title: New populations at high risk of HIV/STIs in low-income, urban coastal Peru.
abstract: The HIV epidemic in Peru is concentrated primarily among men who have sex with men. HIV interventions have focused exclusively on a narrowly defined group of MSM and FSW to the exclusion of other populations potentially at increased risk. Interventions targeting MSM and FSW are insufficient and there is evidence that focusing prevention efforts solely on these populations may ignore others that do not fall directly into these categories. This paper describes non-traditional, vulnerable populations within low-income neighborhoods. These populations were identified through the use of ethnographic and epidemiologic formative research methods and the results are reported in this publication. Although the traditional vulnerable groups are still in need of prevention efforts, this study provides evidence of previously unrecognized populations at increased risk that should also receive attention from HIV/STI prevention programs.
authors.affiliation: Cayetano Heredia University School of Public Health, Av. Armendáriz 445, Lima 18, Miraflores, Peru. ccaceres@upch.edu.pe
authors.forename: Carlos F
authors.initials: CF
authors.lastname: Cáceres
authors.forename: Kelika A
authors.initials: KA
authors.lastname: Konda
authors.forename: Ximena
authors.initials: X
authors.lastname: Salazar
authors.forename: Segundo R
authors.initials: SR
authors.lastname: Leon
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Klausner
authors.forename: Andrés G
authors.initials: AG
authors.lastname: Lescano
authors.forename: André
authors.initials: A
authors.lastname: Maiorana
authors.forename: Susan
authors.initials: S
authors.lastname: Kegeles
authors.forename: Franca R
authors.initials: FR
authors.lastname: Jones
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Coates
mesh_terms: D000328:Adult; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D008297:Male; D010568:Peru / Q000453:epidemiology; D011203:Poverty; D012111:Residence Characteristics; D012309:Risk-Taking; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control* / Q000635:transmission; D047568:Unsafe Sex / Q000706:statistics & numerical data; D014505:Urban Population