Predictors of Condomless Anal Intercourse in Young HIV-Positive Men Who Have Sex With Men With Detectable Viral Loads
A minority of young, gay, bisexual, and other men who have sex with men (YGBMSM) living with HIV in the U.S. achieve viral suppression, thus increasing the likelihood of viral transmission during condomless anal intercourse (CAI). The purpose of this study was to explore potential risk factors for C...
Saved in:
| Published in | Journal of adolescent health Vol. 66; no. 6; pp. 672 - 683 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.06.2020
|
| Subjects | |
| Online Access | Get full text |
Cover
Loading…
| Abstract | A minority of young, gay, bisexual, and other men who have sex with men (YGBMSM) living with HIV in the U.S. achieve viral suppression, thus increasing the likelihood of viral transmission during condomless anal intercourse (CAI). The purpose of this study was to explore potential risk factors for CAI and serodiscordant CAI (SD-CAI) among YGBMSM with detectable viremia.
A total of 146 YGBMSM (aged 16–24 years) with a detectable viremia enrolled in a mobile health adherence intervention. Baseline characteristics, stratified by any CAI and any SD-CAI (past 3 months), were computed. Random Forests and regression methods were used to assess factors associated with each type of CAI. Adjusted prevalence rate ratios (aPRR) and 95% confidence intervals (CIs) were calculated.
Half (51.9%) reported engaging in CAI; 57.1% of those reported SD-CAI. There was strong agreement between the Random Forests and regression methods. Significant risk factors of CAI included marijuana use (aPRR = 1.97, 95% CI: 1.21–3.21), problematic substance use (aPRR = 1.56, 95% CI: 1.11–2.20), and being in a committed relationship (aPRR = 1.66, 95% CI: 1.21–2.27). Only 47% believed they were less likely to transmit HIV through CAI when virally suppressed.
High rates of CAI, including engagement in SD-CAI in a population of YGBMSM with detectable viral loads, pose significant concerns for onward transmission. Individual, dyadic, and structural predictors of CAI were associated with engagement in risk in this priority population. Addressing these factors in concert with ensuring viral suppression will be key to ending the epidemic among youth. |
|---|---|
| AbstractList | PURPOSEA minority of young, gay, bisexual, and other men who have sex with men (YGBMSM) living with HIV in the U.S. achieve viral suppression, thus increasing the likelihood of viral transmission during condomless anal intercourse (CAI). The purpose of this study was to explore potential risk factors for CAI and serodiscordant CAI (SD-CAI) among YGBMSM with detectable viremia. METHODSA total of 146 YGBMSM (aged 16-24 years) with a detectable viremia enrolled in a mobile health adherence intervention. Baseline characteristics, stratified by any CAI and any SD-CAI (past 3 months), were computed. Random Forests and regression methods were used to assess factors associated with each type of CAI. Adjusted prevalence rate ratios (aPRR) and 95% confidence intervals (CIs) were calculated. RESULTSHalf (51.9%) reported engaging in CAI; 57.1% of those reported SD-CAI. There was strong agreement between the Random Forests and regression methods. Significant risk factors of CAI included marijuana use (aPRR = 1.97, 95% CI: 1.21-3.21), problematic substance use (aPRR = 1.56, 95% CI: 1.11-2.20), and being in a committed relationship (aPRR = 1.66, 95% CI: 1.21-2.27). Only 47% believed they were less likely to transmit HIV through CAI when virally suppressed. CONCLUSIONHigh rates of CAI, including engagement in SD-CAI in a population of YGBMSM with detectable viral loads, pose significant concerns for onward transmission. Individual, dyadic, and structural predictors of CAI were associated with engagement in risk in this priority population. Addressing these factors in concert with ensuring viral suppression will be key to ending the epidemic among youth. A minority of young, gay, bisexual, and other men who have sex with men (YGBMSM) living with HIV in the U.S. achieve viral suppression, thus increasing the likelihood of viral transmission during condomless anal intercourse (CAI). The purpose of this study was to explore potential risk factors for CAI and serodiscordant CAI (SD-CAI) among YGBMSM with detectable viremia. A total of 146 YGBMSM (aged 16-24 years) with a detectable viremia enrolled in a mobile health adherence intervention. Baseline characteristics, stratified by any CAI and any SD-CAI (past 3 months), were computed. Random Forests and regression methods were used to assess factors associated with each type of CAI. Adjusted prevalence rate ratios (aPRR) and 95% confidence intervals (CIs) were calculated. Half (51.9%) reported engaging in CAI; 57.1% of those reported SD-CAI. There was strong agreement between the Random Forests and regression methods. Significant risk factors of CAI included marijuana use (aPRR = 1.97, 95% CI: 1.21-3.21), problematic substance use (aPRR = 1.56, 95% CI: 1.11-2.20), and being in a committed relationship (aPRR = 1.66, 95% CI: 1.21-2.27). Only 47% believed they were less likely to transmit HIV through CAI when virally suppressed. High rates of CAI, including engagement in SD-CAI in a population of YGBMSM with detectable viral loads, pose significant concerns for onward transmission. Individual, dyadic, and structural predictors of CAI were associated with engagement in risk in this priority population. Addressing these factors in concert with ensuring viral suppression will be key to ending the epidemic among youth. |
