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HIV Status Communication with Sex Partners and Associated Factors Among High-Risk MSM and Transgender Women in Lima, Peru

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Abstract

Men who have sex with men (MSM) and transgender women (TW) are key populations in the HIV epidemic. HIV status communication between sex partners can inform decisions regarding sexual behavior. MSM and TW were asked about HIV status communication with sex partners at baseline, 9- and 18-months. GEE models assessed associations with HIV status communication at baseline using prevalence ratios (PRs) and longitudinally using odds ratios (ORs). At baseline, those who had previously had an HIV test, disclosed their HIV status to 42 % of their sex partners. HIV status communication was associated with knowing their sex partner’s HIV status at baseline (aPR 5.20) and longitudinally (aOR 1.86). HIV positivity at baseline was negatively associated with HIV status communication during follow-up (aOR 0.55). All reported aPRs and aORs have p < 0.05. Interventions promoting HIV status communication and more frequent HIV testing should be explored as current efforts are insufficient.

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Acknowledgments

KAK received additional support from NIMH T32MH080634 (PI Coates) and NIH Research Training Grant # R25 TW009343 funded by the Fogarty International Center, Office of Behavioral and Social Sciences Research, Office of Research on Women’s Health, Office of AIDS Research, National Institute of Mental Health, and National Institute on Drug Abuse, as well as the University of California Global Health Institute. RC would like to thank the Peru Fulbright Commission for the support provided to carry out his research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the University of California Global Health Institute.

Funding

This study was funded by National Institutes of Health NIH NIMH (Grant Number R01 MH078752).

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Authors and Affiliations

  1. Department of Medicine, School of Medicine, University of California, 10833 Le Conte Ave, CHS, Suite 13-154, Los Angeles, CA, 90095, USA

    Kelika A. Konda, Jeffrey D. Klausner & Thomas J. Coates

  2. School of Public Health, Universidad Peruana Cayetano Heredia, Av. Armendariz 445, 18, Lima, Peru

    Kelika A. Konda, Rostislav Castillo, Segundo R. Leon, Alfonso Silva-Santisteban, Ximena Salazar & Carlos F. Cáceres

  3. School of Medicine, Stanford University, Stanford, CA, USA

    Rostislav Castillo

Authors
  1. Kelika A. Konda
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  2. Rostislav Castillo
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  3. Segundo R. Leon
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  4. Alfonso Silva-Santisteban
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  5. Ximena Salazar
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  8. Carlos F. Cáceres
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Correspondence to Kelika A. Konda.

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All of the authors declare that they have no conflicts of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Konda, K.A., Castillo, R., Leon, S.R. et al. HIV Status Communication with Sex Partners and Associated Factors Among High-Risk MSM and Transgender Women in Lima, Peru. AIDS Behav 21, 152–162 (2017). https://doi.org/10.1007/s10461-016-1444-4

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