A5024296098- HIV/AIDS Research and Interventions
- Sex work and related issues
- HIV, Drug Use, Sexual Risk
- LGBTQ Health, Identity, and Policy
- Adolescent Sexual and Reproductive Health
- Sexuality, Behavior, and Technology
- Vaccine Coverage and Hesitancy
- HIV/AIDS Impact and Responses
- Public Health and Social Inequalities
- Migration, Health and Trauma
- HIV Research and Treatment
- Global Security and Public Health
- Reproductive tract infections research
- Gender, Labor, and Family Dynamics
- Poverty, Education, and Child Welfare
- Homelessness and Social Issues
- Syphilis Diagnosis and Treatment
- Hate Speech and Cyberbullying Detection
- Misinformation and Its Impacts
- Gender, Health, and Social Inequality
- Venezuelan Migration and Society
- Healthcare Systems and Reforms
- T-cell and Retrovirus Studies
- Colorectal and Anal Carcinomas
- African Sexualities and LGBTQ+ Issues
Universidad Peruana Cayetano Heredia
2016-2025
Abstract Introduction : In Peru, transgender women (TW) experience unique vulnerabilities for HIV infection due to factors that limit access to, and quality of, prevention, treatment care services. Yet, despite recent advances in understanding associated with vulnerability among TW globally, limited scholarship has examined how Peruvian cope this reality existing community‐level resilience strategies are enacted pervasive social economic exclusion facing the community. Addressing need, our...
Background: Men who have sex with men (MSM) and male-to-female transgender women (TW) are at increased risk of HIV sexually transmitted infections (STIs). We evaluated factors associated incidence HIV, HSV-2, chlamydia gonorrhea (anal pharyngeal). Methods: used data from the Comunidades Positivas trial MSM/TW in Lima, Peru. Participants were asked about sexual behaviors underwent HIV/STI testing baseline 9- 18-month follow-ups. discrete time proportional hazards regression to calculate...
Background Human Papilloma Virus (HPV) infection is the most common sexually transmitted viral worldwide. HPV highly prevalent in active men who have sex with (MSM) and has been associated anal cancer, penile oropharyngeal cancer. Methods From March to September 2011, we conducted a cross-sectional study of prevalence among MSM above age 18 years. Participants were recruited using respondent driven sampling at Clinica Cayetano Heredia. All participants provided anal, genital, oral samples...
Condomless anal intercourse is recognized as the primary transmission route for most human immunodeficiency virus (HIV) epidemics. However, considering recent advancements in a range of biomedical strategies, voluntary medical circumcision, and improved knowledge behavioral preventative methods, using all forms condomless indiscriminately does not expose true complexity sexual risk. Recognizing potential pre-exposure prophylaxis (PrEP), post-exposure (PEP), antiretroviral therapy (ART),...
<h3>Objectives</h3> This study aimed to characterise the epidemiology of <i>Chlamydia trachomatis</i> (CT) and <i>Neisseria gonorrhoeae</i> (NG) infections among men who have sex with (MSM) transgender women (TW) in Lima, Peru. <h3>Setting</h3> Cross-sectional <h3>Participants</h3> We recruited a group 510 MSM 208 TW for subsequent community-based randomised controlled trial. The presence CT NG were evaluated using Aptima Combo2 pharyngeal anal swabs. also explored correlates these...
Transgender women in Lima, Peru have, until recently, been grouped together with gay and bisexual men the category MSM, or who have sex men, little consideration of their unique situation needs. women, self-identified as travesti, are a socially vulnerable population many unmet health needs, including an HIV prevalence 30%. Understanding specific transgender identities contexts will contribute to improvement development prevention programs. Through qualitative open-ended interviews...
HIV incidence remains high among transgender women in Lima, Peru, most of whom report sex work. On the basis a stakeholder analysis and health system capacity assessment, we designed mathematical model to guide programmatic planning workers (TWSW) Lima.Using deterministic compartmental model, modelled transmission TWSW, their stable partners, clients estimate impact cost-effectiveness combinations interventions compared with standard care on reducing over 10-year period. We simulated...
We used qualitative, quantitative, and observational methods to assess the feasibility, acceptability, potential efficacy of Proyecto Orgullo (PO), a pilot community mobilisation intervention decrease sexual risk, promote health-seeking behaviours, facilitate personal empowerment among gay men (GM) transgender women (TW) in Peru. PO was adapted from Mpowerment Hermanos de Luna y Sol, two US interventions. included six interrelated core elements: (1) Self-reflection Small Group sessions; (2)...
Abstract Introduction Among men who have sex with (MSM) and transgender women (TW), stimulant use is high has been associated an increased risk of HIV infection, suicide cardiovascular disease (CVD) mortality. We used epidemic modelling to investigate these intersecting health harms among MSM/TW in Lima, Peru assess whether they could be mitigated by prioritizing pre‐exposure prophylaxis (PrEP) harm reduction interventions stimulants. Methods adapted a dynamic model transmission Lima...
Abstract Introduction Although pre‐exposure prophylaxis (PrEP) is a remarkable biomedical advance to prevent HIV, ongoing research on PrEP contributes and interacts with legacy of HIV experimentation marginalized communities in resource‐limited settings. This paper explores the complexity mistrust among Peruvian transgender (trans) women who completed adherence intervention those refused participation (i.e. declined enrol, voluntarily withdrew, and/or were lost follow‐up). Methods Data...
The entangled health and economic crises fueled by COVID-19 have exacerbated the challenges facing Venezuelan migrants. There are more than 5.6 million migrants globally almost 80% reside throughout Latin America. Given growing number of vulnerability, this rapid scoping review examined how considered in American vaccination strategies.We conducted a three-phased documents published until June 18, 2021: Peer-reviewed literature search yielded 142 results 13 articles included analysis; Gray...
Abstract Background Globally transgender women (TW) are at heightened vulnerability for HIV infection. In Lima Peru, sharp increases in prevalence seen among TW ages 25 years and older highlighting the need early prevention efforts young TW. This study conducted in-depth qualitative interviews to elucidate social developmental contexts of Peru. Methods Between November 2019 February 2020, 16–24 (n = 21) Peru were purposively sampled using in-person (e.g., face-to-face outreach) online media,...
Equity in access to health care among people living with HIV (PLHA) has not been extensively studied Peru despite the fact there is significant social diversity within this group. We aimed assess extent which provision PLHA, including ARVT, was equitable and, if appropriate, identify factors associated lower access. conducted a survey adult PLHA four cities Peru, recruited through respondent-driven sampling (RDS), collect information on socio-demographic characteristics, network size,...
Background The health of transgender men (trans men)–individuals who identify as and were assigned a female sex at birth–is overlooked globally. This mixed-methods exploratory study sought to understand the lived experiences, health, social needs trans in Lima, Peru bring visibility specific inform responsive holistic public efforts. Methods Between July 2016-January 2017, 46 participated study. Four focus group discussions conducted, complemented with 10 one-on-one interviews explore...