HIV Prevalence and Awareness of Positive Serostatus Among Men Who Have Sex With Men and Transgender Women in Bogotá, Colombia

Zea, María Cecilia; Reisen, Carol A.; Río-González, Ana María del; Bianchi, Fernanda T.; Ramírez-Valles, Jesús; Poppen, Paul J.

doi:10.2105/ajph.2014.302307

Cited by 32 publications

(39 citation statements)

References 42 publications

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“…La frecuencia de positividad para vih fue alta, similar a la reportada para Colombia en poblaciones similares [3,4,6], lo que permite que esta población sea considerada como de mayor riesgo para infección por el vih y donde la epidemia continúa concentrada, en comparación con la población general en edad reproductiva del país. Adicionalmente, un alto porcentaje (>60%) de participantes ya se había realizado en el pasado pruebas para detección del vih, lo cual podría relacionarse con que estas personas se auto perciben con comportamientos de riesgo para la infección por vih, pero sus características sociodemográficas y de conocimientos, antecedentes y comportamientos sexuales de riesgo probablemente no han sido modificados favorablemente por los asesoramientos recibidos.…”

Section: Discusión Y Conclusionesunclassified

“…Estos resultados son similares a los reportados por estudios a nivel del país en dichas poblaciones donde predomina una baja escolaridad [3,4,6] y mayor probabilidad de tener infección por vih en personas mayores de 25 años [4]. En este mismo sentido, también se ha reportado menor escolaridad y pocas oportunidades sociales en las poblaciones hsh y trans [22][23][24].…”

Section: Discusión Y Conclusionesunclassified

“…Para 2014 un informe de país reportó que solo 18,9% de personas diagnosticadas con vih/sida en Colombia habían solicitado la realización voluntaria de la prueba al momento del diagnóstico [2]. Sin embargo, en poblaciones en contexto de vulnerabilidad por comportamientos de riesgo la toma voluntaria oscila entre 20% y un 50% [3,4]. El Centro de Control y Prevención de Enfermedades de Estados Unidos recomienda, principalmente para grupos en alto de riesgo para la infección por el vih, la asesoría y prueba de vih al menos una vez anual [5].…”

Section: Introductionunclassified

See 2 more Smart Citations

Características en hombres que tienen sexo con hombres VIH+ en Cali-Colombia 2012-2015

Mueses-Marín

Tello-Bolívar

Galindo-Quintero

2017

Rev. Fac. Nac. Salud Pública

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Section: Discusión Y Conclusionesunclassified

Section: Introductionunclassified

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Características en hombres que tienen sexo con hombres VIH+ en Cali-Colombia 2012-2015

Mueses-Marín

Tello-Bolívar

Galindo-Quintero

2017

Rev. Fac. Nac. Salud Pública

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“…Additionally, HIV awareness has been well documented to reduce risky sexual behaviors. [6,23,32–34] In 1 meta-analysis in the USA, authors demonstrated that HIV serostatus awareness reduced condomless anal intercourse among MSM by as much as 68%. [33] Similarly, studies of HIV serostatus awareness in Colombia showed that being diagnosed HIV-infected decreased condomless anal intercourse and risky behaviors such as drug or alcohol use prior to intercourse.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with previously undiagnosed human immunodeficiency virus infection in a population of men who have sex with men and male-to-female transgender women in Lima, Peru

