HIV, syphilis and heterosexual bridging among Peruvian men who have sex with men

Tabet, Stephen R.; Sánchez, Jorge; Lama, Javier R.; Goicochea, Pedro; Campos, Pablo E.; Rouillon, Manuel; Cairo, Jose Luis; Ueda, Lucia; Watts, Douglas M.; Celum, Connie; Holmes, King K.

doi:10.1097/00002030-200206140-00010

Cited by 110 publications

(93 citation statements)

References 16 publications

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“…Based on data from previous studies (Cáceres et al,1997;Cáceres et al,1999;Tabet et al, 2002;Altamirano et al,2003) and our own epidemiological and formative ethnographic research (Konda et al,2005;Salazar et al,2005;Salazar et al, in press), this trial targets men and women belonging to three poor and marginalized population segments at greatest risk for HIV and STDs 1 . These segments are:…”

Section: Study Population In Perumentioning

confidence: 99%

Implementation and evaluation of an HIV/STD intervention in Peru

Maiorana

Kegeles

Fernández

et al. 2007

Evaluation and Program Planning

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This paper presents the lessons learned through a process evaluation (PE) after one year of implementation of a two-year community intervention in Lima, Peru. The intervention consisted of training and motivating community popular opinion leaders (CPOLs) for three marginal population segments to disseminate prevention messages among their peers. PE data included: observations, qualitative interviews with CPOLS, conversations and messages delivered by CPOLs, training facilitators' perceptions about implementation, and a survey of CPOLs. The PE helped to document and enhance the intervention. CPOLs were motivated to talk to their peers. CPOLs perceived that their participation had an effect on their own risk behaviors and saw their role as beneficial to their community. The PE was helpful in examining training delivery and the feasibility and acceptability of the intervention in order to assess the elements related to program success necessary to replicate the CPOL model.

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Section: Study Population In Perumentioning

confidence: 99%

Implementation and evaluation of an HIV/STD intervention in Peru

Maiorana

Kegeles

Fernández

et al. 2007

Evaluation and Program Planning

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“…Although studies have been done in the past looking at bisexual behavior in Peru, these have used sampling strategies focused on recruiting men who associate with gay venues, activities, organizations or through snowball referral from other participants, yielding a primarily homosexual/bisexual sample of individuals (Tabet et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

High Rates of Sex with Men among High-Risk, Heterosexually-Identified Men in Low-Income, Coastal Peru

et al. 2007

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In this paper we describe sex with men, including the frequency of sex and unprotected sex, among high-risk, heterosexually-identified men in urban, low-income, coastal Peru. During 2001-2002, a random community-based sample of these men was administered an epidemiologic survey collecting sexual risk behavior data. Among the 924 high-risk heterosexually-identified men, 131 NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript (14.2%) reported at least one male partner in the past 6 months. Of these, 113 (86.3%) reported male and female partners and among those with partners of both sexes, 84.2% and 57.0% of sex acts with female and male partners, respectively, were unprotected, (RR 1.48, 95% CI = 1.31-1.68). We observed a high rate of recent bisexual behavior compared to past studies showing frequent, unprotected sex with male and female partners. This population has substantial potential to act as a bridge population between and their male and female partners and should be addressed by prevention programs.

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“…Los hombres que tienen sexo con otros hombres (orientación bisexual u homosexual) tienen mayor número de parejas sexuales 12 , menor tasa de uso consistente de condones con sus parejas 13,14 y mayor prevalencia de otras enfermedades de transmisión sexual que pueden potenciar el riesgo de adquisición del virus 15,16 . Más aún, todas estas conductas de riesgo, se ven reforzadas por el consumo de alcohol, especialmente en lo referente al uso de condón en las relaciones anales receptivas 17 .…”

