Universidad Peruana Cayetano Heredia

Peru's HIV care continuum among men who have sex with men and transgender women: opportunities to optimize treatment and prevention

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dc.contributor.author Chow, Jeremy-Y.
dc.contributor.author Konda, Kelika-A.
dc.contributor.author Borquez, Annick
dc.contributor.author Caballero, Patricia
dc.contributor.author Silva-Santisteban Portella, Alfonso Alberto
dc.contributor.author Klausner, Jeffrey-D.
dc.contributor.author Caceres Palacios, Carlos Fernando
dc.date.accessioned 2019-02-06T14:51:18Z
dc.date.available 2019-02-06T14:51:18Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5202
dc.description.abstract The HIV epidemic in Peru is concentrated in men who have sex with men (MSM) and transgender women (TW), who have an estimated prevalence > 10%, while the overall population prevalence remains < 1%. Because MSM and TW account for >60% of new infections, it is crucial to understand the full HIV continuum of care for these key populations. We performed a review of the peer-reviewed scientific and grey literature to determine the proportion of HIV-infected MSM and TW in Peru who are diagnosed, linked to and retained in care, are taking antiretroviral therapy (ART), and who have attained virologic suppression. Of the estimated 613,080 MSM and TW in Peru in 2015, approximately 63,981 are HIV-infected. Only 24.0% of HIV-infected MSM and TW are aware of their diagnosis, 15.6% are retained in care, 13.6% are on ART, and 12.0% have achieved adequate virologic control. The largest drop-off in the HIV care continuum occurs at the first step: diagnosis of HIV. Improving HIV serostatus awareness among MSM and TW is crucial to controlling Peru’s HIV epidemic. In the era of ‘treatment as prevention’, understanding the full HIV care continuum may help guide efforts to curb transmission and reduce HIV-related morbidity and mortality. en_US
dc.language.iso eng
dc.publisher SAGE Publications
dc.relation.ispartofseries International Journal of STD and AIDS
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject AIDS en_US
dc.subject Antiretroviral Therapy, Highly Active en_US
dc.subject care continuum en_US
dc.subject Continuity of Patient Care en_US
dc.subject HIV en_US
dc.subject men en_US
dc.subject prevention en_US
dc.subject South America en_US
dc.subject treatment en_US
dc.subject HIV Infections/diagnosis/drug therapy/prevention & control/virology en_US
dc.subject Homosexuality, Male/psychology/statistics & numerical data en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Peru en_US
dc.subject Population Surveillance en_US
dc.subject Transgender Persons/psychology/statistics & numerical data en_US
dc.subject Viral Load/drug effects en_US
dc.title Peru's HIV care continuum among men who have sex with men and transgender women: opportunities to optimize treatment and prevention en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1177/0956462416645727
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.02
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.12
dc.relation.issn 1758-1052


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