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Prevalence of HIV,Syphilis, and Other Sexually Transmitted Infections among MSM from Three Cities in Panama |
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| Authors: | Shilpa Hakre Griselda B. Arteaga Aurelio E. Núñez Nelson Arambu Bulbulgul Aumakhan Michelle Liu Sheila A. Peel Juan M. Pascale Paul T. Scott |
| Affiliation: | 1. United States Military HIV Research Program, Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA 9. Epidemiology and Threat Assessment, United States Military HIV Research Program, 6720-A Rockledge Drive, Suite 400, Bethesda, MD, 20817, USA 2. Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama, Panama 3. School of Medicine, University of Panama, Panama, Panama 4. National HIV/AIDS and STI Control Program, Ministry of Health, Panama, Panama 5. Del Valle University of Guatemala, Guatemala, Guatemala 6. National Center for Communicable Diseases, Ministry of Health, Mongolia, Mongolia 7. HIV Diagnostics and Reference Laboratory, United States Military HIV Research Program, Walter Reed Army Institute of Research, Rockville, MD, USA 8. Department of Epidemiology and Threat Assessment, United States Military HIV Research Program, Walter Reed Army Institute of Research, Rockville, MD, USA |
| Abstract: | Respondent-driven sampling (RDS) was used to conduct a biobehavioral survey among men who have sex with men (MSM) in three cities in the Republic of Panama. We estimated the prevalence of HIV, syphilis, and other sexually transmitted infections (STIs), sociodemographic characteristics, and sexual risk behaviors. Among 603 MSM recruited, RDS-adjusted seroprevalences (95 % confidence intervals) were: HIV—David 6.6 % (2.2–11.4 %), Panama 29.4 % (19.7–39.7 %), and Colon 32.6 % (18.0–47.8 %); active syphilis—David 16.0 % (8.9–24.2 %), Panama 24.7 % (16.7–32.9 %), Colon 31.6 % (14.8–47.5 %); resolved HBV infection—David 10.0 % (4.8–16.8 %), Panama 29.4 % (20.0–38.3 %), and Colon 40.6 % (21.9–54.4 %); herpes simplex virus type 2—David 38.4 % (27.9–48.9 %), Panama 62.6 % (52.8–71.0 %), and Colon 72.9 % (57.4–85.8 %). At least a third of MSM in each city self-identified as heterosexual or bisexual. HIV prevalence is concentrated among MSM. Preventive interventions should focus on increasing HIV and syphilis testing, and increasing promotion of condom awareness and use. |
| Keywords: | HIV Syphilis Sexually transmitted diseases Sexual behavior Respondent-driven sampling Sampling hidden populations Panama |
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