| Author | Platt, Alyssa Hightow-Weidman, Lisa Muessig, Kate Egger, Joseph R. LeGrand, Sara |
| AuthorAffiliation | 2 Duke Global Health Institute, Durham, North Carolina, USA 1 Institute of Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA 3 Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA |
| AuthorAffiliation_xml | – name: 1 Institute of Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA – name: 2 Duke Global Health Institute, Durham, North Carolina, USA – name: 3 Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA |
| Author_xml | – sequence: 1 givenname: Lisa orcidid: 0000-0002-2421-923X surname: Hightow-Weidman fullname: Hightow-Weidman, Lisa email: Lisa_hightow@med.unc.edu organization: Institute of Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina – sequence: 2 givenname: Kate surname: Muessig fullname: Muessig, Kate organization: Department of Health Behavior, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina – sequence: 3 givenname: Joseph R. surname: Egger fullname: Egger, Joseph R. organization: Duke Global Health Institute, Durham, North Carolina – sequence: 4 givenname: Sara surname: LeGrand fullname: LeGrand, Sara organization: Duke Global Health Institute, Durham, North Carolina – sequence: 5 givenname: Alyssa orcidid: 0000-0001-6396-0170 surname: Platt fullname: Platt, Alyssa organization: Duke Global Health Institute, Durham, North Carolina |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31987721$$D View this record in MEDLINE/PubMed |
| BookMark | eNqFkUuPFCEUhYkZ4zz0LxiWbqoEqiiKjcnYPrqTNk6izuiK0HBrik41jEB19N9Lp8dRV664wDnn3tzvHJ344AEhTElNCe1ebuuttmEEPeWxZoTKmrKakO4ROqO9kBWVgp2UmvC2oo38eorOU9qSYu0oeYJOGyp7IRg9Q_NVBOtMDjHhMOBF8DbsJkgJX3o94ZXPEE2YYwLsPP4WZn-Ll6vr6iokl90e8Afw-GYMeKnL5RP8wDcuj8fXQ_EGMpisNxPgaxdL4jpom56ix4OeEjy7Py_Ql3dvPy-W1frj-9Xicl2ZVshcSULEYActNdOdhVa3PTUD3RjSNoLLrhWMSz5wPghL2gEaYhomeSME4YbZrrlAr465d_NmB9aAz2UGdRfdTsefKmin_v3xblS3Ya8E6xrZsxLw4j4ghu8zpKx2LhmYJu0hzEmxphWc9F1PirQ_Sk0MKUUYHtpQog7U1Fb9oaYO1BRlqlAr1ud_j_lg_I2pCF4fBVCWtXcQVTIOvCnoYlmvssH9v8sv7oOwtA |
| CitedBy_id | crossref_primary_10_1007_s10461_021_03222_y crossref_primary_10_1007_s10461_022_03655_z crossref_primary_10_1016_j_jadohealth_2020_03_017 |
| Cites_doi | 10.1056/NEJMoa1600693 10.1111/j.1468-1293.2009.00818.x 10.1007/s10461-018-2183-5 10.1080/13691058.2014.979884 10.1037/0278-6133.26.5.618 10.1007/s10461-010-9678-z 10.1007/s10461-013-0426-z 10.2196/resprot.8811 10.1037/pas0000330 10.1007/s10461-014-0827-7 10.1080/09540121.2012.720363 10.1080/09540121.2019.1601672 10.1080/15381501.2012.735171 10.1186/s13567-015-0219-7 10.1007/s10461-011-9967-1 10.1159/000342331 10.1037/0022-006X.76.5.829 10.1007/s10461-012-0155-8 10.1521/aeap.14.8.482.24108 10.1007/s10508-013-0223-9 10.1007/s10508-016-0833-0 10.1371/journal.pone.0151106 10.1016/j.jadohealth.2006.08.001 10.1097/QAI.0000000000001563 10.1007/s10508-013-0216-8 10.1089/lgbt.2016.0135 10.1007/s10865-015-9624-7 10.1007/s10461-014-0848-2 10.1089/apc.2010.0100 10.1097/OLQ.0000000000000505 10.1089/apc.2013.0345 10.1016/S0140-6736(12)61235-5 10.1136/ebm.11.6.184 10.1046/j.1360-0443.2002.00185.x 10.1001/jamapediatrics.2015.3333 10.1007/s10461-013-0671-1 10.1037/a0016973 10.1097/01.aids.0000216374.61442.55 10.2196/games.5687 10.1097/QAD.0b013e32832baa34 10.1089/lgbt.2014.0020 |
| ContentType | Journal Article |
| Copyright | 2019 Society for Adolescent Health and Medicine Copyright © 2019 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. |
| Copyright_xml | – notice: 2019 Society for Adolescent Health and Medicine – notice: Copyright © 2019 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. |
| DBID | NPM AAYXX CITATION 7X8 5PM |
| DOI | 10.1016/j.jadohealth.2019.12.006 |
| DatabaseName | PubMed CrossRef MEDLINE - Academic PubMed Central (Full Participant titles) |
| DatabaseTitle | PubMed CrossRef MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic PubMed |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine Social Welfare & Social Work |
| EISSN | 1879-1972 |
| EndPage | 683 |
| ExternalDocumentID | 10_1016_j_jadohealth_2019_12_006 31987721 S1054139X19309279 |
| Genre | Journal Article Research Support, N.I.H., Extramural |
| GrantInformation_xml | – fundername: NIMH NIH HHS grantid: R43 MH102096 – fundername: NIMH NIH HHS grantid: R44 MH102096 |
| GroupedDBID | --- --K --M ..I .1- .FO .GJ .~1 0R~ 0SF 1B1 1CY 1P~ 1RT 1~. 1~5 29J 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 71M 8P~ 9JM 9JO AABNK AACTN AAEDT AAEDW AAFJI AAIAV AAIKJ AAKOC AALRI AAOAW AAQFI AAQXK AAWTL AAXUO ABBQC ABFNM ABFRF ABIVO ABJNI ABLVK ABMAC ABMMH ABMZM ABPPZ ABXDB ABYKQ ACDAQ ACGFO ACGFS ACHQT ACIUM ACRLP ADBBV ADEZE ADMUD AEBSH AEFWE AEKER AENEX AEVXI AFCTW AFFNX AFKWA AFRHN AFTJW AFXIZ AGHFR AGUBO AGYEJ AHHHB AIEXJ AIKHN AITUG AJBFU AJOXV AJRQY AJUYK AKYCK ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ANZVX AOMHK ASPBG AVARZ AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV CS3 EBS EFJIC EFLBG EJD EO8 EO9 EP2 EP3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA HEH HMK HMO HVGLF HZ~ H~9 IHE J1W KOM LCYCR M27 M3W M41 MO0 MVM N4W N9A NCXOZ O-L O9- OAUVE OH- OHT OT- OZT P-8 P-9 P2P PC. PRBVW Q38 R2- RIG ROL RPZ SAE SCC SCU SDF SDG SDP SEL SES SEW SPCBC SSB SSH SSO SSZ T5K UNMZH WUQ XPP Z5R ZA5 ZGI ZXP ~G- AAXKI ADVLN AFJKZ AKRWK NPM AAYXX CITATION 7X8 5PM |
| ID | FETCH-LOGICAL-c479t-9007fdfa9a2a6de4a481cf1bc0437596472595f55f7d04fe30c329537705c2d63 |
| IEDL.DBID | .~1 |
| ISSN | 1054-139X |
| IngestDate | Tue Sep 17 21:26:06 EDT 2024 Fri Aug 16 22:50:36 EDT 2024 Thu Sep 26 21:05:37 EDT 2024 Sat Sep 28 08:45:21 EDT 2024 Fri Feb 23 02:47:18 EST 2024 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 6 |
