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A cross-sectional study of low HIV testing frequency and high-risk behaviour among men who have sex with men and transgender women in Lima, Peru

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dc.contributor.author Lee, Sky W.
dc.contributor.author Deiss, Robert G.
dc.contributor.author Segura, Eddy R.
dc.contributor.author Clark, Jesse L.
dc.contributor.author Lake, Jordan E.
dc.contributor.author Konda, Kelika A.
dc.contributor.author Coates, Thomas J.
dc.contributor.author Caceres Palacios, Carlos Fernando
dc.date.accessioned 2019-02-06T14:52:16Z
dc.date.available 2019-02-06T14:52:16Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5288
dc.description.abstract BACKGROUND: Increased HIV testing frequency among high-risk populations such as men who have sex with men (MSM) and male-to-female transgender women (TW) can lead to earlier treatment and potentially reduce HIV transmission. METHODS: We analyzed baseline survey data from 718 high-risk, young (median age 29 [interquartile range 23-35]) MSM/TW enrolled in a community-based HIV prevention trial between 2008-2009. Participants were recruited from 24 neighborhoods in and around Lima, Peru. We assessed HIV testing frequency, testing behaviour, and motivations and barriers to testing. Multivariate analysis identified correlates to prior HIV testing. RESULTS: Overall, 79.6% reported HIV testing within their lifetimes, however, only 6.2% reported an average of two tests per year, as per Peruvian Ministry of Health guidelines. The most commonly reported motivators for testing were to check one's health (23.3%), lack of condom use (19.7%), and availability of free testing (14.0%), while low self-perceived risk for HIV (46.9%), fear of a positive result (42.0%), and lack of access to testing services (35.7%) were the most frequently reported barriers. In multivariate analysis, factors independently associated with HIV testing included age [adjusted prevalence ratio (APR) 1.00, 95% CI (1.00-1.01)], transgender-identification vs. gay-identification [APR 1.11, 95% CI (1.03-1.20)], history of transactional sex [APR 1.16, 95% CI (1.07-1.27)], and prior sexually transmitted infection diagnosis [APR 1.15, 95% CI (1.07-1.24)]. CONCLUSIONS: An overwhelming majority of participants did not meet the standard-of-care for testing frequency. The reported motivations and barriers to testing highlight issues of risk perception and accessibility. Our findings suggest utilizing non-traditional outreach methods and promoting HIV testing as a routine part of healthcare in Peru to encourage testing and knowledge of HIV serostatus. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries BMC Public Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Young Adult en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Peru/epidemiology en_US
dc.subject Prevalence en_US
dc.subject Multivariate Analysis en_US
dc.subject AIDS Serodiagnosis/statistics & numerical data en_US
dc.subject Health Services Accessibility/statistics & numerical data en_US
dc.subject HIV Infections/diagnosis/psychology en_US
dc.subject Homosexuality, Male/psychology/statistics & numerical data en_US
dc.subject Mass Screening/statistics & numerical data en_US
dc.subject Sexually Transmitted Diseases/diagnosis/epidemiology/psychology en_US
dc.subject Transgender Persons/psychology/statistics & numerical data en_US
dc.subject Unsafe Sex/statistics & numerical data en_US
dc.title A cross-sectional study of low HIV testing frequency and high-risk behaviour among men who have sex with men and transgender women in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12889-015-1730-5
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1471-2458

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