
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Sereda, Paul
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Dickie, Chad
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Roth, Eric Abella
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Hogg, Robert S.
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Moore, David M.
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Card, Kiffer George
ec0ab99c-264d-4c24-b847-7df8c988d786
Lachowsky, Nathan J.
87634bac-759c-4e7b-9f16-22fb37e87cf6
Armstrong, Heather
3dc9c223-1a61-47ad-ab0b-50d06cddf4f2
Cui, Zishan
298721d1-0246-4602-9120-c626eec8b142
Sereda, Paul
7b1e0f3a-2477-4bc7-9f65-910dee84a320
Dickie, Chad
095d8641-3ba8-4353-bebf-4856be6c5547
Roth, Eric Abella
4ae36281-aeee-4433-a54c-4ea56db161c9
Hogg, Robert S.
3f71ad69-9c8a-4732-bb86-4aa0652e1f3f
Moore, David M.
b3bb7f8f-4409-412e-959b-bcda959a8d2d

Card, Kiffer George, Lachowsky, Nathan J., Armstrong, Heather, Cui, Zishan, Sereda, Paul, Dickie, Chad, Roth, Eric Abella, Hogg, Robert S. and Moore, David M. (2020) A cross sectional examination of HIV, aging, and chronic health conditions among gay and bisexual men. Journal of Men's Health, 16 (3), e60-e74. (doi:10.15586/jomh.v16i3.164).

Record type: Article

Abstract

Purpose The purpose of this study was to evaluate the association between HIV status and the presence of chronic health conditions among gay and bisexual men (gbMSM). Most existing on this topic studies fail to account for behavioral factors-such as smoking and alcohol consumption-or focus on the general population without attention to the unique circumstances of gbMSM. Methods Sexually active gbMSM, aged >16 years, were recruited using respondent-driven sampling (RDS) between February 2012 and February 2015. HIV serology confirmed the HIV status. Chronic health conditions were classified into one of six broader categories (i.e., cardiovascular, cancer, gastrointestinal, respiratory, mental health, and other). Logistic regression models tested whether HIV status was associated with any of the six categories. All these models used an interaction term between HIV status and age, and adjusted for race/ethnicity, annual income, body mass index, daily smoking, and "risky drinking". Results Overall, 223 HIV-positive gbMSM and 551 HIV-negative gbMSM reported histories of cardiovascular disease (16.1%), cancer (5.1%), gastrointestinal illness (7.2%), respiratory problems (16.1%), mental health conditions (49.2%), and "other" co-/morbidities (13.1%). Compared with older HIV-negative gbMSM, those with HIV were more likely to report cardiovascular (aOR=1.15, 95% CI:1.07, 1.24) and respiratory (aOR = 1.08, 95% CI:1.02, 1.14) disease. There were no differences by HIV status for other co-/morbidities. Conclusion Findings support the need for increased resources focused on aging, HIV, and cardiovascular and respiratory health among gbMSM aging with HIV.

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Accepted/In Press date: 19 June 2020
Published date: 3 September 2020
Additional Information: Funding Information: Health Study participants, office staff, and community advisory board, as well as our community partner agencies, Health Initiative for Men, YouthCO HIV & Hep C Society, and Positive Living Society of BC. Momentum is funded through the National Institute on Drug Abuse (R01DA031055-01A1) and the Canadian Institutes for Health Research (MOP-107544, FDN-143342, PJT-153139). NJL was sup-por ted by a CANFAR /CT N Postdoctoral Fellowship Award. DMM and NJL are supported by Scholar Awards from the Michael Smith Foundation for Health Research (#5209, #16863). HLA is supported by a Postdoctoral Fellowship Award from the Canadian Institutes of Health Research (Grant # MFE-152443). KGC is supported by a Canadian HIV Trials Network/Canadian Foundation for AIDS Research Postdoctoral Fellowship award, a Michael Smith Foundation for Health Research Trainee award, and a Canadian Institutes of Health Research Health Systems Impact Fellowship award. Publisher Copyright: ©2020 Kiffer G. Card et al.
Keywords: Aging, Chronic health, Comorbidities, Gay and bisexual men, People living with HIV

Identifiers

Local EPrints ID: 443902
URI: http://eprints.soton.ac.uk/id/eprint/443902
ISSN: 1529-1197
PURE UUID: 6103aaf5-5ebc-4a4e-94d4-a7e82ac285c2
ORCID for Heather Armstrong: ORCID iD orcid.org/0000-0002-1071-8644

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Date deposited: 16 Sep 2020 16:34
Last modified: 23 Jul 2022 02:24

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Contributors

Author: Kiffer George Card
Author: Nathan J. Lachowsky
Author: Zishan Cui
Author: Paul Sereda
Author: Chad Dickie
Author: Eric Abella Roth
Author: Robert S. Hogg
Author: David M. Moore

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