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AIDS Care. 2018 Nov;30(11):1341-1350. doi: 10.1080/09540121.2018.1476657. Epub 2018 May 30.

Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru.

Author information

1
a Yale AIDS Program , New Haven , CT , USA.
2
b Asociación Civil Impacta Salud y Educación , Distrito de Barranco , Peru.
3
c Associación Vía Libre , Distrito de Lima , Peru.
4
d Hospital Nacional Arzobispo Loayza , Distrito de Lima , Peru.
5
e Hospital Nacional Dos de Mayo , Distrito de Lima , Lima.
6
f Section of Infectious Diseases , Yale School of Medicine , New Haven , CT , USA.
7
g Centre of Excellence on Research in AIDS (CERIA) , University of Malaya , Kuala Lumpar , Malaysia.
8
h Centro de Investigaciones Biomédicas , Tecnológicas y Medioambientales , Callao , Peru.
9
i Division of Epidemiology , Yale School of Public Health , New Haven , CT , USA.

Abstract

In Peru, HIV is concentrated among men who have sex with men (MSM) and transgender women (TGW). Between June 2015 and August 2016, 591 HIV-positive MSM and TGW were recruited at five clinical care sites in Lima, Peru. We found that 82.4% of the participants had achieved viral suppression (VS; VL < 200) and 73.6% had achieved maximal viral suppression (MVS; VL < 50). Multivariable modeling indicated that patients reporting transportation as a barrier to HIV care were less likely to achieve VS (aOR = 0.47; 95% CI = 0.30-0.75) and MVS (aOR = 0.56; 95% CI = 0.37-0.84). Alcohol use disorders were negatively associated with MVS (aOR = 0.62; 95% CI = 0.30-0.75) and age was positively associated with achieving MVS (aOR = 1.29; 95% CI = 1.04-1.59). These findings underscore the need for more accessible HIV care with integrated behavioral health services in Lima, Peru.

KEYWORDS:

HIV; Latin America; men who have sex with men; transgender women; viral suppression

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