HIV infection and engagement in HIV care cascade among men who have sex with men and transgender women in Kigali, Rwanda: a cross-sectional study

Autor: Susan Allen, Oluwasolape Olawore, Stefan Baral, Sabin Nsanzimana, Benjamin Liestman, Sara Herbst, Patrick S. Sullivan, Placidie Mugwaneza, Etienne Karita, Carrie Lyons, Amelia Mazzei, Aflodis Kagaba, Julien Nyombayire, Jean Olivier Twahirwa Rwema, Sosthenes Ketende
Rok vydání: 2020
Předmět:
Male
Cross-sectional study
Psychological intervention
men who have sex with men
Chlamydia trachomatis
HIV Infections
medicine.disease_cause
Men who have sex with men
Gonorrhea
Sexual and Gender Minorities
0302 clinical medicine
Kigali
Prevalence
Mass Screening
030212 general & internal medicine
education.field_of_study
virus diseases
Continuity of Patient Care
Middle Aged
Viral Load
Infectious Diseases
symbols
Female
0305 other medical science
Viral load
Adult
Supplement: Research Articles
Adolescent
Sexual Behavior
Population
Sexually Transmitted Diseases
Supplement: Research Article
Transgender Persons
03 medical and health sciences
symbols.namesake
Young Adult
medicine
Humans
HIV care continuum
structural determinants
Poisson regression
Syphilis
Homosexuality
Male
education
Aged
030505 public health
business.industry
Public Health
Environmental and Occupational Health
Rwanda
medicine.disease
Neisseria gonorrhoeae
Cross-Sectional Studies
business
Demography
Zdroj: Journal of the International AIDS Society
ISSN: 1758-2652
Popis: Introduction Given intersecting biological, network and structural risks, men who have sex with men (MSM) and transgender women (TGW) consistently have a high burden of HIV. Although MSM are a key population in Rwanda, there are limited epidemiologic data to guide programming. This study aimed to characterize HIV prevalence and care cascade among MSM and TGW in Kigali. Methods MSM and TGW ≥ 18 years were recruited using respondent‐driven sampling (RDS) from March–August 2018 in Kigali. Participants underwent a structured interview including measures of individual, network and structural determinants. HIV and sexually transmitted infections (STI) including syphilis, Neisseria gonorrhoea (NG) and Chlamydia trachomatis (CT) were tested. Viral load was measured for MSM living with HIV. Robust Poisson regression was used to characterize the determinants of HIV infection and engagement in the HIV treatment cascade. Results A total of 736 participants were enrolled. The mean age was 27 years (range:18 to 68) and 14% (106) were TGW. HIV prevalence was 10% (RDS‐adjusted: 9.2% (95% CI: 6.4 to 12.1)). Unadjusted prevalence of any STI was 20% (147); syphilis: 5.7% (42); CT: 9.1% (67) and NG: 8.8% (65). Anticipated (41%), perceived (36%) and enacted stigmas (45%) were common and higher among TGW (p
Databáze: OpenAIRE
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