| Keywords | Sexual risk Young adults HIV Adolescents Viral load Condomless sex |
| Language | English |
| License | Copyright © 2019 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c479t-9007fdfa9a2a6de4a481cf1bc0437596472595f55f7d04fe30c329537705c2d63 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ORCID | 0000-0001-6396-0170 0000-0002-2421-923X |
| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263982 |
| PMID | 31987721 |
| PQID | 2347508680 |
| PQPubID | 23479 |
| PageCount | 12 |
| ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_7263982 proquest_miscellaneous_2347508680 crossref_primary_10_1016_j_jadohealth_2019_12_006 pubmed_primary_31987721 elsevier_sciencedirect_doi_10_1016_j_jadohealth_2019_12_006 |
| PublicationCentury | 2000 |
| PublicationDate | 2020-06-01 |
| PublicationDateYYYYMMDD | 2020-06-01 |
| PublicationDate_xml | – month: 06 year: 2020 text: 2020-06-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Journal of adolescent health |
| PublicationTitleAlternate | J Adolesc Health |
| PublicationYear | 2020 |
| Publisher | Elsevier Inc |
| Publisher_xml | – name: Elsevier Inc |
| References | Bruce, Harper, Suleta (bib6) 2013; 17 Cook, Valera, Wilson (bib39) 2015; 38 VanDevanter, Duncan, Burrell-Piggott (bib30) 2011; 25 LeGrand, Muessig, McNulty (bib11) 2016; 4 Starks, Gamarel, Johnson (bib25) 2014; 43 Zanoni, Mayer (bib2) 2014; 28 Zeiles, Hothorn, Hornik (bib20) 2010 Bruce, Harper, Fernandez (bib28) 2013; 12 Mizuno, Borkowf, Millett (bib32) 2012; 16 Bruce, Bauermeister, Kahana (bib8) 2018; 22 White, Gordon, Mimiaga (bib31) 2014; 1 Hussen, Harper, Rodgers (bib35) 2017; 4 Koblin, Husnik, Colfax (bib37) 2006; 20 Stueve, O'Donnell, Duran (bib22) 2002; 14 Imahashi, Fujimoto, Kuhns (bib44) 2019; 31 Camacho-Gonzalez, Chernoff, Williams (bib7) 2017; 6 LeGrand, Muessig, Platt (bib10) 2018; 7 Kahana, Jenkins, Bruce (bib4) 2016; 11 Sullivan, Salazar, Buchbinder (bib23) 2009; 23 Kalichman, Eaton, Cherry (bib42) 2010; 11 Alvy, McKirnan, Mansergh (bib38) 2011; 15 Swinson (bib13) 2006; 11 Wright, Naar-King, Lam (bib16) 2007; 40 Goldenberg, Finneran, Andes (bib26) 2015; 17 Cohen, Chen, McCauley (bib40) 2016; 375 Wilson, Kahana, Fernandez (bib5) 2016; 170 Lally, van den Berg, Westfall (bib3) 2018; 77 Rumpf, Wohlert, Freyer-Adam (bib15) 2013; 19 Herek, Gillis, Cogan (bib17) 2009; 56 Mustanski (bib36) 2007; 26 Mustanski, Newcomb, Du Bois (bib21) 2011; 48 Jiwatram-Negron, El-Bassel (bib27) 2014; 18 Holmes (bib41) 2012; 380 Cruess, Burnham, Finitsis (bib46) 2017; 46 Bruce, Kahana, Harper (bib29) 2013; 25 Johnson, Carrico, Chesney (bib33) 2008; 76 Hall, Holtgrave, Tang (bib9) 2013; 17 Crosby, Salazar, Mena (bib34) 2016; 43 Group (bib14) 2002; 97 O'Connell, Reed, Serovich (bib43) 2015; 19 Gonzalez, Nunez, Merz (bib12) 2017; 29 Strobl, Malley, Tutz (bib18) 2009; 14 bib1 Rosenberger, Herbenick, Novak (bib24) 2014; 43 Holloway, Rice, Gibbs (bib45) 2014; 18 Machado, Mendoza, Corbellini (bib19) 2015; 46 Imahashi (10.1016/j.jadohealth.2019.12.006_bib44) 2019; 31 Lally (10.1016/j.jadohealth.2019.12.006_bib3) 2018; 77 Hussen (10.1016/j.jadohealth.2019.12.006_bib35) 2017; 4 Rumpf (10.1016/j.jadohealth.2019.12.006_bib15) 2013; 19 Cook (10.1016/j.jadohealth.2019.12.006_bib39) 2015; 38 Kalichman (10.1016/j.jadohealth.2019.12.006_bib42) 2010; 11 Zeiles (10.1016/j.jadohealth.2019.12.006_bib20) 2010 Holloway (10.1016/j.jadohealth.2019.12.006_bib45) 2014; 18 Rosenberger (10.1016/j.jadohealth.2019.12.006_bib24) 2014; 43 Starks (10.1016/j.jadohealth.2019.12.006_bib25) 2014; 43 Machado (10.1016/j.jadohealth.2019.12.006_bib19) 2015; 46 Koblin (10.1016/j.jadohealth.2019.12.006_bib37) 2006; 20 Bruce (10.1016/j.jadohealth.2019.12.006_bib28) 2013; 12 Jiwatram-Negron (10.1016/j.jadohealth.2019.12.006_bib27) 2014; 18 Wilson (10.1016/j.jadohealth.2019.12.006_bib5) 2016; 170 Mustanski (10.1016/j.jadohealth.2019.12.006_bib36) 2007; 26 Cohen (10.1016/j.jadohealth.2019.12.006_bib40) 2016; 375 Hall (10.1016/j.jadohealth.2019.12.006_bib9) 2013; 17 Bruce (10.1016/j.jadohealth.2019.12.006_bib29) 2013; 25 O'Connell (10.1016/j.jadohealth.2019.12.006_bib43) 2015; 19 LeGrand (10.1016/j.jadohealth.2019.12.006_bib10) 2018; 7 Zanoni (10.1016/j.jadohealth.2019.12.006_bib2) 2014; 28 VanDevanter (10.1016/j.jadohealth.2019.12.006_bib30) 2011; 25 Bruce (10.1016/j.jadohealth.2019.12.006_bib8) 2018; 22 Strobl (10.1016/j.jadohealth.2019.12.006_bib18) 2009; 14 Cruess (10.1016/j.jadohealth.2019.12.006_bib46) 2017; 46 Sullivan (10.1016/j.jadohealth.2019.12.006_bib23) 2009; 23 Alvy (10.1016/j.jadohealth.2019.12.006_bib38) 2011; 15 Holmes (10.1016/j.jadohealth.2019.12.006_bib41) 2012; 380 Kahana (10.1016/j.jadohealth.2019.12.006_bib4) 2016; 11 Wright (10.1016/j.jadohealth.2019.12.006_bib16) 2007; 40 Herek (10.1016/j.jadohealth.2019.12.006_bib17) 2009; 56 Mustanski (10.1016/j.jadohealth.2019.12.006_bib21) 2011; 48 Goldenberg (10.1016/j.jadohealth.2019.12.006_bib26) 2015; 17 LeGrand (10.1016/j.jadohealth.2019.12.006_bib11) 2016; 4 Mizuno (10.1016/j.jadohealth.2019.12.006_bib32) 2012; 16 Bruce (10.1016/j.jadohealth.2019.12.006_bib6) 2013; 17 Group (10.1016/j.jadohealth.2019.12.006_bib14) 2002; 97 Stueve (10.1016/j.jadohealth.2019.12.006_bib22) 2002; 14 Camacho-Gonzalez (10.1016/j.jadohealth.2019.12.006_bib7) 2017; 6 White (10.1016/j.jadohealth.2019.12.006_bib31) 2014; 1 Gonzalez (10.1016/j.jadohealth.2019.12.006_bib12) 2017; 29 Swinson (10.1016/j.jadohealth.2019.12.006_bib13) 2006; 11 Crosby (10.1016/j.jadohealth.2019.12.006_bib34) 2016; 43 Johnson (10.1016/j.jadohealth.2019.12.006_bib33) 2008; 76 |
