Few data on HIV incidence among men who have sex with men and inject drugs (MSM-PWID) are available. Drawing on a prospective cohort in Vancouver, Canada, we examined the relationship between MSM status and HIV incidence among PWID using Kaplan–Meier analyses and extended Cox regression. Data were collected from 1996 to 2014 and analyzed in 2017. Of 1131 HIV-negative male PWID, 8.6% (n = 97) reported sex with men over the study period. MSM status was crudely associated with HIV incidence [Hazard Ratio (HR) = 1.81; 95% CI 1.08–3.03], but not after adjustment for daily cocaine injection and syringe borrowing (Adjusted HR = 1.33; 95% CI 0.78–2.28). Findings highlight the need for harm reduction interventions and socio-behavioral research focused on MSM-PWID. Keywords Injection drug use · Men who have sex with men · HIV · Incidence Introduction indicative of the particularly high HIV acquisition risk among those who belong to both of these key populations. Men who have sex with men (MSM) comprise the major- Despite these elevated risks, longitudinal studies of HIV ity of new HIV infections in high-income countries, while among MSM-PWID are rare. Reports to date have often infections among people who inject drugs (PWID) also relied on repeated
AIDS and Behavior – Springer Journals
Published: Jun 6, 2018
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