Recent HIV infection and annualized HIV incidence rates among sexual and gender minorities in Brazil and Peru (ImPrEP seroincidence study): a cross-sectional, multicenter studyResearch in context
Summary: Background: HIV incidence estimation is critical for monitoring the HIV epidemic dynamics and the effectiveness of public health prevention interventions. We aimed to identify sexual and gender minorities (SGM) with recent HIV infections, factors associated with recent HIV infection, and t...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | The Lancet Regional Health. Americas |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667193X23002168 |
| _version_ | 1797405288455733248 |
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| author | Thiago S. Torres Sylvia L.M. Teixeira Brenda Hoagland Kelika A. Konda Monica Derrico Ronaldo I. Moreira Juan V. Guanira Marcos Benedetti Sandro Nazer Gino M. Calvo Silver Vargas Carlos Benites Álisson Bigolin José Boullosa Alonso Neto Alessandro Farias Marcos Vinícius Guimarães Lacerda Daila Alena Raenck Silva Leidijany Costa Paz José Valdez Madruga Hector Javier Salvatierra Flores Ginjaylan Prada Boluarte Cesar Vidal Osco Tamayo Hardy Teresa Castro Antezana M. Cristina Pimenta Annick Bórquez Paula M. Luz Beatriz Grinsztejn Celia Landmann Szwarcwald Carlos F. Cáceres Valdilea G. Veloso Tania Kristic Carla Rocha Willian da Silva Santos Ana Paula Lovreto Santana Renato Lima Carolina Souza Talita Andrade Oliva Mônica dos Santos Valões Jennifer Olivetto Gabriel Lima Mota Aline Barnabé Cano Roberta Trefiglio Carolina Coutinho Oliver Elorreaga Ximena Gutierrez Fernando Olivos Damaris Caviedes Daniella Adriazola Eduardo Juárez Gabriela Mariño Jazmin Qquellon Francesca Vasquez Jean Pierre Jiron Sonia Flores Karen Campos Maria Eguiluz |
| author_facet | Thiago S. Torres Sylvia L.M. Teixeira Brenda Hoagland Kelika A. Konda Monica Derrico Ronaldo I. Moreira Juan V. Guanira Marcos Benedetti Sandro Nazer Gino M. Calvo Silver Vargas Carlos Benites Álisson Bigolin José Boullosa Alonso Neto Alessandro Farias Marcos Vinícius Guimarães Lacerda Daila Alena Raenck Silva Leidijany Costa Paz José Valdez Madruga Hector Javier Salvatierra Flores Ginjaylan Prada Boluarte Cesar Vidal Osco Tamayo Hardy Teresa Castro Antezana M. Cristina Pimenta Annick Bórquez Paula M. Luz Beatriz Grinsztejn Celia Landmann Szwarcwald Carlos F. Cáceres Valdilea G. Veloso Tania Kristic Carla Rocha Willian da Silva Santos Ana Paula Lovreto Santana Renato Lima Carolina Souza Talita Andrade Oliva Mônica dos Santos Valões Jennifer Olivetto Gabriel Lima Mota Aline Barnabé Cano Roberta Trefiglio Carolina Coutinho Oliver Elorreaga Ximena Gutierrez Fernando Olivos Damaris Caviedes Daniella Adriazola Eduardo Juárez Gabriela Mariño Jazmin Qquellon Francesca Vasquez Jean Pierre Jiron Sonia Flores Karen Campos Maria Eguiluz |
| author_sort | Thiago S. Torres |
| collection | DOAJ |
| description | Summary: Background: HIV incidence estimation is critical for monitoring the HIV epidemic dynamics and the effectiveness of public health prevention interventions. We aimed to identify sexual and gender minorities (SGM) with recent HIV infections, factors associated with recent HIV infection, and to estimate annualised HIV incidence rates. Methods: Cross-sectional multicentre study in HIV testing services in Brazil and Peru (15 cities). Inclusion criteria: 18+ years, SGM assigned male at birth, not using pre-/post-exposure prophylaxis. We identified recent HIV infection using the Maxim HIV-1 