title: Is Involvement in Sex Work Associated with Engagement in HIV-Related Medical Care in Latin American Men Who Have Sex with Men? Results of a Large, Multinational Internet Survey.
abstract: Men who have sex with men (MSM) who engage in transactional sex are at increased HIV risk, and face complex barriers to care seeking. Among 2,035 men recruited through an MSM social/sexual networking website in Latin America and who reported being HIV-infected, 186 (9.1%) reported being paid for sex with another man in the past year. Engagement in transactional sex was associated with decreased odds of receiving medical care for HIV (AOR=0.57, 95% CI=0.37-0.85). No significant differences were seen in being on antiretroviral therapy (ART) or ART adherence once in care. Interventions in this population should focus on reducing barriers to engagement in care.
authors.affiliation: 1 Department of Epidemiology, Harvard School of Public Health , Boston, Massachusetts.|2 The Fenway Institute , Fenway Health, Boston, Massachusetts.
authors.forename: Katie B
authors.initials: KB
authors.lastname: Biello
authors.affiliation: 1 Department of Epidemiology, Harvard School of Public Health , Boston, Massachusetts.
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Oldenburg
authors.affiliation: 3 Department of Global and Community Health, George Mason University , Fairfax, Virginia.
authors.forename: Joshua
authors.initials: J
authors.lastname: Rosenberger
authors.affiliation: 2 The Fenway Institute , Fenway Health, Boston, Massachusetts.|4 Division of Infectious Diseases, Beth Israel Deaconess Medical Center , Boston, Massachusetts.|5 Department of Global Health and Population, Harvard School of Public Health , Boston, Massachusetts.
authors.forename: Kenneth H
authors.initials: KH
authors.lastname: Mayer
authors.affiliation: 6 OLB Research Institute , Online Buddies, Inc., Cambridge, Massachusetts.
authors.forename: David
authors.initials: D
authors.lastname: Novak
authors.affiliation: 1 Department of Epidemiology, Harvard School of Public Health , Boston, Massachusetts.|2 The Fenway Institute , Fenway Health, Boston, Massachusetts.|7 Department of Psychiatry, Harvard Medical School , Boston, Massachusetts.|8 Department of Psychiatry, Massachusetts General Hospital , Boston, Massachusetts.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Mimiaga
mesh_terms: D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D015658:HIV Infections / Q000453:epidemiology* / Q000628:therapy*; D018451:Homosexuality, Male; D006801:Humans; D007843:Latin America; D016014:Linear Models; D008297:Male; D055118:Medication Adherence; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care; D012424:Rural Population; D011477:Sex Work; D012959:Socioeconomic Factors; D014505:Urban Population
chemical_list: D044966:Anti-Retroviral Agents
keywords: HIV; Latin America; medical care; medication adherence; men who have sex with men (MSM); transactional sex