| References_xml | – ident: bib1 article-title: HIV among youth – volume: 11 start-page: e0151106 year: 2016 ident: bib4 article-title: Structural determinants of antiretroviral therapy use, HIV care attendance, and viral suppression among adolescents and young adults living with HIV publication-title: PLoS One contributor: fullname: Bruce – volume: 29 start-page: 372 year: 2017 end-page: 381 ident: bib12 article-title: Measurement properties of the Center for Epidemiologic Studies Depression Scale (CES-D 10): Findings from HCHS/SOL publication-title: Psychol Assess contributor: fullname: Merz – volume: 4 start-page: e6 year: 2016 ident: bib11 article-title: Epic Allies: Development of a gaming app to improve antiretroviral therapy adherence among young HIV-positive men who have sex with men publication-title: JMIR Serious Games contributor: fullname: McNulty – volume: 19 start-page: 121 year: 2013 end-page: 127 ident: bib15 article-title: Screening questionnaires for problem drinking in adolescents: Performance of AUDIT, AUDIT-C, CRAFFT and POSIT publication-title: Eur Addict Res contributor: fullname: Freyer-Adam – volume: 56 start-page: 32 year: 2009 ident: bib17 article-title: Internalized stigma among sexual minority adults: Insights from a social psychological perspective publication-title: J Couns Psychol contributor: fullname: Cogan – volume: 76 start-page: 829 year: 2008 end-page: 839 ident: bib33 article-title: Internalized heterosexism among HIV-positive, gay-identified men: Implications for HIV prevention and care publication-title: J Consult Clin Psychol contributor: fullname: Chesney – volume: 17 start-page: 1515 year: 2013 end-page: 1523 ident: bib6 article-title: Sexual risk behavior and risk reduction beliefs among HIV-positive young men who have sex with men publication-title: AIDS Behav contributor: fullname: Suleta – volume: 12 start-page: 26 year: 2013 end-page: 48 ident: bib28 article-title: Heavy marijuana use among gay and bisexual male emerging adults living with HIV/AIDS publication-title: J HIV AIDS Soc Serv contributor: fullname: Fernandez – volume: 19 start-page: 283 year: 2015 end-page: 290 ident: bib43 article-title: The efficacy of serostatus disclosure for HIV transmission risk reduction publication-title: AIDS Behav contributor: fullname: Serovich – volume: 170 start-page: 125 year: 2016 end-page: 131 ident: bib5 article-title: Sexual risk behavior among virologically detectable human immunodeficiency virus-infected young men who have sex with men publication-title: JAMA Pediatr contributor: fullname: Fernandez – volume: 17 start-page: 607 year: 2015 end-page: 622 ident: bib26 article-title: 'Sometimes people let love conquer them': How love, intimacy, and trust in relationships between men who have sex with men influence perceptions of sexual risk and sexual decision-making publication-title: Cult Health Sex contributor: fullname: Andes – volume: 20 start-page: 731 year: 2006 end-page: 739 ident: bib37 article-title: Risk factors for HIV infection among men who have sex with men publication-title: AIDS contributor: fullname: Colfax – volume: 46 start-page: 1079 year: 2017 end-page: 1087 ident: bib46 article-title: Online partner seeking and sexual risk among HIV+ gay and bisexual men: A dialectical perspective publication-title: Arch Sex Behav contributor: fullname: Finitsis – volume: 4 start-page: 275 year: 2017 end-page: 282 ident: bib35 article-title: Cognitive and behavioral resilience among young gay and bisexual men living with HIV publication-title: LGBT Health contributor: fullname: Rodgers – volume: 6 start-page: e22 year: 2017 end-page: e29 ident: bib7 article-title: Sexually transmitted infections in youth with controlled and uncontrolled human immunodeficiency virus infection publication-title: J Pediatr Infect Dis Soc contributor: fullname: Williams – volume: 18 start-page: 1864 year: 2014 end-page: 1887 ident: bib27 article-title: Systematic review of couple-based HIV intervention and prevention studies: Advantages, gaps, and future directions publication-title: AIDS Behav contributor: fullname: El-Bassel – volume: 16 start-page: 724 year: 2012 end-page: 735 ident: bib32 article-title: Homophobia and racism experienced by Latino men who have sex with men in the United States: Correlates of exposure and associations with HIV risk behaviors publication-title: AIDS Behav contributor: fullname: Millett – volume: 77 start-page: 110 year: 2018 end-page: 117 ident: bib3 article-title: HIV continuum of care for youth in the United States publication-title: J Acquir Immune Defic Syndr contributor: fullname: Westfall – volume: 11 start-page: 184 year: 2006 ident: bib13 article-title: The GAD-7 scale was accurate for diagnosing generalised anxiety disorder publication-title: Evid Based Med contributor: fullname: Swinson – volume: 48 start-page: 218 year: 2011 end-page: 253 ident: bib21 article-title: HIV in young men who have sex with men: A review of epidemiology, risk and protective factors, and interventions publication-title: J Sex Res contributor: fullname: Du Bois – volume: 23 start-page: 1153 year: 2009 end-page: 1162 ident: bib23 article-title: Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities publication-title: AIDS contributor: fullname: Buchbinder – volume: 15 start-page: 1171 year: 2011 end-page: 1179 ident: bib38 article-title: Depression is associated with sexual risk among men who have sex with men, but is mediated by cognitive escape and self-efficacy publication-title: AIDS Behav contributor: fullname: Mansergh – volume: 28 start-page: 128 year: 2014 end-page: 135 ident: bib2 article-title: The adolescent and young adult HIV cascade of care in the United States: Exaggerated health disparities