A Cross-sectional Examination of HIV, Aging, and Chronic Health Conditions Among Gay and Bisexual Men

dc.contributor.authorCard, Kiffer G.
dc.contributor.authorLachowsky, Nathan J.
dc.contributor.authorArmstrong, Heather L.
dc.contributor.authorCui, Zishan
dc.contributor.authorSereda, Paul
dc.contributor.authorDickie, Chad
dc.contributor.authorHoward, Terry
dc.contributor.authorRoth, Eric A.
dc.contributor.authorHogg, Robert S.
dc.contributor.authorMoore, David
dc.descriptionThe authors would like to thank the Momentum Health Study participants, office staff, and community advisory board, as well as our community partner agencies, Health Initiative for Men, YouthCO HIV & Hep C Society, and Positive Living Society of BC.en_US
dc.description.abstractPurpose: 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). Most existing on this topic 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 (RDS) between February 2012 and February 2015. HIV serology confirmed the HIV status. Chronic health conditions were classified into one of six broader categories (i.e., cardiovascular, cancer, gastrointestinal, respiratory, mental health, and other). Logistic regression models tested whether HIV status was associated with any of the six categories. All these 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.en_US
dc.description.sponsorshipMomentum is funded through the National Institute on Drug Abuse (R01DA031055-01A1) and the Canadian Institutes for Health Research (MOP- 107544, FDN-143342, PJT-153139). NJL was supported by a CANFAR/CTN Postdoctoral Fellowship Award. DMM and NJL are supported by Scholar Awards from the Michael Smith Foundation for Health Research (#5209, #16863). HLA is supported by a Postdoctoral Fellowship Award from the Canadian Institutes of Health Research (Grant # MFE-152443). KGC is supported by a Canadian HIV Trials Network/Canadian Foundation for AIDS Research Postdoctoral Fellowship award, a Michael Smith Foundation for Health Research Trainee award, and a Canadian Institutes of Health Research Health Systems Impact Fellowship award.en_US
dc.identifier.citationCard, K. G., Lachowsky, N. J., Armstrong, H. L., Cui, Z., Sereda, P., Dickie, C., Howard, T., Roth, E. A., Hogg, R. S., & Moore, D. 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: https://doi.org/10.15586/jomh.v16i3.164en_US
dc.publisherJournal of Men's Healthen_US
dc.subjectchronic healthen_US
dc.subjectgay and bisexual menen_US
dc.subjectpeople living with HIVen_US
dc.titleA Cross-sectional Examination of HIV, Aging, and Chronic Health Conditions Among Gay and Bisexual Menen_US


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