Repositorio
Institucional

Mendez, Julieta

Aguilar, Gloria

Samudio, Tania

Lopez, Gladys

Gimenez, Liliana

Schaerer, Christian

Gomez, Santiago

Baez, Teresita

Morel, Zoilo

Munoz, Sergio

McFarland, William

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

SAGE PUBLICATIONS LTD

INTERNATIONAL JOURNAL OF STD & AIDS

en

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.

artículo original

10.1177/09564624221134138

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HIV

Latin America

risk behavior

sexual behavior

men who have sex with men

MSM

INFECTION

Inmunología

Enfermedades infecciosas

VIH

Latinoamérica

comportamientos de riesgo

comportamiento sexual

hombres que tienen sexo con hombres

HSH

INFECCIÓN

Epidemiología

Salud Pública y Ambiental

Ciencias Sociales Biomédicas

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

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artículo original

version publicada

0

metadata

metadata

PMC10838529

WOS:000869949900001