publication-title: AIDS Patient Care STDS contributor: fullname: Mayer – volume: 17 start-page: 1632 year: 2013 end-page: 1636 ident: bib9 article-title: HIV transmission in the United States: Considerations of viral load, risk behavior, and health disparities publication-title: AIDS Behav contributor: fullname: Tang – volume: 22 start-page: 3535 year: 2018 end-page: 3539 ident: bib8 article-title: Correlates of serodiscordant condomless anal intercourse among virologically detectable HIV-positive young men who have sex with men publication-title: AIDS Behav contributor: fullname: Kahana – volume: 97 start-page: 1183 year: 2002 end-page: 1194 ident: bib14 article-title: The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): Development, reliability and feasibility publication-title: Addiction contributor: fullname: Group – volume: 26 start-page: 618 year: 2007 end-page: 626 ident: bib36 article-title: The influence of state and trait affect on HIV risk behaviors: A daily diary study of MSM publication-title: Health Psychol contributor: fullname: Mustanski – volume: 11 start-page: 502 year: 2010 end-page: 509 ident: bib42 article-title: Sexually transmitted infections and infectiousness beliefs among people living with HIV/AIDS: Implications for HIV treatment as prevention publication-title: HIV Med contributor: fullname: Cherry – volume: 14 start-page: 482 year: 2002 end-page: 495 ident: bib22 article-title: Being high and taking sexual risks: Findings from a multisite survey of urban young men who have sex with men publication-title: AIDS Educ Prev contributor: fullname: Duran – volume: 40 start-page: 96 year: 2007 end-page: 98 ident: bib16 article-title: Stigma scale revised: Reliability and validity of a brief measure of stigma for HIV+ youth publication-title: J Adolesc Health contributor: fullname: Lam – volume: 43 start-page: 119 year: 2014 end-page: 128 ident: bib24 article-title: What's love got to do with it? Examinations of emotional perceptions and sexual behaviors among gay and bisexual men in the United States publication-title: Arch Sex Behav contributor: fullname: Novak – volume: 46 start-page: 85 year: 2015 ident: bib19 article-title: What variables are important in predicting bovine viral diarrhea virus? A random forest approach publication-title: Vet Res contributor: fullname: Corbellini – volume: 43 start-page: 139 year: 2014 end-page: 147 ident: bib25 article-title: Relationship characteristics and HIV transmission risk in same-sex male couples in HIV serodiscordant relationships publication-title: Arch Sex Behav contributor: fullname: Johnson – volume: 43 start-page: 656 year: 2016 end-page: 660 ident: bib34 article-title: Associations between internalized homophobia and sexual risk behaviors among young black men who have sex with men publication-title: Sex Transm Dis contributor: fullname: Mena – volume: 31 start-page: 1533 year: 2019 end-page: 1539 ident: bib44 article-title: Network overlap and knowledge of a partner's HIV status among young men who have sex with men publication-title: AIDS Care contributor: fullname: Kuhns – year: 2010 ident: bib20 article-title: Party: A laboratory for recursive partytioning contributor: fullname: Hornik – volume: 25 start-page: 113 year: 2011 end-page: 121 ident: bib30 article-title: The influence of substance use, social sexual environment, psychosocial factors, and partner characteristics on high-risk sexual behavior among young black and Latino men who have sex with men living with HIV: A qualitative study publication-title: AIDS Patient Care STDS contributor: fullname: Burrell-Piggott – volume: 7 start-page: e94 year: 2018 ident: bib10 article-title: Epic Allies, a gamified mobile phone app to improve engagement in care, antiretroviral uptake, and adherence among young men who have sex with men and young transgender women who have sex with men: Protocol for a randomized controlled trial publication-title: JMIR Res Protoc contributor: fullname: Platt – volume: 375 start-page: 830 year: 2016 end-page: 839 ident: bib40 article-title: Antiretroviral therapy for the prevention of HIV-1 transmission publication-title: N Engl J Med contributor: fullname: McCauley – volume: 380 start-page: 325 year: 2012 ident: bib41 article-title: FDA paves the way for pre-exposure HIV prophylaxis publication-title: Lancet contributor: fullname: Holmes – volume: 1 start-page: 319 year: 2014 end-page: 322 ident: bib31 article-title: The role of substance use and mental health problems in medication adherence among HIV-infected MSM publication-title: LGBT Health contributor: fullname: Mimiaga – volume: 38 start-page: 507 year: 2015 end-page: 517 ident: bib39 article-title: HIV status disclosure, depressive symptoms, and sexual risk behavior among HIV-positive young men who have sex with men publication-title: J Behav Med contributor: fullname: Wilson – volume: 18 start-page: 285 year: 2014 end-page: 296 ident: bib45 article-title: Acceptability of smartphone application-based HIV prevention among young men who have sex with men publication-title: AIDS Behav contributor: fullname: Gibbs – volume: 14 start-page: 323 year: 2009 end-page: 348 ident: bib18 article-title: An introduction to recursive partitioning: Rationale, application, and characteristics of classification and regression trees, bagging, and random forests publication-title: Psychol Methods contributor: fullname: Tutz – volume: 25 start-page: 559 year: 2013 end-page: 565 ident: bib29 article-title: Alcohol use predicts sexual risk behavior with HIV-negative or partners of unknown status among young HIV-positive men who have sex with men publication-title: