Correlates of viral suppression among HIV-infected men who have sex with men and transgender women in Lima, Peru. Issue 11 (2nd November 2018)

• Record Type: Journal Article
• Authors: Rich, Katherine M.; Valencia Huamaní, Javier; Kiani, Sara N.; Cabello, Robinson; Elish, Paul; Florez Arce, Jorge; Pizzicato, Lia N.; Soria, Jaime; Wickersham, Jeffrey A.; Sanchez, Jorge; Altice, Frederick L.
• Is Part Of: AIDS care. Volume 30:Issue 11(2018)
• Page Start: 1341
• Page End: 1350
• Publication Date: 2018-11-02
• Subjects: HIV -- viral suppression -- Latin America -- men who have sex with men -- transgender women; AIDS (Disease) -- Social aspects -- Periodicals; AIDS (Disease) -- Psychological aspects -- Periodicals; AIDS (Disease) -- Patients -- Care -- Periodicals; Acquired Immunodeficiency Syndrome; 362.1969792
• DOI: 10.1080/09540121.2018.1476657
• Languages: English
• ISSNs: 0954-0121

Abstract

ABSTRACT: In Peru, HIV is concentrated among men who have sex with men (MSM) and transgender women (TGW). Between June 2015 and August 2016, 591 HIV-positive MSM and TGW were recruited at five clinical care sites in Lima, Peru. We found that 82.4% of the participants had achieved viral suppression (VS; VL < 200) and 73.6% had achieved maximal viral suppression (MVS; VL < 50). Multivariable modeling indicated that patients reporting transportation as a barrier to HIV care were less likely to achieve VS (aOR = 0.47; 95% CI = 0.30–0.75) and MVS (aOR = 0.56; 95% CI = 0.37–0.84). Alcohol use disorders were negatively associated with MVS (aOR = 0.62; 95% CI = 0.30–0.75) and age was positively associated with achieving MVS (aOR = 1.29; 95% CI = 1.04–1.59). These findings underscore the need for more accessible HIV care with integrated behavioral health services in Lima, Peru.