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The odyssey of linking to and staying in HIV care among male sex workers in Peru

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dc.contributor.author Bayer, Angela M.
dc.contributor.author Díaz, Chanelle M.
dc.contributor.author Chiappe Gutierrez, Marina Angelica
dc.contributor.author Baker, Amira N.
dc.contributor.author Egoavil, Miguel S.
dc.contributor.author Pérez-Lu, José E.
dc.contributor.author Gorbach, Pamina M.
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.date.accessioned 2019-01-25T16:03:22Z
dc.date.available 2019-01-25T16:03:22Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/4779
dc.description.abstract Background: In Peru, there is little information about the HIV care continuum. Therefore, we conducted a study to describe the HIV care continuum among male sex workers (MSWs) in Lima. Methods: We applied close-ended surveys with 209 MSWs about their engagement in the HIV care continuum and open-ended surveys with 34 MSWs who are people living with HIV (PLHIV) to explore their linkage to and retention in HIV care. Results: Of 209 MSWs, only 71% (n=148) reported a lifetime HIV test and 56% (n=116) of all MSWs received confirmatory HIV test results. Of the 34 MSWs who are PLHIV, 76% had received HIV care at least once, but only 59% were currently in care, 50% were currently taking ART(antiretroviral therapy) and an even lower 32% had been on ART for 6 months or more. The primary reason for non-linkage to HIV care is the multiple visits to link at the Ministry of Health (MOH). Remaining in care was also challenging, particularly at non-governmental organizations (NGOs). Conclusions: Substantial barriers linking to and remaining in HIV care result in significant delays in linkage and high proportions of PLHIV that remain unlinked or become unstably linked following initial linkage. Urgent implementation science research is needed to facilitate linkage to HIV care and strengthen retention in HIV care post-linkage. en_US
dc.language.iso eng
dc.publisher Annex Publishers
dc.relation.ispartofseries Journal of AIDS and HIV Infections
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Male sex workers en_US
dc.subject HIV care en_US
dc.title The odyssey of linking to and staying in HIV care among male sex workers in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.16966/2380-5536.134
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.relation.issn 2454-499X


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