Short Communication: HIV Incidence Among Vulnerable Populations in Honduras: Results from an Integrated Behavioral and Biological Survey Among Female Sex Workers, Men Who Have Sex with Men, and Garifuna in Honduras, 2006

Kim, Andrea A; Morales, Sonia; Lorenzana, Ivette; Paredes, Mayte; Juarez, Sandra; Alvarez, B; Liu, Xin; Parekh, Bharat; Monterroso, Edgar; Paz–Bailey, Gabriela

doi:10.1089/aid.2012.0032

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…Trained field staff interviewed all eligible participants who provided written consent using a standardised questionnaire (Creswell et al, 2012;Kim et al, 2013). Questions covered sociodemographic characteristics, sexual history, drug use, alcohol use, discrimination and other adverse life events.…”

Section: Methodsmentioning

confidence: 99%

Sex work, discrimination, drug use and violence: a pattern for HIV risk among transgender sex workers compared to MSM sex workers and other MSM in Guatemala

Miller

Barrington

Weir

et al. 2019

Global Public Health

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The risk of HIV infection is higher among transgender women and cisgender men who have sex with men (MSM) compared to the general population due in part to social and contextual factors. This study aimed to determine the prevalence and association of alcohol and drug abuse, discrimination and violence among transgender sex workers compared to cisgender male sex workers and cisgender men who had not received money for sex in Guatemala City. In 2010, transgender women and cisgender men who had had sex with men or transgender women were recruited into a cross-sectional behavioural survey. Among transgender women, 86% received money for sex in the past year. Transgender sex workers were more likely to use drugs and binge drink, three times as likely to be discriminated against and eight times as likely to be forced to have sex compared to non-sex worker men. Male sex workers were twice as likely to use illicit drugs or experience physical violence and six times as likely to experience forced sex compared to non-sex worker men. Transgender and male sex workers would benefit from harm reduction for substance use, violence prevention, response and strategies to mitigate discrimination.

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Section: Methodsmentioning

confidence: 99%

Sex work, discrimination, drug use and violence: a pattern for HIV risk among transgender sex workers compared to MSM sex workers and other MSM in Guatemala

Miller

Barrington

Weir

et al. 2019

Global Public Health

Self Cite

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“…The high prevalence detected among Chayahuita appeared to be isolated to one peri-urban village, as follow-up investigations found relatively low prevalence in other Chayahuita villages (35, 39). Moderately high prevalence rates (1%–5%) were noted in the Garifuna of Honduras (4.5% in 2006 (30, 43–45) and 3.7% in 2012 (29, 46)).…”

Section: Resultsmentioning

confidence: 98%

HIV, syphilis, and viral hepatitis among Latin American indigenous peoples and Afro-descendants: a systematic review

Russell

Nazar

Pino

et al. 2019

Rev Panam Salud Publica

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Objective To identify and summarize existing literature on the burden of HIV, sexually transmitted infections (STIs), and viral hepatitis (VH) in indigenous peoples and Afro-descendants in Latin America to provide a broad panorama of the quantitative data available and highlight problematic data gaps. Methods Published and grey literature were systematically reviewed to identify documents published in English, Spanish, or Portuguese with data collected between January 2000 and April 2016 on HIV, STI, and VH disease burden among indigenous peoples and Afro-descendants in 17 Latin American countries. Results Sixty-two documents from 12 countries were found. HIV prevalence was generally low (< 1%) but pockets of high prevalence (> 5%) were noted in some indigenous communities in Venezuela (Warao) (9.6%), Peru (Chayahuita) (7.5%), and Colombia (Wayuu females) (7.0%). High active syphilis prevalence (> 5%) was seen in some indigenous communities in Paraguay (11.6% and 9.7%) and Peru (Chayahuita) (6.3%). High endemicity (> 8%) of hepatitis B was found in some indigenous peoples in Mexico (Huichol) (9.4%) and Venezuela (Yanomami: 14.3%; Japreira: 29.5%) and among Afro-descendant quilombola populations in Brazil (Frechal: 12.5%; Furnas do Dionísio: 8.4% in 2008, 9.2% in 2003). Conclusions The gaps in existing data on the burden of HIV, STIs, and VH in indigenous peoples and Afro-descendants in Latin America highlight the need to 1) improve national surveillance, by systematically collecting and analyzing ethnicity variables, and implementing integrated biobehavioral studies using robust methodologies and culturally sensitive strategies; 2) develop a region-wide response policy that considers the needs of indigenous peoples and Afro-descendants; and 3) implement an intercultural approach to health and service delivery to eliminate health access barriers and improve health outcomes for these populations.