AIDS Care contributor: fullname: Harper – volume: 375 start-page: 830 year: 2016 ident: 10.1016/j.jadohealth.2019.12.006_bib40 article-title: Antiretroviral therapy for the prevention of HIV-1 transmission publication-title: N Engl J Med doi: 10.1056/NEJMoa1600693 contributor: fullname: Cohen – volume: 11 start-page: 502 year: 2010 ident: 10.1016/j.jadohealth.2019.12.006_bib42 article-title: Sexually transmitted infections and infectiousness beliefs among people living with HIV/AIDS: Implications for HIV treatment as prevention publication-title: HIV Med doi: 10.1111/j.1468-1293.2009.00818.x contributor: fullname: Kalichman – volume: 22 start-page: 3535 year: 2018 ident: 10.1016/j.jadohealth.2019.12.006_bib8 article-title: Correlates of serodiscordant condomless anal intercourse among virologically detectable HIV-positive young men who have sex with men publication-title: AIDS Behav doi: 10.1007/s10461-018-2183-5 contributor: fullname: Bruce – volume: 17 start-page: 607 year: 2015 ident: 10.1016/j.jadohealth.2019.12.006_bib26 article-title: 'Sometimes people let love conquer them': How love, intimacy, and trust in relationships between men who have sex with men influence perceptions of sexual risk and sexual decision-making publication-title: Cult Health Sex doi: 10.1080/13691058.2014.979884 contributor: fullname: Goldenberg – volume: 26 start-page: 618 year: 2007 ident: 10.1016/j.jadohealth.2019.12.006_bib36 article-title: The influence of state and trait affect on HIV risk behaviors: A daily diary study of MSM publication-title: Health Psychol doi: 10.1037/0278-6133.26.5.618 contributor: fullname: Mustanski – volume: 15 start-page: 1171 year: 2011 ident: 10.1016/j.jadohealth.2019.12.006_bib38 article-title: Depression is associated with sexual risk among men who have sex with men, but is mediated by cognitive escape and self-efficacy publication-title: AIDS Behav doi: 10.1007/s10461-010-9678-z contributor: fullname: Alvy – volume: 17 start-page: 1632 year: 2013 ident: 10.1016/j.jadohealth.2019.12.006_bib9 article-title: HIV transmission in the United States: Considerations of viral load, risk behavior, and health disparities publication-title: AIDS Behav doi: 10.1007/s10461-013-0426-z contributor: fullname: Hall – volume: 7 start-page: e94 year: 2018 ident: 10.1016/j.jadohealth.2019.12.006_bib10 article-title: Epic Allies, a gamified mobile phone app to improve engagement in care, antiretroviral uptake, and adherence among young men who have sex with men and young transgender women who have sex with men: Protocol for a randomized controlled trial publication-title: JMIR Res Protoc doi: 10.2196/resprot.8811 contributor: fullname: LeGrand – volume: 29 start-page: 372 year: 2017 ident: 10.1016/j.jadohealth.2019.12.006_bib12 article-title: Measurement properties of the Center for Epidemiologic Studies Depression Scale (CES-D 10): Findings from HCHS/SOL publication-title: Psychol Assess doi: 10.1037/pas0000330 contributor: fullname: Gonzalez – volume: 18 start-page: 1864 year: 2014 ident: 10.1016/j.jadohealth.2019.12.006_bib27 article-title: Systematic review of couple-based HIV intervention and prevention studies: Advantages, gaps, and future directions publication-title: AIDS Behav doi: 10.1007/s10461-014-0827-7 contributor: fullname: Jiwatram-Negron – volume: 25 start-page: 559 year: 2013 ident: 10.1016/j.jadohealth.2019.12.006_bib29 article-title: Alcohol use predicts sexual risk behavior with HIV-negative or partners of unknown status among young HIV-positive men who have sex with men publication-title: AIDS Care doi: 10.1080/09540121.2012.720363 contributor: fullname: Bruce – volume: 31 start-page: 1533 year: 2019 ident: 10.1016/j.jadohealth.2019.12.006_bib44 article-title: Network overlap and knowledge of a partner's HIV status among young men who have sex with men publication-title: AIDS Care doi: 10.1080/09540121.2019.1601672 contributor: fullname: Imahashi – volume: 48 start-page: 218 year: 2011 ident: 10.1016/j.jadohealth.2019.12.006_bib21 article-title: HIV in young men who have sex with men: A review of epidemiology, risk and protective factors, and interventions publication-title: J Sex Res contributor: fullname: Mustanski – volume: 12 start-page: 26 year: 2013 ident: 10.1016/j.jadohealth.2019.12.006_bib28 article-title: Heavy marijuana use among gay and bisexual male emerging adults living with HIV/AIDS publication-title: J HIV AIDS Soc Serv doi: 10.1080/15381501.2012.735171 contributor: fullname: Bruce – volume: 46 start-page: 85 year: 2015 ident: 10.1016/j.jadohealth.2019.12.006_bib19 article-title: What variables are important in predicting bovine viral diarrhea virus? A random forest approach publication-title: Vet Res doi: 10.1186/s13567-015-0219-7 contributor: fullname: Machado – volume: 16 start-page: 724 year: 2012 ident: 10.1016/j.jadohealth.2019.12.006_bib32 article-title: Homophobia and racism experienced by Latino men who have sex with men in the United States: Correlates of exposure and associations with HIV risk behaviors publication-title: AIDS Behav doi: 10.1007/s10461-011-9967-1 contributor: fullname: Mizuno – volume: 19 start-page: 121 year: 2013 ident: 10.1016/j.jadohealth.2019.12.006_bib15 article-title: Screening questionnaires for problem drinking in adolescents: Performance of AUDIT, AUDIT-C, CRAFFT and POSIT publication-title: Eur Addict Res doi: 10.1159/000342331 contributor: fullname: Rumpf – volume: 76 start-page: 829 year: 2008 ident: 10.1016/j.jadohealth.2019.12.006_bib33 article-title: Internalized heterosexism among HIV-positive, gay-identified men: Implications for HIV prevention and care publication-title: