HIV Prevalence and Awareness of Positive Serostatus Among Men Who Have Sex With Men and Transgender Women in Bogotá, Colombia.

Objectives. We estimated HIV prevalence among men who have sex with men (MSM) and transgender women in Bogotá, Colombia, and explored differences between HIV-positive individuals who are aware and unaware of their serostatus. Methods. In this cross-sectional 2011 study, we used respondent-driven sam...

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Publicado en:American Journal of Public Health Vol. 105; no. 8; pp. 1588 - 1596
Autores principales: Zea, Maria Cecilia, Reisen, Carol A., del Río-González, Ana María, Bianchi, Fernanda T., Ramirez-Valles, Jesus, Poppen, Paul J.
Formato: Journal Article
Publicado: American Public Health Association Aug2015
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: American Public Health Association
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        10.2105/AJPH.2014.302307
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        atl: HIV Prevalence and Awareness of Positive Serostatus Among Men Who Have Sex With Men and Transgender Women in Bogotá, Colombia.
      aug:
        au:
          Zea, Maria Cecilia
          Reisen, Carol A.
          del Río-González, Ana María
          Bianchi, Fernanda T.
          Ramirez-Valles, Jesus
          Poppen, Paul J.
      su:
        Colombia
        Self-evaluation
        Health status indicators
        Homosexuality
        Sex work
        Social networks
        Transgender people
        Cross-sectional method
        HIV seroconversion
        Sexual partners
        Psychology
        HIV infection epidemiology
        Chi-squared test
        Research funding
      sug:
        subj:
          Self-evaluation
          Health status indicators
          Homosexuality
          Sex work
          Social networks
          Transgender people
          Cross-sectional method
          HIV seroconversion
          Sexual partners
          Psychology
          Colombia
          Other Individual and Family Services
          HIV infection epidemiology
          Chi-squared test
          Research funding
      ab: Objectives. We estimated HIV prevalence among men who have sex with men (MSM) and transgender women in Bogotá, Colombia, and explored differences between HIV-positive individuals who are aware and unaware of their serostatus. Methods. In this cross-sectional 2011 study, we used respondent-driven sampling (RDS) to recruit 1000 MSM and transgender women, who completed a computerized questionnaire and received an HIV test. Results. The RDS-adjusted prevalence was 12.1% (95% confidence interval [CI] = 8.7, 15.8), comparable to a previous RDS-derived estimate. Among HIV- positive participants, 39.7% (95% CI = 25.0, 54.8) were aware of their serostatus and 60.3% (95% CI = 45.2, 75.5) were unaware before this study. HIV-positive--unaware individuals were more likely to report inadequate insurance coverage, exchange sex (i.e., sexual intercourse in exchange for money, goods, or services), and substance use than other participants. HIV-positive--aware participants were least likely to have had condomless anal intercourse in the previous 3 months. Regardless of awareness, HIV-positive participants reported more violence and forced relocation experiences than HIV-negative participants. Conclusions. There is an urgent need to increase HIV detection among MSM and transgender women in Bogotá . HIV-positive--unaware group characteristics suggest an important role for structural, social, and individual interventions.
      pubtype: Academic Journal
      doctype: Journal Article
      src: R
    language: English
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