Only 1 in 5 doctors offers routine HIV screening for patients

From Edge on the Net

A new Centers for Disease Control and Prevention analysis shows that while most primary care physicians offer regular, routine HIV testing to gay and bisexual men, only 1 in 5 provides routine screening for all patients.

“Testing remains an important HIV prevention tool. It is the first step toward ensuring that those living with HIV get the treatment and care they need to protect their health and reduce their likelihood of transmission. Yet the majority of Americans have never been tested, and nearly 1 in 6 people who are HIV-infected do not know it,” writes the CDC in their analysis.

The CDC recommends that everyone be tested at least once — and for gay men, at least once a year — to ensure those living with HIV get the care and treatment they need to protect their health and reduce the likelihood of transmission.

Young people with HIV respond well to human papillomavirus vaccine

aidsmap.com reports…

The quadrivalent human papillomavirus (HPV) vaccine worked as well for teens and young adults with HIV as it did for their HIV-negative counterparts, according to study findings presented the 20th International AIDS Conference last week in Melbourne.

Human papillomavirus is a common sexually transmitted infection that causes abnormal cell growth. High-risk strains, including type 16 and 18, can cause cervical and anal cancer. People typically become infected with HPV shortly after they become sexually active, regardless of HIV status. But HIV-positive people tend to harbour more HPV types, are less likely to spontaneously clear HPV and may experience faster disease progression from dysplasia (abnormal cell changes) to cancer.

Continue reading on aidsmap.com

Rates of HIV infection still going up in U.S. among young gay males

From philly.com

A new report offers good and bad news about the AIDS epidemic in the United States: The annual diagnosis rate of HIV, the virus that causes the disease, has dropped by one-third in the general population but has climbed among young gay and bisexual males.

Significantly fewer heterosexuals, drug users and women were diagnosed each year with HIV, according to the report from the U.S. Centers for Disease Control and Prevention. However, the annual diagnosis rate more than doubled for young gay and bisexual males.

The push for safer sex may be falling on deaf ears in a generation too young to have seen the ravages of AIDS, said report co-author Amy Lansky, deputy director for surveillance, epidemiology and laboratory sciences at the CDC’s Division of HIV/AIDS Prevention.

“It’s been more than 30 years since the first cases were reported,” she said. “It’s harder to maintain that sense of urgency.”

The report only looked at people diagnosed with HIV, and health officials think many more are infected with the virus but don’t know it. The statistics also don’t say anything about when these people were infected, making it hard to pinpoint trends in efforts to prevent transmission of the virus.

Still, “we’re making significant progress and seeing declines overall,” said Lansky. However, she added, the rising numbers of diagnoses among young men who have sex with other men are “a considerable problem.”

The AIDS epidemic began more than 30 years ago. While the last two decades have brought great advances in drugs that prevent AIDS from developing in HIV-positive people, an estimated 1.1 million people are still living with HIV in the United States, Lansky said. Officials believe about 16 percent of those people — or about 176,000 — don’t know they’re infected, she said.

In the new report, published in the July 23/30 issue of the Journal of the American Medical Association, researchers examined HIV diagnoses in the United States from 2002 to 2011 in people aged 13 and older.

Although almost 500,000 people were diagnosed with HIV during that time, the annual rate of diagnoses fell from 24 out of every 100,000 people to 16 — a decline of 33 percent.

Continue reading.

HIV drug may boost suicide risk

From philly.com

sustiva 3A medication commonly used to treat HIV appears to double the risk that patients will develop suicidal thoughts or take their lives, new research contends. The finding concerns the anti-HIV drug efavirenz, which is marketed as Sustiva. Prior investigations indicated that efavirenz might boost suicide risk because of a negative impact on the central nervous system. The new investigation is the first to pinpoint a link to suicidal thoughts, attempts and completion, the researchers said.

