Engagement in the HIV Care Continuum among Key Populations in Tijuana, Mexico
| Autor: | Steffanie A. Strathdee, Carlos Magis-Rodriguez, Jose Luis Burgos, Laramie R. Smith, Thomas L. Patterson, Victoria D. Ojeda, María Luisa Zúñiga, Sarah A. Rojas |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Male Health Knowledge Attitudes Practice Human immunodeficiency virus (HIV) Alternative medicine HIV Infections medicine.disease_cause Men who have sex with men Drug Users Substance Misuse 0302 clinical medicine Epidemiology Prevalence Mass Screening 030212 general & internal medicine Hiv treatment Substance Abuse Intravenous HIV Continuum of Care Practice Secondary HIV prevention Health Knowledge Substance Abuse virus diseases Homosexuality Awareness Continuity of Patient Care Hiv prevalence Care Continuum HIV testing Infectious Diseases HIV/AIDS Public Health 0305 other medical science Intravenous Infection Adult medicine.medical_specialty Social Work Social Psychology Adolescent Hiv testing Sexual and Gender Minorities (SGM/LGBT*) Public Health And Health Services Article 03 medical and health sciences Clinical Research Behavioral and Social Science medicine Humans Homosexuality Male Epidemics Mexico 030505 public health Sex Workers business.industry Prevention Public Health Environmental and Occupational Health Key populations Good Health and Well Being Attitudes business Drug Abuse (NIDA only) Demography |
| Zdroj: | Smith, LR; Patterson, TL; Magis-Rodriguez, C; Ojeda, VD; Burgos, JL; Rojas, SA; et al.(2016). Engagement in the HIV Care Continuum among Key Populations in Tijuana, Mexico. AIDS and Behavior, 20(5), 1017-1025. doi: 10.1007/s10461-015-1186-8. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/2v43x3w6 AIDS and behavior, vol 20, iss 5 |
| Popis: | © 2015, Springer Science+Business Media New York. In Tijuana, Mexico, HIV is concentrated in sub-epidemics of key populations: persons who inject drugs (PWID), sex workers (SW), and men who have sex with men (MSM). To date, data on engagement in the HIV care continuum among these key populations, particularly in resource-constrained settings, are sparse. We pooled available epidemiological data from six studies (N = 3368) to examine HIV testing and treatment uptake in these key populations; finding an overall HIV prevalence of 5.7 %. Of the 191 identified HIV-positive persons, only 11.5 % knew their HIV-positive status and 3.7 % were on ART. Observed differences between these HIV-positive key populations suggest PWID (vs. non-PWID) were least likely to have previously tested or initiate HIV care. MSM (vs. non-MSM) were more likely to have previously tested but not more likely to know their HIV-positive status. Of persons aware of their HIV-positive status, SW (vs. non-SW) were more likely to initiate HIV care. Findings suggest engagement of key populations in HIV treatment is far below estimates observed for similarly resource-constrained generalized epidemics in sub-Saharan Africa. These data provide one of the first empirical-snapshots highlighting the extent of HIV treatment disparities in key populations. |
| Databáze: | OpenAIRE |
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