et al. 2016

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The aim of the study was to identify factors associated with undiagnosed human immunodeficiency virus (HIV) infection among men who have sex with men (MSM) and male-to-female transgender women in Lima, Peru.We analyzed characteristics of 378 MSM and transgender women recruited from 2 sexually transmitted infection (STI) clinics in Lima, Peru. Descriptive analyses compared: (A) HIV-uninfected, (B) previously undiagnosed HIV-infected, and (C) previously diagnosed HIV-infected participants. Multivariable logistic regression models identified: (1) correlates of previously undiagnosed HIV-infection among participants thought to be HIV-uninfected (B vs A); and (2) correlates of previously undiagnosed HIV-infection among HIV-infected participants (B vs C). Subanalysis identified correlates of frequent HIV testing among participants thought to be HIV-uninfected.Among participants, 31.0% were HIV-infected; of those, 35.0% were previously undiagnosed. Among participants thought to be HIV-uninfected (model 1), recent condomless receptive anal intercourse and last HIV test being over 1-year ago (compared to within the last 6-months) were associated with increased odds of being previously undiagnosed HIV-infected (adjusted odds ratio [aOR] = 2.43, 95% confidence interval [95%CI] = 1.10–5.36; aOR = 2.87, 95%CI = 1.10–7.53, respectively). Among HIV-infected participants (model 2), recent condomless receptive anal intercourse was again associated with previously undiagnosed HIV-infection (aOR = 2.54, 95%CI = 1.04–6.23). Achieving post-secondary education and prior syphilis infection were associated with lower odds of having previously undiagnosed HIV-infection (aOR = 0.35, 95%CI = 0.15–0.81; aOR = 0.32, 95%CI = 0.14–0.75, respectively).Reporting semiannual testing was associated with higher educational attainment, identifying as a transgender woman, or reporting a history of syphilis (aOR = 1.94, 95%CI = 1.11–3.37; aOR = 2.40, 95%CI = 1.23–4.70; aOR = 2.76, 95%CI = 1.62–4.71, respectively). Lower odds of semiannual testing were associated with recent condomless insertive anal intercourse or reporting a moderate or high self-perceived risk of acquiring HIV (aOR = 0.56, 95%CI = 0.33–0.96; aOR = 0.32, 95%CI = 0.18–0.59 and aOR = 0.43, 95%CI = 0.21–0.86, respectively).In our study, undiagnosed HIV-infection was associated with recent condomless receptive anal intercourse, infrequent HIV testing, lower education, and absence of prior syphilis diagnosis. Infrequent HIV testing was associated with lower education, not identifying as transgender, recent condomless insertive anal intercourse, absence of prior syphilis diagnosis, and higher self-perceived risk of HIV. Further efforts to decrease HIV transmission and increase HIV-serostatus awareness should be directed towards effectively promoting condom use and frequent HIV testing, integrated with STI management.

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“…Studies published as recently as 2015, in well-respected peer-reviewed journals, combine MSM and trans women into one category for analysis and presentation of data (Muessig, Baltierra, Pike, LeGrand, & Hightow-Weidman, 2014; Peacock, Andrinopoulos, & Hembling, 2015; Zea et al, 2015). …”

Section: Introductionmentioning

confidence: 99%

The conflation of gender and sex: Gaps and opportunities in HIV data among transgender women and MSM

Poteat

German

Flynn

2016

Global Public Health

129

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Historically, HIV studies have conflated men who have sex with men (MSM) with transgender (trans) women, explicitly excluded trans individuals, or included sample sizes of trans people that are too small to reach meaningful conclusions. Despite the heavy burden of HIV among trans women, conflation of this population with MSM has limited the information available on the social and behavioural factors that increase HIV vulnerability among trans women and how these factors may differ from MSM. Using data sets from quantitative studies among MSM (n = 645) and trans women (n = 89), as well as qualitative in-depth interviews with 30 trans women in Baltimore, we explore what these data tell us about similarities and differences in HIV vulnerability between the two groups and where they leave gaps in our understanding. We conclude with implications for data collection and intervention development.

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HIV Prevalence and Awareness of Positive Serostatus Among Men Who Have Sex With Men and Transgender Women in Bogotá, Colombia

Abstract: There is an urgent need to increase HIV detection among MSM and transgender women in Bogotá. HIV-positive-unaware group characteristics suggest an important role for structural, social, and individual interventions.

Cited by 32 publications

References 42 publications

Características en hombres que tienen sexo con hombres VIH+ en Cali-Colombia 2012-2015

Características en hombres que tienen sexo con hombres VIH+ en Cali-Colombia 2012-2015

Factors associated with previously undiagnosed human immunodeficiency virus infection in a population of men who have sex with men and male-to-female transgender women in Lima, Peru

The conflation of gender and sex: Gaps and opportunities in HIV data among transgender women and MSM

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