LAg-Avidity EIA assay as part of a recent infection testing algorithm (RITA). Annualized HIV incidence was calculated using the UNAIDS/WHO incidence estimator tool. Multivariable logistic regression models were used to estimate factors associated with recent HIV infection. Trial registration: NCT05674682. Findings: From 31-Jan-2021 to 29-May-2022, 6899 individuals participated [Brazil: 4586 (66.5%); Peru: 2313 (33.5%)]; 5946 (86.2%) cisgender men, 751 (10.9%) transgender women and 202 (2.9%) non-binary/gender diverse. Median age was 27 (IQR: 23–34) years. HIV prevalence was 11.4% (N = 784/6899); 137 (2.0%) SGM were identified with recent HIV infection. The overall annualized HIV incidence rate was 3.88% (95% CI: 2.86–4.87); Brazil: 2.62% (95% CI: 1.78–3.43); Peru: 6.69% (95% CI: 4.62–8.69). Participants aged 18–24 years had higher odds of recent HIV infection compared to those aged 30+ years in both countries. Interpretation: Our results highlight the significant burden of HIV epidemic among SGM in large urban centres of Brazil and Peru. Public health policies and interventions to increase access to effective HIV prevention methods such as PrEP are urgently needed in Latin America. Funding: Unitaid, WHO (Switzerland), Ministry of Health from Brazil and Peru. |
| first_indexed | 2024-03-09T03:07:40Z |
| format | Article |
| id | doaj.art-16ba4f6db2024b29b1dee1882ee18fe2 |
| institution | Directory Open Access Journal |
| issn | 2667-193X |
| language | English |
| last_indexed | 2024-03-09T03:07:40Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Americas |
| spelling | doaj.art-16ba4f6db2024b29b1dee1882ee18fe22023-12-04T05:24:57ZengElsevierThe Lancet Regional Health. Americas2667-193X2023-12-0128100642Recent HIV infection and annualized HIV incidence rates among sexual and gender minorities in Brazil and Peru (ImPrEP seroincidence study): a cross-sectional, multicenter studyResearch in contextThiago S. Torres0Sylvia L.M. Teixeira1Brenda Hoagland2Kelika A. Konda3Monica Derrico4Ronaldo I. Moreira5Juan V. Guanira6Marcos Benedetti7Sandro Nazer8Gino M. Calvo9Silver Vargas10Carlos Benites11Álisson Bigolin12José Boullosa Alonso Neto13Alessandro Farias14Marcos Vinícius Guimarães Lacerda15Daila Alena Raenck Silva16Leidijany Costa Paz17José Valdez Madruga18Hector Javier Salvatierra Flores19Ginjaylan Prada Boluarte20Cesar Vidal Osco Tamayo21Hardy Teresa Castro Antezana22M. Cristina Pimenta23Annick Bórquez24Paula M. Luz25Beatriz Grinsztejn26Celia Landmann Szwarcwald27Carlos F. Cáceres28Valdilea G. Veloso29Tania KristicCarla RochaWillian da Silva SantosAna Paula Lovreto SantanaRenato LimaCarolina SouzaTalita Andrade OlivaMônica dos Santos ValõesJennifer OlivettoGabriel Lima MotaAline Barnabé CanoRoberta TrefiglioCarolina CoutinhoOliver ElorreagaXimena GutierrezFernando OlivosDamaris CaviedesDaniella AdriazolaEduardo JuárezGabriela MariñoJazmin QquellonFrancesca VasquezJean Pierre JironSonia FloresKaren CamposMaria EguiluzInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil; Corresponding author. Av. Brasil 4365, Manguinhos, Rio de Janeiro, RJ, Brazil.Laboratory of AIDS & Molecular Immunology, Oswaldo Cruz Institute, Fundação Oswaldo Cruz (IOC-Fiocruz), Rio de Janeiro, BrazilInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, BrazilUniversidad Peruana Cayetano Heredia, Centro de Investigaciones Interdisciplinaria en Sexualidad, SIDA y Sociedad, Lima, PeruInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, BrazilInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, BrazilUniversidad