J Consult Clin Psychol doi: 10.1037/0022-006X.76.5.829 contributor: fullname: Johnson – volume: 17 start-page: 1515 year: 2013 ident: 10.1016/j.jadohealth.2019.12.006_bib6 article-title: Sexual risk behavior and risk reduction beliefs among HIV-positive young men who have sex with men publication-title: AIDS Behav doi: 10.1007/s10461-012-0155-8 contributor: fullname: Bruce – volume: 14 start-page: 482 year: 2002 ident: 10.1016/j.jadohealth.2019.12.006_bib22 article-title: Being high and taking sexual risks: Findings from a multisite survey of urban young men who have sex with men publication-title: AIDS Educ Prev doi: 10.1521/aeap.14.8.482.24108 contributor: fullname: Stueve – volume: 43 start-page: 119 year: 2014 ident: 10.1016/j.jadohealth.2019.12.006_bib24 article-title: What's love got to do with it? Examinations of emotional perceptions and sexual behaviors among gay and bisexual men in the United States publication-title: Arch Sex Behav doi: 10.1007/s10508-013-0223-9 contributor: fullname: Rosenberger – volume: 46 start-page: 1079 year: 2017 ident: 10.1016/j.jadohealth.2019.12.006_bib46 article-title: Online partner seeking and sexual risk among HIV+ gay and bisexual men: A dialectical perspective publication-title: Arch Sex Behav doi: 10.1007/s10508-016-0833-0 contributor: fullname: Cruess – year: 2010 ident: 10.1016/j.jadohealth.2019.12.006_bib20 contributor: fullname: Zeiles – volume: 11 start-page: e0151106 year: 2016 ident: 10.1016/j.jadohealth.2019.12.006_bib4 article-title: Structural determinants of antiretroviral therapy use, HIV care attendance, and viral suppression among adolescents and young adults living with HIV publication-title: PLoS One doi: 10.1371/journal.pone.0151106 contributor: fullname: Kahana – volume: 40 start-page: 96 year: 2007 ident: 10.1016/j.jadohealth.2019.12.006_bib16 article-title: Stigma scale revised: Reliability and validity of a brief measure of stigma for HIV+ youth publication-title: J Adolesc Health doi: 10.1016/j.jadohealth.2006.08.001 contributor: fullname: Wright – volume: 77 start-page: 110 year: 2018 ident: 10.1016/j.jadohealth.2019.12.006_bib3 article-title: HIV continuum of care for youth in the United States publication-title: J Acquir Immune Defic Syndr doi: 10.1097/QAI.0000000000001563 contributor: fullname: Lally – volume: 43 start-page: 139 year: 2014 ident: 10.1016/j.jadohealth.2019.12.006_bib25 article-title: Relationship characteristics and HIV transmission risk in same-sex male couples in HIV serodiscordant relationships publication-title: Arch Sex Behav doi: 10.1007/s10508-013-0216-8 contributor: fullname: Starks – volume: 4 start-page: 275 year: 2017 ident: 10.1016/j.jadohealth.2019.12.006_bib35 article-title: Cognitive and behavioral resilience among young gay and bisexual men living with HIV publication-title: LGBT Health doi: 10.1089/lgbt.2016.0135 contributor: fullname: Hussen – volume: 6 start-page: e22 year: 2017 ident: 10.1016/j.jadohealth.2019.12.006_bib7 article-title: Sexually transmitted infections in youth with controlled and uncontrolled human immunodeficiency virus infection publication-title: J Pediatr Infect Dis Soc contributor: fullname: Camacho-Gonzalez – volume: 56 start-page: 32 year: 2009 ident: 10.1016/j.jadohealth.2019.12.006_bib17 article-title: Internalized stigma among sexual minority adults: Insights from a social psychological perspective publication-title: J Couns Psychol contributor: fullname: Herek – volume: 38 start-page: 507 year: 2015 ident: 10.1016/j.jadohealth.2019.12.006_bib39 article-title: HIV status disclosure, depressive symptoms, and sexual risk behavior among HIV-positive young men who have sex with men publication-title: J Behav Med doi: 10.1007/s10865-015-9624-7 contributor: fullname: Cook – volume: 19 start-page: 283 year: 2015 ident: 10.1016/j.jadohealth.2019.12.006_bib43 article-title: The efficacy of serostatus disclosure for HIV transmission risk reduction publication-title: AIDS Behav doi: 10.1007/s10461-014-0848-2 contributor: fullname: O'Connell – volume: 25 start-page: 113 year: 2011 ident: 10.1016/j.jadohealth.2019.12.006_bib30 article-title: The influence of substance use, social sexual environment, psychosocial factors, and partner characteristics on high-risk sexual behavior among young black and Latino men who have sex with men living with HIV: A qualitative study publication-title: AIDS Patient Care STDS doi: 10.1089/apc.2010.0100 contributor: fullname: VanDevanter – volume: 43 start-page: 656 year: 2016 ident: 10.1016/j.jadohealth.2019.12.006_bib34 article-title: Associations between internalized homophobia and sexual risk behaviors among young black men who have sex with men publication-title: Sex Transm Dis doi: 10.1097/OLQ.0000000000000505 contributor: fullname: Crosby – volume: 28 start-page: 128 year: 2014 ident: 10.1016/j.jadohealth.2019.12.006_bib2 article-title: The adolescent and young adult HIV cascade of care in the United States: Exaggerated health disparities publication-title: AIDS Patient Care STDS doi: 10.1089/apc.2013.0345 contributor: fullname: Zanoni – volume: 380 start-page: 325 year: 2012 ident: 10.1016/j.jadohealth.2019.12.006_bib41 article-title: FDA paves the way for pre-exposure HIV prophylaxis publication-title: Lancet doi: 10.1016/S0140-6736(12)61235-5 contributor: fullname: Holmes – volume: 11 start-page: 184 year: 2006 ident: 10.1016/j.jadohealth.2019.12.006_bib13 article-title: The GAD-7 scale was accurate for diagnosing generalised anxiety disorder publication-title: Evid Based Med doi: 10.1136/ebm.11.6.184 contributor: fullname: Swinson – volume: 97 start-page: 1183 year: 2002 ident: 