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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) recognizing that many 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 between February/2012 and February/2015. HIV serology confirmed HIV-status. Chronic health conditions were classified into one of six broader categories (i.e., cardiovascular, cancer, gastrointestinal, respiratory, mental health, other). Logistic regression models tested whether HIV-status was associated with any of the six categories. All 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
ec0ab99c-264d-4c24-b847-7df8c988d786
Lachowsky, Nathan J.
87634bac-759c-4e7b-9f16-22fb37e87cf6
Armstrong, Heather
3dc9c223-1a61-47ad-ab0b-50d06cddf4f2
Cui, Zishan
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Sereda, Paul
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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
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) recognizing that many 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 between February/2012 and February/2015. HIV serology confirmed HIV-status. Chronic health conditions were classified into one of six broader categories (i.e., cardiovascular, cancer, gastrointestinal, respiratory, mental health, other). Logistic regression models tested whether HIV-status was associated with any of the six categories. All 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
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: 28 Apr 2022 02:27

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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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