Peruana Cayetano Heredia, Centro de Investigaciones Interdisciplinaria en Sexualidad, SIDA y Sociedad, Lima, PeruInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, BrazilInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, BrazilUniversidad Peruana Cayetano Heredia, Centro de Investigaciones Interdisciplinaria en Sexualidad, SIDA y Sociedad, Lima, PeruUniversidad Peruana Cayetano Heredia, Centro de Investigaciones Interdisciplinaria en Sexualidad, SIDA y Sociedad, Lima, PeruNational Program for HIV/STI/Viral Hepatitis Prevention and Control, Ministério de Salud, Lima, PeruDepartamento de HIV/Aids, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis, Secretaria de Vigilância em Saúde e Ambiente, Ministério da Saúde, Brasília, BrazilDepartamento de HIV/Aids, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis, Secretaria de Vigilância em Saúde e Ambiente, Ministério da Saúde, Brasília, BrazilCentro Especializado em Diagnóstico, Assistência e Pesquisa (CEDAP), Salvador, BA, BrazilFundação de Medicina Tropical Doutor Heitor Vieira Dourado (FMT), Manaus, AM, BrazilCentro de Testagem e Aconselhamento (CTA) Santa Marta, Secretaria Municipal de Saúde de Porto Alegre, RS, BrazilHospital Dia Asa Sul, Brasília, DF, BrazilCentro de Referência e Treinamento em DST/AIDS-CRT-SP, São Paulo, BrazilCentro de Salud Alberto Barton, Callao, PeruCentro Materno Infantil Tahuantinsuyo Bajo, Independencia, PeruCentro Materno Infantil Tahuantinsuyo Bajo, Independencia, PeruHospital Santa Maria del Socorro, Ica, PeruDepartamento de HIV/Aids, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis, Secretaria de Vigilância em Saúde e Ambiente, Ministério da Saúde, Brasília, BrazilCentro de Salud Alberto Barton, Callao, PeruInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, BrazilInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, BrazilCentro Materno Infantil Tahuantinsuyo Bajo, Independencia, PeruUniversidad Peruana Cayetano Heredia, Centro de Investigaciones Interdisciplinaria en Sexualidad, SIDA y Sociedad, Lima, PeruInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, BrazilSummary: Background: HIV incidence estimation is critical for monitoring the HIV epidemic dynamics and the effectiveness of public health prevention interventions. We aimed to identify sexual and gender minorities (SGM) with recent HIV infections, factors associated with recent HIV infection, and to estimate annualised HIV incidence rates. Methods: Cross-sectional multicentre study in HIV testing services in Brazil and Peru (15 cities). Inclusion criteria: 18+ years, SGM assigned male at birth, not using pre-/post-exposure prophylaxis. We identified recent HIV infection using the Maxim HIV-1 LAg-Avidity EIA assay as part of a recent infection testing algorithm (RITA). Annualized HIV incidence was calculated using the UNAIDS/WHO incidence estimator tool. Multivariable logistic regression models were used to estimate factors associated with recent HIV infection. Trial registration: NCT05674682. Findings: From 31-Jan-2021 to 29-May-2022, 6899 individuals participated [Brazil: 4586 (66.5%); Peru: 2313 (33.5%)]; 5946 (86.2%) cisgender men, 751 (10.9%) transgender women and 202 (2.9%) non-binary/gender diverse. Median age was 27 (IQR: 23–34) years. HIV prevalence was 11.4% (N = 784/6899); 137 (2.0%) SGM were identified with recent HIV infection. The overall annualized HIV incidence rate was 3.88% (95% CI: 2.86–4.87); Brazil: 2.62% (95% CI: 1.78–3.43); Peru: 6.69% (95% CI: 4.62–8.69). Participants