Current status and related factors of antiviral treatment among HIV-infected men who have sex with men students
Objective To investigate the current situation and related factors of antiretroviral therapy(ART)among HIV-infec-ted male students engaging in men who have sex with men(MSM),so as to provide the reference data for HIV prevention and treat-ment.Methods In November 2021,137 MSM students from 31 provincial administrative regions in China were recruited.An on-line survey was conducted to collect data on demographic characteristics,ART status,CD4 count,and HIV viral load before treat-ment.Logistic regression was used to analyze the factors related the effectiveness of ART in MSM.Results Among the included re-search subjects,14.6%had late detection of HIV,97.1%of participants were currently undergoing ART.Among those whose ART duration was less than 6 months,while 76.9%were undergoing ART.Logistic regression indicated that HIV-infected students who received ART for more than 24 months(OR=5.28,95%CI=1.38-20.22)had a higher rate of successful HIV suppression.HIV-in-fected students who reported physical sensory side effects(OR=0.08,95%CI=0.01-0.71)and cognitive side effects(OR=0.28,95%CI=0.09-0.90)were more likely to experience failure of ARI inhibition(P<0.05).Conclusions There is still room for im-provement in the efficacy of ART among MSM students.Strategies to improve treatment adherence must consider individual vari-ances among HIV-infected patients and the side effects of medications when designing treatment plans.