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

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 <...

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Main Authors: Rich, Katherine M., Valencia Huamaní, Javier, Kiani, Sara N., Cabello, Robinson, Elish, Paul, Florez Arce, Jorge, Pizzicato, Lia N., Soria, Jaime, Wickersham, Jeffrey A., Sanchez, Jorge, Altice, Frederick L.
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Published: Taylor & Francis 2018
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author Rich, Katherine M.
Valencia Huamaní, Javier
Kiani, Sara N.
Cabello, Robinson
Elish, Paul
Florez Arce, Jorge
Pizzicato, Lia N.
Soria, Jaime
Wickersham, Jeffrey A.
Sanchez, Jorge
Altice, Frederick L.
author_facet Rich, Katherine M.
Valencia Huamaní, Javier
Kiani, Sara N.
Cabello, Robinson
Elish, Paul
Florez Arce, Jorge
Pizzicato, Lia N.
Soria, Jaime
Wickersham, Jeffrey A.
Sanchez, Jorge
Altice, Frederick L.
author_sort Rich, Katherine M.
collection UM
description 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.
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spelling um.eprints-208912019-04-10T07:38:49Z http://eprints.um.edu.my/20891/ Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru Rich, Katherine M. Valencia Huamaní, Javier Kiani, Sara N. Cabello, Robinson Elish, Paul Florez Arce, Jorge Pizzicato, Lia N. Soria, Jaime Wickersham, Jeffrey A. Sanchez, Jorge Altice, Frederick L. R Medicine 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. Taylor & Francis 2018 Article PeerReviewed Rich, Katherine M. and Valencia Huamaní, Javier and Kiani, Sara N. and Cabello, Robinson and Elish, Paul and Florez Arce, Jorge and Pizzicato, Lia N. and Soria, Jaime and Wickersham, Jeffrey A. and Sanchez, Jorge and Altice, Frederick L. (2018) Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru. AIDS Care, 30 (11). pp. 1341-1350. ISSN 0954-0121, DOI https://doi.org/10.1080/09540121.2018.1476657 <https://doi.org/10.1080/09540121.2018.1476657>. https://doi.org/10.1080/09540121.2018.1476657 doi:10.1080/09540121.2018.1476657
spellingShingle R Medicine
Rich, Katherine M.
Valencia Huamaní, Javier
Kiani, Sara N.
Cabello, Robinson
Elish, Paul
Florez Arce, Jorge
Pizzicato, Lia N.
Soria, Jaime
Wickersham, Jeffrey A.
Sanchez, Jorge
Altice, Frederick L.
Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru
title Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru
title_full Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru
title_fullStr Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru
title_full_unstemmed Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru
title_short Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru
title_sort correlates of viral suppression among hiv infected men who have sex with men and transgender women in lima peru
topic R Medicine
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