HIV Status Communication with Sex Partners and Associated Factors Among High-Risk MSM and Transgender Women in Lima, Peru.
Men who have sex with men (MSM) and transgender women (TW) are key populations in the HIV epidemic. HIV status communication between sex partners can inform decisions regarding sexual behavior. MSM and TW were asked about HIV status communication with sex partners at baseline, 9- and 18-months. GEE models assessed associations with HIV status communication at baseline using prevalence ratios (PRs) and longitudinally using odds ratios (ORs). At baseline, those who had previously had an HIV test, disclosed their HIV status to 42 % of their sex partners. HIV status communication was associated with knowing their sex partner's HIV status at baseline (aPR 5.20) and longitudinally (aOR 1.86). HIV positivity at baseline was negatively associated with HIV status communication during follow-up (aOR 0.55). All reported aPRs and aORs have p < 0.05. Interventions promoting HIV status communication and more frequent HIV testing should be explored as current efforts are insufficient.
Department of Medicine, School of Medicine, University of California, 10833 Le Conte Ave, CHS, Suite 13-154, Los Angeles, CA, 90095, USA. kkonda@mednet.ucla.edu.|School of Public Health, Universidad Peruana Cayetano Heredia, Av. Armendariz 445, 18, Lima, Peru. kkonda@mednet.ucla.edu.
Kelika A
KA
Konda
School of Public Health, Universidad Peruana Cayetano Heredia, Av. Armendariz 445, 18, Lima, Peru.|School of Medicine, Stanford University, Stanford, CA, USA.
Rostislav
R
Castillo
School of Public Health, Universidad Peruana Cayetano Heredia, Av. Armendariz 445, 18, Lima, Peru.
Segundo R
SR
Leon
School of Public Health, Universidad Peruana Cayetano Heredia, Av. Armendariz 445, 18, Lima, Peru.
Alfonso
A
Silva-Santisteban
School of Public Health, Universidad Peruana Cayetano Heredia, Av. Armendariz 445, 18, Lima, Peru.
Ximena
X
Salazar
Department of Medicine, School of Medicine, University of California, 10833 Le Conte Ave, CHS, Suite 13-154, Los Angeles, CA, 90095, USA.
Jeffrey D
JD
Klausner
Department of Medicine, School of Medicine, University of California, 10833 Le Conte Ave, CHS, Suite 13-154, Los Angeles, CA, 90095, USA.
Thomas J
TJ
Coates
School of Public Health, Universidad Peruana Cayetano Heredia, Av. Armendariz 445, 18, Lima, Peru.
Carlos F
CF
Cáceres
D000293:Adolescent; D000328:Adult; D003142:Communication; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D018451:Homosexuality, Male; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D016017:Odds Ratio; D010568:Peru / Q000453:epidemiology; D015995:Prevalence; D012650:Self Disclosure; D012725:Sexual Behavior; D012747:Sexual Partners; D000072339:Sexual and Gender Minorities; D063106:Transgender Persons; D055815:Young Adult
HIV prevention; HIV sero-disclosure; Latin America; MSM; Transgender women