The network structure of sex partner meeting places reported by HIV-infected MSM: Opportunities for HIV targeted control

Meredith Brantley, Christina Schumacher, Jamie Perin, Amelia Greiner Safi, Jonathan M. Ellen, Ravikiran Muvva, Patrick Chaulk, Jacky M. Jennings

Research output: Contribution to journalArticle

Abstract

Baltimore, Maryland ranks among U.S. cities with the highest incidence of HIV infection among men who have sex with men (MSM). HIV screening at sex partner meeting places or venues frequented by MSM with new diagnoses and/or high HIV viral load may reduce transmission by identifying and linking infected individuals to care. We investigated venue-based clustering of newly diagnosed MSM to identify high HIV transmission venues. HIV surveillance data from MSM diagnosed between October 2012–June 2014 and reporting ≥1 sex partner meeting place were examined. Venue viral load was defined according to the geometric mean viral load of the cluster of cases that reported the venue and classified as high (>50,000 copies/mL), moderate (1500–50,000 copies/mL), and low (<1500 copies/mL). 143 MSM provided information on ≥1 sex partner meeting place, accounting for 132 unique venues. Twenty-six venues were reported by > 1 MSM; of these, a tightly connected cluster of six moderate viral load sex partner meeting places emerged, representing 66% of reports. Small, dense networks of moderate to high viral load venues may be important for targeted HIV control among MSM.

Original languageEnglish (US)
Pages (from-to)20-29
Number of pages10
JournalSocial Science and Medicine
Volume182
DOIs
StatePublished - Jun 1 2017

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Keywords

  • HIV
  • HIV control
  • MSM
  • Sex partner meeting places
  • Venue affiliation networks

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science

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