HIV prevalence and associated risk factors among men who have sex with men in three regions of Paraguay, 2020

Primer Autor
Mendez, Julieta
Co-autores
Aguilar, Gloria
Samudio, Tania
Lopez, Gladys
Gimenez, Liliana
Schaerer, Christian
Gomez, Santiago
Baez, Teresita
Morel, Zoilo
Munoz, Sergio
McFarland, William
Título
HIV prevalence and associated risk factors among men who have sex with men in three regions of Paraguay, 2020
Editorial
SAGE PUBLICATIONS LTD
Revista
INTERNATIONAL JOURNAL OF STD & AIDS
Lenguaje
en
Resumen
Background Our study aimed to measure HIV prevalence and associated risk factors among men who have sex with men (MSM) in three regions of Paraguay in 2020. Methods MSM were recruited for cross-sectional surveys in three regions of Paraguay using respondent-driven sampling. Interview were conducted face-to-face to collect demographic characteristics and risk and preventive behaviors. The analysis assessed HIV prevalence and associated risk factors in the three samples of MSM within each region. Results A total of 1,207 MSM were recruited, including 559 in Asuncion-Central, 245 in Alto Parana, and 403 in Caaguazu. HIV prevalence was 24.2% (95% CI 20.6-27.9) in Asuncion-Central, 10.2% (95% CI 6.7-14.6) in Alto Parana, and 3.2% (95% CI 1.7-5.4) in Caaguazu. In Asuncion-Central, associations with HIV were age >= 25 years (1.86, 95% CI 1.15-3.00), being employed (1.82, 95% CI 1.07-3.11), self-reporting as homosexual (1.90, 95% CI 1.06-3.43), having sex with a known HIV-positive partner acquisition (4.19, 95% CI 2.37-7.43), self-perceived as being at higher risk for HIV acquisition (4.15, 95% CI 2.54-6.77), and able to access condoms and lubricants (1.82, 95% CI 1.08-3.05). In Alto Parana, associations with HIV were self-reporting as homosexual (4.33, 95% CI 1.19-15.65) and having higher HIV knowledge (2.53, 95% CI 0.97-6.61). In Caaguazu, associations with HIV were self-reporting as homosexual (7.06, 95% CI 1.53-32.46) and being diagnosed with depression (4.68, 95% CI 0.89-24.43). Conclusions HIV prevalence among MSM in Paraguay varied by region, being highest in the capital and major metropolitan area of Asuncion-Central, followed by the border area of Alto Parana. While being self-identified as homosexual was associated with HIV in all three regions, other associations differed, indicating prevention programs need to be tailored to the locale.
Tipo de Recurso
artículo original
doi
10.1177/09564624221134138
Formato Recurso
PDF
Palabras Claves
HIV
Latin America
risk behavior
sexual behavior
men who have sex with men
MSM
INFECTION
Ubicación del archivo
http://dx.doi.org/10.1177/09564624221134138
Categoría OCDE
Inmunología
Enfermedades infecciosas
Materias
VIH
Latinoamérica
comportamientos de riesgo
comportamiento sexual
hombres que tienen sexo con hombres
HSH
INFECCIÓN
Disciplinas de la OCDE
Epidemiología
Salud Pública y Ambiental
Ciencias Sociales Biomédicas
Título de la cita (Recomendado-único)
HIV prevalence and associated risk factors among men who have sex with men in three regions of Paraguay, 2020
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1222
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artículo original
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version publicada
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0
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metadata
Identificador relacionado
PMC10838529
Id de Web of Science
WOS:000869949900001
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Colección Publicaciones Científicas
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