HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention
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...In order to obtain a sample of HIV-infected and uninfected Black MSM who were at increased risk for HIV acquisition or transmission, whether they were aware of their HIV status or not, enrollment of participants who were HIV-uninfected was capped at 200 participants at each site, and no more than 83 participants per site who refused HIV testing could be enrolled....
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...Although newly diagnosed Black MSM were less likely to report having HIV-infected partners than those were previously diagnosed or who were HIVuninfected, they reported having more unknown status partners than the other participants....
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...Conclusions: ND HIV-infected Black MSM were more likely to be unemployed, have bacterial STIs and engage in URAI than other Black MSM. Culturally-tailored programs that address economic disenfranchisement, increase engagement in care, screen for STIs, in conjunction with safer sex prevention interventions, may help to decrease further transmission in this heavily affected community....
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...Although levels of depressive symptoms and internalized homophobia did not differ between HIV-infected and uninfected Black MSM, they were very common, with 45% of the men in HPTN 061 reporting depressive symptomatology, and 43% noting increased levels of internalized homophobia....
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...These findings are consistent with other studies documenting high rates of HIV transmission in settings where HIV prevalence is high and a substantial number of men are unaware that they or their partners are HIV-infected [23,24]....
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