10.1016/j.jadohealth.2019.12.006_bib14 article-title: The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): Development, reliability and feasibility publication-title: Addiction doi: 10.1046/j.1360-0443.2002.00185.x contributor: fullname: Group – volume: 170 start-page: 125 year: 2016 ident: 10.1016/j.jadohealth.2019.12.006_bib5 article-title: Sexual risk behavior among virologically detectable human immunodeficiency virus-infected young men who have sex with men publication-title: JAMA Pediatr doi: 10.1001/jamapediatrics.2015.3333 contributor: fullname: Wilson – volume: 18 start-page: 285 year: 2014 ident: 10.1016/j.jadohealth.2019.12.006_bib45 article-title: Acceptability of smartphone application-based HIV prevention among young men who have sex with men publication-title: AIDS Behav doi: 10.1007/s10461-013-0671-1 contributor: fullname: Holloway – volume: 14 start-page: 323 year: 2009 ident: 10.1016/j.jadohealth.2019.12.006_bib18 article-title: An introduction to recursive partitioning: Rationale, application, and characteristics of classification and regression trees, bagging, and random forests publication-title: Psychol Methods doi: 10.1037/a0016973 contributor: fullname: Strobl – volume: 20 start-page: 731 year: 2006 ident: 10.1016/j.jadohealth.2019.12.006_bib37 article-title: Risk factors for HIV infection among men who have sex with men publication-title: AIDS doi: 10.1097/01.aids.0000216374.61442.55 contributor: fullname: Koblin – volume: 4 start-page: e6 year: 2016 ident: 10.1016/j.jadohealth.2019.12.006_bib11 article-title: Epic Allies: Development of a gaming app to improve antiretroviral therapy adherence among young HIV-positive men who have sex with men publication-title: JMIR Serious Games doi: 10.2196/games.5687 contributor: fullname: LeGrand – volume: 23 start-page: 1153 year: 2009 ident: 10.1016/j.jadohealth.2019.12.006_bib23 article-title: Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities publication-title: AIDS doi: 10.1097/QAD.0b013e32832baa34 contributor: fullname: Sullivan – volume: 1 start-page: 319 year: 2014 ident: 10.1016/j.jadohealth.2019.12.006_bib31 article-title: The role of substance use and mental health problems in medication adherence among HIV-infected MSM publication-title: LGBT Health doi: 10.1089/lgbt.2014.0020 contributor: fullname: White |
| SSID | ssj0016610 |
| Score | 2.382274 |
| Snippet | A minority of young, gay, bisexual, and other men who have sex with men (YGBMSM) living with HIV in the U.S. achieve viral suppression, thus increasing the... PURPOSEA minority of young, gay, bisexual, and other men who have sex with men (YGBMSM) living with HIV in the U.S. achieve viral suppression, thus increasing... |
| SourceID | pubmedcentral proquest crossref pubmed elsevier |
| SourceType | Open Access Repository Aggregation Database Index Database Publisher |
| StartPage | 672 |
| SubjectTerms | Adolescents Condomless sex HIV Sexual risk Viral load Young adults |
| Title | Predictors of Condomless Anal Intercourse in Young HIV-Positive Men Who Have Sex With Men With Detectable Viral Loads |
| URI | https://dx.doi.org/10.1016/j.jadohealth.2019.12.006 https://www.ncbi.nlm.nih.gov/pubmed/31987721 https://search.proquest.com/docview/2347508680 https://pubmed.ncbi.nlm.nih.gov/PMC7263982 |
| Volume | 66 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwELaqIiEuqJTX0oeMhLiFTRw7D_VUbalSaKsVpd29WY5ja1PapNruIk78dmbsZGGBAxKnJI4jjTL2zGf7mxlC3mBCkjgRaVDa3ARchSXMuVQFicWqVpnSoXIs3_OkuOQfpmK6QUZ9LAzSKjvb7226s9Zdy7D7m8O7uh5eADIAC5xPAYKEOUsxiI-DM4Ix_e77iuYRgf_xGQkED7B3x-bxHK9rVbU-3hBJXrnbGMTaR393UX9C0N-ZlL-4puMt8rjDlPTQi_2EbJhmmzw8607Nt8muj8GlE3Nj1dzQt7RvaOdfnpLleI5dsewObS0dYYGP2xuwgBQzllC3Z6hbJHvQuqHOPNDi5CoYO77XV0PPTEMns5YWCh4uzDc6qRcz34o3RwYPKjBEi17VID49bVV1_4xcHr__PCqCrhpDoHmaL4Ic0IStrMoVU0lluOJZpG1UasyOJDCgFVZSwgph0yrk1sShjlku4jQNhWZVEj8nm03bmJeE4tFqpsC8gSvkmWUloEYdcQF6jKzOwgGJegXIO590Q_ZstGv5U2kSlSYjJkFpA3LQa0quDSAJvuEfvn7dK1fC_MJDE9WYdnkvWcwBVGUJSvXCK3slU4w7NrCEHpB0bRisOmDu7vU3TT1zObxTBtAwY6_-S-od8ojh8t9tCu2SzcV8afYAIy3KfTcJ9smDw9Gn0zFeTz4W5z8AmswSqA |
| link.rule.ids | 230,315,786,790,891,4521,24144,27955,27956,45618,45712 |
| linkProvider | Elsevier |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3fb9MwELbGkICXCQaMjgFGQryFJo6dxOIJFaYM2mnSfrRvlpPYasZIpq5FPPG3c2cnhQIPSLwljiOdcvbdl_N3d4S8woIkcSLSoLDSBFyHBey5VAeJxa5WmS5D7Vi-x0l-zj_OxGyLjPpcGKRVdrbf23RnrbuRYfc1h9d1PTwFZAAWWM4AgoSSpfIWuY1oAHldb76veR4ROCBfkkDwAKd3dB5P8rrUVesTDpHlJV1kEJsf_d1H_YlBf6dS_uKbDu-TnQ5U0nde7gdkyzS75M6kOzbfJQc-CZdOzZXVC0Nf036gXXx-SFYnC5yKfXdoa-kIO3x8uQITSLFkCXVBw7JFtgetG-rsA82PLoITR_j6aujENHQ6b2mu4ebUfKPTejn3o3jx3uBJBeZo0YsaxKfjVlc3j8j54YezUR507RiCkqdyGUiAE7ayWmqmk8pwzbOotFFRYnkkgRmt8CslrBA2rUJuTRyWMZMiTtNQlKxK4sdku2kb84RQPFvNNNg38IU8s6wA2FhGXIAiI1tm4YBEvQLUta-6oXo62qX6qTSFSlMRU6C0AXnba0ptrCAFzuEf3n7ZK1fBBsNTE92YdnWjWMwBVWUJSrXnlb2WKcaQDfxDD0i6sQzWE7B49-aTpp67It4pA2yYsf3_kvoFuZufTcZqfHT86Sm5xzAW4CJEB2R7uViZZwCYlsVztyF-AEc2Eqw |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Predictors+of+Condomless+Anal+Intercourse+in+Young+HIV-Positive+Men+Who+Have+Sex+With+Men+With+Detectable+Viral+Loads&rft.jtitle=Journal+of+adolescent+health&rft.au=Hightow-Weidman%2C+Lisa&rft.au=Muessig%2C+Kate&rft.au=Egger%2C+Joseph+R.&rft.au=LeGrand%2C+Sara&rft.date=2020-06-01&rft.pub=Elsevier+Inc&rft.issn=1054-139X&rft.eissn=1879-1972&rft.volume=66&rft.issue=6&rft.spage=672&rft.epage=683&rft_id=info:doi/10.1016%2Fj.jadohealth.2019.12.006&rft.externalDocID=S1054139X19309279 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1054-139X&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1054-139X&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1054-139X&client=summon |