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Examining Geographical Differences in the HIV Care Continuum Among Men Who Have Sex with Men in Mexico.

Authors :
Algarin AB
Lara MV
Chapin-Bardales J
Baruch-Dominguez R
Sanchez TH
Hernandez-Avila M
Smith LR
Source :
AIDS and behavior [AIDS Behav] 2023 Mar; Vol. 27 (3), pp. 772-782. Date of Electronic Publication: 2022 Sep 26.
Publication Year :
2023

Abstract

We analyzed data collected by the Encuesta de Sexo Entre Hombres study from 15,233 Mexican men who have sex with men (MSM) between May-July 2017 to examine differences in the HIV care continuum. Data were stratified into 6 geographical regions. Prevalence ratios assessed associations between region and care outcomes. Among participants never testing HIV positive (nā€‰=ā€‰13,583), 66.1% had ever been tested and 43.0% in the past year. Among HIV-positive persons (nā€‰=ā€‰1,650), 83.9% reported counseling post-diagnosis, 61.9% timely linkage to care, 42.4% timely CD4/viral load results, 38.2% timely access to antiretroviral therapy (ART), and 87.7% were currently on ART. The Ciudad de México /Estado de México region had significantly superior care continuum outcomes in ever and recent HIV testing, linkage to care, CD4/viral load results, and current ART use. Understanding geographical variations in HIV care for MSM in Mexico is one important step to inform efforts for ending HIV/AIDS by 2030 in Latin America.<br /> (© 2022. The Author(s).)

Details

Language :
English
ISSN :
1573-3254
Volume :
27
Issue :
3
Database :
MEDLINE
Journal :
AIDS and behavior
Publication Type :
Academic Journal
Accession number :
36156172
Full Text :
https://doi.org/10.1007/s10461-022-03809-z