Section: Discussionunclassified

“…Se utilizó un cuestionario compuesto de tres partes: datos demográficos, datos de conducta sexual, y la Prueba Diagnóstica de Alcoholismo Latinoamericana Versión Larga (PDAL-VL) (Anexo 1). Por cada una de las 13 preguntas de la prueba sobre alcoholismo se obtenía un puntaje igual a uno (1) si la respuesta era afirmativa y cero (0), por respuesta negativa 9 ; construyéndose de esta manera una escala de diagnóstico utilizada en este estudio: no alcoholismo (0-4), sospecha de alcoholismo (5-7) y alcoholismo (8)(9)(10)(11)(12)(13).…”

Section: Pacientes Y Métodosunclassified

Asociación entre el consumo de alcohol y la infección por virus de inmunodeficiencia humana

Bernabé‐Ortiz

et al. 2008

Rev. chil. infectol.

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Association between alcohol consumption and human immunodeficiency virus infectionSeveral factors have been associated with HIV infection, but alcohol consumption has not been studied completely. The purpose of this study is to evaluate the association between alcohol consumption and HIV infection. A case-control study was undertaken with HIV-positive and HIV-negative patients, matched by sex and age (± 2 years). Latin-American Alcoholism Test (long version) was used to evaluate alcoholism diagnosis. A total of 198 cases were matched with 198 controls: 38.9% of cases were diagnosed as alcoholics, and only 22.7% of controls (p < 0.001). The multivariate model showed that economic income (p < 0.001), sexual orientation (p < 0.001), and alcoholism diagnosis (p < 0.001) were associated with HIV infection. This study demonstrates an association between alcohol consumption, homosexual practices between men and economic income with the prevalence of HIV infection.Key words: HIV infection, alcoholism, homosexuality, case-control study. Palabras clave: VIH, alcoholismo, homosexualidad, casos y controles. Introducciónl Instituto Nacional de Abuso de Alcohol y Alcoholismo (NIAAA) de los Estados Unidos de América reporta que las personas con desórdenes de consumo de alcohol tienen mayor probabilidad de contraer infección por VIH y otras enfermedades de transmisión sexual que la población general 1 , debido a su asociación con conductas sexuales de riesgo, tales como múltiples parejas sexuales, relaciones sexuales sin protección, relaciones con trabajadoras sexuales y sexo a cambio de alcohol o drogas 2 .Asimismo, personas con la infección por VIH son más propensas a consumir mayores cantidades de alcohol 1 , lo que puede dificultar la adherencia para la terapia anti-retroviral 3,4 .Diversas sustancias, entre ellas el alcohol, pueden actuar como modificadores de la conducta sexual, haciendo que los consumidores tengan mayores niveles de relaciones sexuales no protegidas muy próximas al uso de la sustancia 5,6 .Siendo en nuestro país la relación entre el consumo de alcohol y la infección por VIH aún poco conocida, se realiza el presente estudio con el propósito de evaluar la asociación entre el consumo de alcohol y la infección por VIH, buscando ampliar los conocimientos acerca de un factor asociado importante para la transmisión. Pacientes y MétodosDiseño. Estudio observacional analítico, de tipo caso-control, empleando casos de infección por VIH, reportados en el Departamento de Enfermedades Infecciosas, Tropicales y Dermatológicas del Hospital Nacional Cayetano Heredia (Lima, Perú), durante el lapso entre agosto del 2003 y diciembre del 2004, de manera constante e ininterrumpida.Tamaño de muestra. Para el cálculo del tamaño de muestra se consideró que la proporción de consumo de alcohol en la población no infectada por VIH en Perú fue de 21% 7 y que la proporción del consumo de alcohol en el grupo infectado por VIH fue del 35% 1,8 . Además, utilizando un nivel de confianza del 95% y un poder del 80%, se obtuvo el número d...

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HIV, syphilis and heterosexual bridging among Peruvian men who have sex with men

Cited by 110 publications

References 16 publications

Implementation and evaluation of an HIV/STD intervention in Peru

Implementation and evaluation of an HIV/STD intervention in Peru

High Rates of Sex with Men among High-Risk, Heterosexually-Identified Men in Low-Income, Coastal Peru

Asociación entre el consumo de alcohol y la infección por virus de inmunodeficiencia humana

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