Socialization Patterns and Their Associations with Unprotected Anal Intercourse, HIV, and Syphilis Among High-Risk Men Who Have Sex with Men and Transgender Women in Peru

Michael C. Verre
,
Jesus Peinado
,
Eddy R. Segura
,
Jesse Clark
,
Pedro Gonzales
,
Carlos Benites

David Geffen School of Medicine at UCLA
,
Asociación Civil Impacta Salud y Educación
,
Ministerio de Salud, Lima
,
Asociación Civil Via Libre

Research Output:

Contribution to journal

Article

Peer-review

Open access

Publication Information

Output type

Research Output:

Contribution to journal

Article

Peer-review

Original language

English

Pages from-to (Number of pages)

Pages 2030-2039 (10 pages)

Journal (Volume, Issue Number)

AIDS and Behavior (Volume 18, Issue 10)

Publication milestones

Published - 20/09/2014

Publication status

Published - 20/09/2014

ISSN

1090-7165

Publication IDs

Scopus: 84919481748
PubMed: 24788782

Abstract

The association of socialization patterns with unprotected anal intercourse (UAI) and HIV/STI prevalence remains underexplored in men who have sex with men (MSM) and transgender women (TW) in developing country settings. We evaluated the correlation of UAI, HIV, and syphilis with MSM/TW venue attendance and social network size among high-risk MSM and TW in Peru according to self-reported sexual identity. Frequency of venue attendance and MSM/TW social network size were lowest among heterosexual MSM and highest among TW respondents. Attendance (frequent or occasional) at MSM/TW venues was associated with increased odds of insertive UAI among heterosexual participants. Frequent venue attendance was associated with increased odds of receptive UAI among gay/homosexual, bisexual, and TW participants. Further investigation of the differing socialization patterns and associations with HIV/STI transmission within subgroups of Peruvian MSM and TW will enable more effective prevention interventions for these populations.

Funding Details

Acknowledgments The authors would like to acknowledge all of the participants as well as the study staff and peer outreach workers without whom this analysis would not have been possible. The 2011 sentinel surveillance was funded by The Global Fund to Fight AIDS, Tuberculosis and Malaria Grants PER-506-G03-H and PER-607-G05-H awarded to CARE PERU. This secondary analysis was supported by unrestricted discretionary core funds from Asociación Civil Impacta Educación y Salud. MCV was supported by the University of California, Los Angeles’ South American Program in HIV Prevention Research (SAPHIR) (NIH R25 MH 087222). The funding sources played no role in study design, data collection, data analysis, data interpretation, writing of the manuscript or the decision to submit the paper for publication. The National Strategy for Control of Sexually Transmitted Infections and AIDS (Estrategia Sanitaria Nacional de Control de Infecciones de Transmisión Sexual y SIDA) at the Peruvian Ministry of Health and the institutional bioethics committees at public health organizations Aso-ciación Civil Impacta Salud y Educación and Vía Libre approved the surveillance protocol, informed consent forms, and recruitment materials. This secondary analysis of previously collected, de-identified data was exempt from review by the University of California, Los Angeles Office of Human Research Protection Program.

FundersFunding numbers

Asociación Civil Impacta Salud y Educación

Civil Impacta Salud y Educación and Vía Libre

NIH R25 MH 087222

R25 MH 087222

Peruvian Ministry of Health

University of California, Los Angeles Office of Human Research Protection Program

NIMH

K23MH084611

Global Fund to Fight AIDS, Tuberculosis and Malaria

PER-607-G05-H, PER-506-G03-H

UCLA

Core

Access to documents

10.1007/s10461-014-0787-y

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Sustainable Development Goals

SDG 3 Good Health and Well