“Efavirenz is a very important and effective antiretroviral medication that is the foundation for much of HIV therapy worldwide,” said study co-author Dr. Joseph Eron, of the University of North Carolina Center for AIDS Research at Chapel Hill. “Our study demonstrated a clear association between efavirenz and suicidality,” he said.

Although that risk seems very small, he said, it appears to be persistent, lasting as long as patients take the drug.sustiva 2 Antiretroviral treatment typically is lifelong, helping people with the AIDS-causing virus live healthier lives. “Clinicians should be aware of this ongoing risk, and talk to their patients to assess suicidality,” Eron added. That means looking for any history of depression or suicidal thoughts or attempts, the study noted.

Continue reading on philly.com.

 

 

 

Study shows promise for those struggling with mental health and HIV treatment adherence

From thebody.com

A clinical review published in the peer-reviewed journal LGBT Health in early June by Jaclyn M. White, M.P.H., Janna R. Gordon, and Matthew J. Mimiaga, Sc.D., M.P.H., from Harvard and the Fenway Institute in Massachusetts, indicates that there may be relief at hand for HIV-positive gay men struggling with added mental health and substance abuse issues that can add difficulty to sticking to an HIV medication regimen. White et al concluded that interventions that combine both adherence counseling with standard cognitive behavioral therapy have made some headway with participants in several recent intervention trials.

Mental health issues, as well as substance use, can lend comorbidity to HIV — that is, an additional condition that compounds the effect of a primary disease. These factors can make adherence to medication more difficult than normal, though this connection is not yet well established.

White et al pointed out that concentration problems and feelings of worthlessness and hopelessness behave as barriers to self-care behavior patterns that are required for optimal outcomes on antiretroviral therapy (ART). Optimal outcomes are measured by self-efficacy efforts; those who believe in their ability to manage their own condition are more likely to approach the 80%-plus adherence level required to thrive while living with HIV, according to White et al.

Continue reading on thebody.com.

Men at high risk for HIV may misjudge their vulnerability

By Andrew M. Seaman
Reuters

NEW YORK (Reuters Health) – Many gay, bisexual and queer men who are good candidates for a drug that prevents HIV don’t believe their risk of being infected with the virus is high enough to warrant the drug’s use, suggests a new study. The poor perception of HIV risk suggests people need to be educated about how to lower the chance of being infected, according to the researchers, who do HIV testing and other research in commercial sex venues in New York City.

“Our testers and counselors were always amazed that a lot of these guys underestimated their risk for HIV – anecdotally,” said Dr. Demetre Daskalakis, the study’s senior author and medical director of ambulatory HIV services at Mount Sinai Hospital in New York City.

Continue reading on the Chicago Tribune Website.

 

Users of smartphone apps like Grindr more likely to get STDs

cell phoneFrom MedlinePlus (a National Institutes of Health Website)…

Gay men who use smartphone apps such as Grindr or Scruff to find sexual partners are more likely to acquire certain sexually transmitted diseases (STDs) than if they meet partners in bars or clubs, a new study suggests. The research was led by Matthew Beymer of the L.A. Gay and Lesbian Center, Los Angeles, and included nearly 7,200 local gay and “bi-curious” men. All of the men were tested for STDs and provided information about how they found their sexual partners.

Smartphone apps such as Grindr, Scruff or Recon are designed to make it easier for gay men to meet potential partners more quickly. According to background material provided in the study, Grindr, one of the first gay male “hook-up” apps, garnered 2.5 million new users in 2012, and by 2013 its makers said that Grindr had 6 million users in 192 countries worldwide. However, the authors of the new study say the use of these technologies may raise the chances of anonymous and risky sexual encounters and the likelihood of getting an STD.

(…) Compared to other men in the study, those who used smartphone apps to find sex were 35 percent more likely to be infected with chlamydia and 23 percent more likely to be infected with gonorrhea, the researchers found. The method of finding sexual partners had no effect on the risk of being infected with syphilis or HIV, the virus that causes AIDS, however.

Continue reading on MedlinePlus.