Factors Associated with HIV Viral Suppression Among Transgender Women in Lima, Peru

Rich, Katherine M. and Wickersham, Jeffrey A. and Valencia Huamaní, Javier and Kiani, Sara N. and Cabello, Robinson and Elish, Paul and Florez Arce, Jorge and Pizzicato, Lia N. and Soria, Jaime and Sanchez, Jorge and Altice, Frederick L. (2018) Factors Associated with HIV Viral Suppression Among Transgender Women in Lima, Peru. LGBT Health, 5 (8). pp. 477-483. ISSN 2325-8292

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Official URL: https://doi.org/10.1089/lgbt.2017.0186

Abstract

Purpose: Globally, transgender women (TGW) experience a high burden of adverse health outcomes, including a high prevalence of HIV and sexually transmitted infections (STIs) as well as psychiatric disorders and substance use disorders. To address gaps in HIV research in Peru focused specifically on TGW, this study presents characteristics of a sample of HIV-positive TGW and identifies factors associated with viral suppression. Methods: Between June 2015 and August 2016, 50 HIV-positive TGW were recruited in Lima, Peru. Multivariable logistic regression was used to identify factors associated with viral suppression (<200 copies/mL) among the TGW. Results: Among TGW, 85% achieved viral suppression. Approximately half (54%) reported anal sex with more than five partners in the past 6 months, 38% reported sex work, 68% had not disclosed their HIV status to one or more of their partners, and 38% reported condomless sex with their last partner. The prevalence of alcohol use disorders was high (54%), and 38% reported use of drugs in the past year. Moderate-to-severe drug use significantly reduced odds of achieving viral suppression (adjusted odds ratio 0.69; 95% confidence interval: 0.48-0.98). Conclusion: Our findings highlight the need for integrated treatment for substance disorders in HIV care to increase the viral suppression rate among TGW in Lima, Peru.

Item Type: Article
Additional Information: Frederick L. Altice. Centre of Excellence for Research in AIDS (CERiA), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Uncontrolled Keywords: barriers to care; HIV; Latin America; substance use disorder; transgender women
Subjects: R Medicine
Divisions: Centre of Excellence for Research in AIDS (CERiA)
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 10 Apr 2019 07:35
Last Modified: 10 Apr 2019 07:35
URI: http://eprints.um.edu.my/id/eprint/20890

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