Prevalence of HIV, STIs, and risk behaviors in a cross-sectional community- and clinic-based sample of men who have sex with men (MSM) in Lima, Peru
| Autor: | Amaya Perez-Brumer, Jeffrey D. Klausner, Thomas J. Coates, Kelika A. Konda, H. Javier Salvatierra, Eddy R. Segura, Silvia M. Montano, Carlos F. Caceres, Jesse L. Clark, Eric R. Hall |
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| Přispěvatelé: | Lama, Javier R |
| Rok vydání: | 2013 |
| Předmět: |
Male
demography Human herpesvirus 2 Non-Clinical Medicine Epidemiology Cross-sectional study syphilis HIV Infections Global Health Social and Behavioral Sciences urologic and male genital diseases Men who have sex with men anilingus 0302 clinical medicine Homosexuality Risk-Taking Peru statistics and numerical data Psychology Medicine Outpatient clinic Chlamydia Young adult lcsh:Science gonorrhea Human immunodeficiency virus risk assessment virus diseases Homosexuality female genital diseases and pregnancy complications health survey 3. Good health high risk behavior HIV/AIDS Public Health Infection 0305 other medical science male homosexual mass screening HIV test medicine.medical_specialty Sexually Transmitted Diseases Sexual and Gender Minorities (SGM/LGBT*) Sexual and Gender Issues 03 medical and health sciences Human immunodeficiency virus infection chlamydiasis Clinical Research Humans human Gynecology Behavior Genitourinary Infections Prevention lcsh:R outpatient department clinical assessment male to female transsexual medicine.disease major clinical study Cross-Sectional Studies money Sexually Transmitted Infections lcsh:Q Demography Viral Diseases Pediatric AIDS Gonorrhea lcsh:Medicine Ambulatory Care Facilities Residence Characteristics Prevalence 030212 general & internal medicine Pediatric Multidisciplinary Herpes simplex virus 2 article sexually transmitted disease medical history Infectious Diseases Mental Health Female geographic locations Research Article Adult General Science & Technology Urology community assessment Young Adult sexual behavior Risk-Taking parasitic diseases Behavioral and Social Science controlled study infection risk Homosexuality Male Health Care Policy 030505 public health purl.org/pe-repo/ocde/ford#3.03.12 [https] business.industry HIV herpes simplex Good Health and Well Being Syphilis business urban area |
| Zdroj: | PloS one, vol 8, iss 4 PLoS ONE PLoS ONE, Vol 8, Iss 4, p e59072 (2013) |
| Popis: | Background Further research is necessary to understand the factors contributing to the high prevalence of HIV/STIs among men who have sex with men (MSM) in Peru. We compared HIV/STI prevalence and risk factors between two non-probability samples of MSM, one passively enrolled from an STI clinic and the other actively enrolled from community venues surrounding the clinic in Lima, Peru. Methods A total of 560 self-identified MSM were enrolled between May-December, 2007. 438 subjects enrolled from a municipal STI clinic and 122 subjects enrolled during community outreach visits. All participants underwent screening for HIV, syphilis, HSV-2, gonorrhoea, and chlamydia and completed a survey assessing their history of HIV/STIs, prior HIV testing, and sexual behavior. Results HIV prevalence was significantly higher among MSM enrolled from the clinic, with previously undiagnosed HIV identified in 9.1% compared with 2.6% of community participants. 15.4 % of all MSM screened were infected with ≥1 curable STI, 7.4% with early syphilis (RPR≥1∶16) and 5.5% with urethral gonorrhoea and/or chlamydia. No significant differences between populations were reported in prevalence of STIs, number of male sex partners, history of unprotected anal intercourse, or alcohol and/or drug use prior to sex. Exchange of sex for money or goods was reported by 33.5% of MSM enrolled from the clinic and 21.2% of MSM from the community (p = 0.01). Conclusions Our data demonstrate that the prevalence of HIV and STIs, including syphilis, gonorrhoea, and chlamydia are extremely high among MSM enrolled from both clinic and community venues in urban Peru. New strategies are needed to address differences in HIV/STI epidemiology between clinic- and community-enrolled samples of MSM. |
| Databáze: | OpenAIRE |
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