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Linkage to care after HIV diagnosis among men who have sex with men and transgender women in Lima, Peru.

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Title: Linkage to care after HIV diagnosis among men who have sex with men and transgender women in Lima, Peru.
Authors: Primbas, Angela D., White, Edward, Long, Jessica E., Wilson, Julien, Pasalar, Siavash, Sanchez, Hugo, Cabello, Robinson L., Sanchez, Jorge, Meneses, Gonzalo, Villarán, Manuel V., Lama, Javier R., Duerr, Ann
Source: AIDS Care. May2022, Vol. 34 Issue 5, p580-584. 5p. 1 Chart, 1 Map.
Subjects: Prevention of infectious disease transmission, Diagnosis of HIV infections, Health services accessibility, Confidence intervals, Trans women, Medical screening, Social stigma, Highly active antiretroviral therapy, Descriptive statistics, Men who have sex with men, Patient care, Patient compliance
Geographic Terms: Peru
Abstract: In Lima, Perú, HIV prevalence is estimated to be 15% among men who have sex with men (MSM) and 30% among transgender women (TW). We investigated timely linkage of MSM and TW to HIV care, as linkage to antiretroviral therapy (ART) is critical to protect the health of those living with HIV and to prevent onward transmission. We investigated linkage within 90 days of HIV diagnosis by matching data from two studies conducted in Lima between 2013 and 2015 to national ART program records. We used generalized linear modeling to assess predictors of timely linkage and late presentation to care. Of 487 newly-diagnosed MSM and TW, only 44% presented for care at an HIV clinic within 90 days. Timely linkage was less common among TW (aPR 0.7, 95% CI 0.5–1.0), those younger than 24 (aPR 0.8, 95% CI 0.6–1.0), and those reporting a history of sex work (aPR 0.7, 95% CI 0.6–0.9). Proximity to an ART program clinic was not associated with linkage; most participants linked to clinics offering "LGBTQ-friendly" care. The pattern of clinics selected by participants suggests the importance of concerns about confidentiality and stigma in decision-making about where to link to care. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Linkage to care after HIV diagnosis among men who have sex with men and transgender women in Lima, Peru.
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  Data: <searchLink fieldCode="AR" term="%22Primbas%2C+Angela+D%2E%22">Primbas, Angela D.</searchLink><br /><searchLink fieldCode="AR" term="%22White%2C+Edward%22">White, Edward</searchLink><br /><searchLink fieldCode="AR" term="%22Long%2C+Jessica+E%2E%22">Long, Jessica E.</searchLink><br /><searchLink fieldCode="AR" term="%22Wilson%2C+Julien%22">Wilson, Julien</searchLink><br /><searchLink fieldCode="AR" term="%22Pasalar%2C+Siavash%22">Pasalar, Siavash</searchLink><br /><searchLink fieldCode="AR" term="%22Sanchez%2C+Hugo%22">Sanchez, Hugo</searchLink><br /><searchLink fieldCode="AR" term="%22Cabello%2C+Robinson+L%2E%22">Cabello, Robinson L.</searchLink><br /><searchLink fieldCode="AR" term="%22Sanchez%2C+Jorge%22">Sanchez, Jorge</searchLink><br /><searchLink fieldCode="AR" term="%22Meneses%2C+Gonzalo%22">Meneses, Gonzalo</searchLink><br /><searchLink fieldCode="AR" term="%22Villarán%2C+Manuel+V%2E%22">Villarán, Manuel V.</searchLink><br /><searchLink fieldCode="AR" term="%22Lama%2C+Javier+R%2E%22">Lama, Javier R.</searchLink><br /><searchLink fieldCode="AR" term="%22Duerr%2C+Ann%22">Duerr, Ann</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. May2022, Vol. 34 Issue 5, p580-584. 5p. 1 Chart, 1 Map.
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  Data: In Lima, Perú, HIV prevalence is estimated to be 15% among men who have sex with men (MSM) and 30% among transgender women (TW). We investigated timely linkage of MSM and TW to HIV care, as linkage to antiretroviral therapy (ART) is critical to protect the health of those living with HIV and to prevent onward transmission. We investigated linkage within 90 days of HIV diagnosis by matching data from two studies conducted in Lima between 2013 and 2015 to national ART program records. We used generalized linear modeling to assess predictors of timely linkage and late presentation to care. Of 487 newly-diagnosed MSM and TW, only 44% presented for care at an HIV clinic within 90 days. Timely linkage was less common among TW (aPR 0.7, 95% CI 0.5–1.0), those younger than 24 (aPR 0.8, 95% CI 0.6–1.0), and those reporting a history of sex work (aPR 0.7, 95% CI 0.6–0.9). Proximity to an ART program clinic was not associated with linkage; most participants linked to clinics offering "LGBTQ-friendly" care. The pattern of clinics selected by participants suggests the importance of concerns about confidentiality and stigma in decision-making about where to link to care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=156835518
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09540121.2021.1929818
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 5
        StartPage: 580
    Subjects:
      – SubjectFull: Prevention of infectious disease transmission
        Type: general
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Trans women
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Highly active antiretroviral therapy
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Men who have sex with men
        Type: general
      – SubjectFull: Patient care
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      – SubjectFull: Patient compliance
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      – SubjectFull: Peru
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    Titles:
      – TitleFull: Linkage to care after HIV diagnosis among men who have sex with men and transgender women in Lima, Peru.
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              Text: May2022
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              Y: 2022
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