aged 18–24 years had higher odds of recent HIV infection compared to those aged 30+ years in both countries. Interpretation: Our results highlight the significant burden of HIV epidemic among SGM in large urban centres of Brazil and Peru. Public health policies and interventions to increase access to effective HIV prevention methods such as PrEP are urgently needed in Latin America. Funding: Unitaid, WHO (Switzerland), Ministry of Health from Brazil and Peru.http://www.sciencedirect.com/science/article/pii/S2667193X23002168HIV incidence rateHIV seroincidenceHIV recencySexual and gender minoritiesHIVLatin America |
| spellingShingle | Thiago S. Torres Sylvia L.M. Teixeira Brenda Hoagland Kelika A. Konda Monica Derrico Ronaldo I. Moreira Juan V. Guanira Marcos Benedetti Sandro Nazer Gino M. Calvo Silver Vargas Carlos Benites Álisson Bigolin José Boullosa Alonso Neto Alessandro Farias Marcos Vinícius Guimarães Lacerda Daila Alena Raenck Silva Leidijany Costa Paz José Valdez Madruga Hector Javier Salvatierra Flores Ginjaylan Prada Boluarte Cesar Vidal Osco Tamayo Hardy Teresa Castro Antezana M. Cristina Pimenta Annick Bórquez Paula M. Luz Beatriz Grinsztejn Celia Landmann Szwarcwald Carlos F. Cáceres Valdilea G. Veloso Tania Kristic Carla Rocha Willian da Silva Santos Ana Paula Lovreto Santana Renato Lima Carolina Souza Talita Andrade Oliva Mônica dos Santos Valões Jennifer Olivetto Gabriel Lima Mota Aline Barnabé Cano Roberta Trefiglio Carolina Coutinho Oliver Elorreaga Ximena Gutierrez Fernando Olivos Damaris Caviedes Daniella Adriazola Eduardo Juárez Gabriela Mariño Jazmin Qquellon Francesca Vasquez Jean Pierre Jiron Sonia Flores Karen Campos Maria Eguiluz Recent HIV infection and annualized HIV incidence rates among sexual and gender minorities in Brazil and Peru (ImPrEP seroincidence study): a cross-sectional, multicenter studyResearch in context The Lancet Regional Health. Americas HIV incidence rate HIV seroincidence HIV recency Sexual and gender minorities HIV Latin America |
| title | Recent HIV infection and annualized HIV incidence rates among sexual and gender minorities in Brazil and Peru (ImPrEP seroincidence study): a cross-sectional, multicenter studyResearch in context |
| title_full | Recent HIV infection and annualized HIV incidence rates among sexual and gender minorities in Brazil and Peru (ImPrEP seroincidence study): a cross-sectional, multicenter studyResearch in context |
| title_fullStr | Recent HIV infection and annualized HIV incidence rates among sexual and gender minorities in Brazil and Peru (ImPrEP seroincidence study): a cross-sectional, multicenter studyResearch in context |
| title_full_unstemmed | Recent HIV infection and annualized HIV incidence rates among sexual and gender minorities in Brazil and Peru (ImPrEP seroincidence study): a cross-sectional, multicenter studyResearch in context |
| title_short | Recent HIV infection and annualized HIV incidence rates among sexual and gender minorities in Brazil and Peru (ImPrEP seroincidence study): a cross-sectional, multicenter studyResearch in context |
| title_sort | recent hiv infection and annualized hiv incidence rates among sexual and gender minorities in brazil and peru imprep seroincidence study a cross sectional multicenter studyresearch in context |
| topic | HIV incidence rate HIV seroincidence HIV recency Sexual and gender minorities HIV Latin America |
| url | http://www.sciencedirect.com/science/article/pii/S2667193X23002168 |
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