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“…Only 3 studies locally adapted both the MDRI and the FRR as part of the analysis [ 125 , 129 , 151 ]. One study locally adapted the MDRI by weighting for local subtype distribution but assumed 0 FRR [ 133 ], and 7 studies used a published MDRI but locally estimated the FRR based on internal data [ 114 , 120 , 121 , 123 , 132 , 138 , 143 ]. One study used an FRR of 0 for the main analysis, and compared incidence results with those generated assuming an FRR of 0.39% in a sensitivity analysis [ 124 ].…”

Section: Resultsmentioning

confidence: 99%

“…There were 3 more studies that also used recency assays to estimate incidence for intervention impact assessment, but in the more narrow context of blood donor policy implementation [129] or behavioral randomized controlled trials [130,131]. The remaining 20 articles [132][133][134][135][136][137][138][139][140][141][142][143][144][145][146][147][148][149][150][151] described calculation of incidence among key or sentinel populations, including those accessing routine HIV testing or blood donation programs. Key or sentinel population surveillance involves testing within populations that are either of specific interest because they are at higher risk for infection (key) or considered to be representative of a larger population (sentinel).…”

Section: Xsl • Fomentioning

confidence: 99%

Use of HIV Recency Assays for HIV Incidence Estimation and Other Surveillance Use Cases: Systematic Review

Facente¹,

Grebe²,

Maher³

et al. 2022

JMIR Public Health Surveill

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Background HIV assays designed to detect recent infection, also known as “recency assays,” are often used to estimate HIV incidence in a specific country, region, or subpopulation, alone or as part of recent infection testing algorithms (RITAs). Recently, many countries and organizations have become interested in using recency assays within case surveillance systems and routine HIV testing services to measure other indicators beyond incidence, generally referred to as “non-incidence surveillance use cases.” Objective This review aims to identify published evidence that can be used to validate methodological approaches to recency-based incidence estimation and non-incidence use cases. The evidence identified through this review will be used in the forthcoming technical guidance by the World Health Organization (WHO) and United Nations Programme on HIV/AIDS (UNAIDS) on the use of HIV recency assays for identification of epidemic trends, whether for HIV incidence estimation or non-incidence indicators of recency. Methods To identify the best methodological and field implementation practices for the use of recency assays to estimate HIV incidence and trends in recent infections for specific populations or geographic areas, we conducted a systematic review of the literature to (1) understand the use of recency testing for surveillance in programmatic and laboratory settings, (2) review methodologies for implementing recency testing for both incidence estimation and non-incidence use cases, and (3) assess the field performance characteristics of commercially available recency assays. Results Among the 167 documents included in the final review, 91 (54.5%) focused on assay or algorithm performance or methodological descriptions, with high-quality evidence of accurate age- and sex-disaggregated HIV incidence estimation at national or regional levels in general population settings, but not at finer geographic levels for prevention prioritization. The remaining 76 (45.5%) described the field use of incidence assays including field-derived incidence (n=45), non-incidence (n=25), and both incidence and non-incidence use cases (n=6). The field use of incidence assays included integrating RITAs into routine surveillance and assisting with molecular genetic analyses, but evidence was generally weaker or only reported on what was done, without validation data or findings related to effectiveness of using non-incidence indicators calculated through the use of recency assays as a proxy for HIV incidence. Conclusions HIV recency assays have been widely validated for estimating HIV incidence in age- and sex-specific populations at national and subnational regional levels; however, there is a lack of evidence validating the accuracy and effectiveness of using recency assays to identify epidemic trends in non-incidence surveillance use cases. More research is needed to validate the use of recency assays within HIV testing services, to ensure findings can be accurately interpreted to guide prioritization of public health programming.

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Short Communication: HIV Incidence Among Vulnerable Populations in Honduras: Results from an Integrated Behavioral and Biological Survey Among Female Sex Workers, Men Who Have Sex with Men, and Garifuna in Honduras, 2006

Cited by 7 publications

References 15 publications

Sex work, discrimination, drug use and violence: a pattern for HIV risk among transgender sex workers compared to MSM sex workers and other MSM in Guatemala

Sex work, discrimination, drug use and violence: a pattern for HIV risk among transgender sex workers compared to MSM sex workers and other MSM in Guatemala

HIV, syphilis, and viral hepatitis among Latin American indigenous peoples and Afro-descendants: a systematic review

Use of HIV Recency Assays for HIV Incidence Estimation and Other Surveillance Use Cases: Systematic Review

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