title: Short communication: HIV incidence among vulnerable populations in Honduras: results from an integrated behavioral and biological survey among female sex workers, men who have sex with men, and Garifuna in Honduras, 2006.
abstract: Honduras has one of the highest HIV prevalence rates in Central America. Data on HIV incidence are needed to identify groups at greatest need of prevention interventions to inform the national HIV response. We applied a test for recent infection to HIV-positive specimens from a biological and behavioral survey to estimate assay-derived incidence among men who have sex with men (MSM), female sex workers (FSW), and the Garifuna population in Honduras. Assay-derived estimates were compared to the mathematically modeled estimates in the same populations to assess plausibility of the assay-based estimates. Assay-derived incidence was 1.1% (95% CI 0.2-2.0) among MSM, 0.4% (95% CI 0.1-0.8) among the Garifuna, and 0% (95% CI 0-0.01) among FSWs. The modeled incidence estimates were similar at 1.03% among MSM, 0.30% among the Garifuna, and 0.23% among FSWs. HIV incidence based on the assay was highest among MSM in Honduras, lowest among FSWs, and similar to modeled incidence in these groups. Targeted programs on HIV prevention, care, and treatment are urgently needed for the MSM population. Continued support for existing prevention programs for FSWs and Garifuna are recommended.
authors.affiliation: HHS-Centers for Disease Control and Prevention/Division of Global HIV/AIDS, Atlanta, GA 30333, USA. aakim@cdc.gov
authors.forename: Andrea A
authors.initials: AA
authors.lastname: Kim
authors.forename: Sonia
authors.initials: S
authors.lastname: Morales
authors.forename: Ivette
authors.initials: I
authors.lastname: Lorenzana de Rivera
authors.forename: Mayte
authors.initials: M
authors.lastname: Paredes
authors.forename: Sandra
authors.initials: S
authors.lastname: Juarez
authors.forename: Berta
authors.initials: B
authors.lastname: Alvarez
authors.forename: Xin
authors.initials: X
authors.lastname: Liu
authors.forename: Bharat
authors.initials: B
authors.lastname: Parekh
authors.forename: Edgar
authors.initials: E
authors.lastname: Monterroso
authors.forename: Gabriela
authors.initials: G
authors.lastname: Paz-Bailey
mesh_terms: D000293:Adolescent; D000328:Adult; D005006:Ethnicity; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D018451:Homosexuality, Male; D006721:Honduras / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D060386:Sex Workers; D035862:Vulnerable Populations; D055815:Young Adult