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Socialization Patterns and Their Associations with Unprotected Anal Intercourse,HIV, and Syphilis Among High-Risk Men Who Have Sex with Men and Transgender Women in Peru |
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| Authors: | Michael C Verre Jesus Peinado Eddy R Segura Jesse Clark Pedro Gonzales Carlos Benites Robinson Cabello Jorge Sanchez Javier R Lama |
| Institution: | 1. South American Program in HIV Prevention Research (SAPHIR), David Geffen School of Medicine, University of California, Los Angeles, CA, USA 2. Asociación Civil Impacta Salud y Educación, Avenida Miguel Grau No. 1010, Lima 4, Peru 3. Program in Global Health, Division of Infectious Diseases, David Geffen School of Medicine, University of California, Los Angeles, CA, USA 4. Estrategia Sanitaria Nacional de Control de Infecciones de Transmisión Sexual y SIDA, Ministerio de Salud, Lima, Peru 5. Asociación Civil Vía Libre, Lima, Peru |
| Abstract: | The association of socialization patterns with unprotected anal intercourse (UAI) and HIV/STI prevalence remains underexplored in men who have sex with men (MSM) and transgender women (TW) in developing country settings. We evaluated the correlation of UAI, HIV, and syphilis with MSM/TW venue attendance and social network size among high-risk MSM and TW in Peru according to self-reported sexual identity. Frequency of venue attendance and MSM/TW social network size were lowest among heterosexual MSM and highest among TW respondents. Attendance (frequent or occasional) at MSM/TW venues was associated with increased odds of insertive UAI among heterosexual participants. Frequent venue attendance was associated with increased odds of receptive UAI among gay/homosexual, bisexual, and TW participants. Further investigation of the differing socialization patterns and associations with HIV/STI transmission within subgroups of Peruvian MSM and TW will enable more effective prevention interventions for these populations. |
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