PMID- 26354518
OWN - NLM
STAT- MEDLINE
DCOM- 20170717
LR  - 20190410
IS  - 1573-3254 (Electronic)
IS  - 1090-7165 (Print)
IS  - 1090-7165 (Linking)
VI  - 20
IP  - 5
DP  - 2016 May
TI  - Engagement in the HIV Care Continuum among Key Populations in Tijuana, Mexico.
PG  - 1017-25
LID - 10.1007/s10461-015-1186-8 [doi]
AB  - In Tijuana, Mexico, HIV is concentrated in sub-epidemics of key populations: 
      persons who inject drugs (PWID), sex workers (SW), and men who have sex with men 
      (MSM). To date, data on engagement in the HIV care continuum among these key 
      populations, particularly in resource-constrained settings, are sparse. We pooled 
      available epidemiological data from six studies (N = 3368) to examine HIV testing 
      and treatment uptake in these key populations; finding an overall HIV prevalence 
      of 5.7 %. Of the 191 identified HIV-positive persons, only 11.5 % knew their 
      HIV-positive status and 3.7 % were on ART. Observed differences between these 
      HIV-positive key populations suggest PWID (vs. non-PWID) were least likely to 
      have previously tested or initiate HIV care. MSM (vs. non-MSM) were more likely 
      to have previously tested but not more likely to know their HIV-positive status. 
      Of persons aware of their HIV-positive status, SW (vs. non-SW) were more likely 
      to initiate HIV care. Findings suggest engagement of key populations in HIV 
      treatment is far below estimates observed for similarly resource-constrained 
      generalized epidemics in sub-Saharan Africa. These data provide one of the first 
      empirical-snapshots highlighting the extent of HIV treatment disparities in key 
      populations.
FAU - Smith, Laramie R
AU  - Smith LR
AD  - Division of Global Public Health, Department of Medicine, University of 
      California, San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 
      92093-0507, USA. laramie@ucsd.edu.
FAU - Patterson, Thomas L
AU  - Patterson TL
AD  - Department of Psychiatry, University of California, San Diego, La Jolla, USA.
FAU - Magis-Rodriguez, Carlos
AU  - Magis-Rodriguez C
AD  - Centro Nacional para la Prevencion y el Control del VIH y SIDA (CENSIDA), Mexico 
      City, Mexico.
FAU - Ojeda, Victoria D
AU  - Ojeda VD
AD  - Division of Global Public Health, Department of Medicine, University of 
      California, San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 
      92093-0507, USA.
FAU - Burgos, Jose Luis
AU  - Burgos JL
AD  - Division of Global Public Health, Department of Medicine, University of 
      California, San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 
      92093-0507, USA.
FAU - Rojas, Sarah A
AU  - Rojas SA
AD  - Family Health Centers of San Diego, San Diego, USA.
FAU - Zuniga, Maria Luisa
AU  - Zuniga ML
AD  - School of Social Work, San Diego State University, San Diego, USA.
FAU - Strathdee, Steffanie A
AU  - Strathdee SA
AD  - Division of Global Public Health, Department of Medicine, University of 
      California, San Diego School of Medicine, 9500 Gilman Drive #0507, La Jolla, CA, 
      92093-0507, USA.
LA  - eng
GR  - R25 TW009343/TW/FIC NIH HHS/United States
GR  - R01 DA019829/DA/NIDA NIH HHS/United States
GR  - D43 TW009343/TW/FIC NIH HHS/United States
GR  - L60 MD009353/MD/NIMHD NIH HHS/United States
GR  - K01 MH095680/MH/NIMH NIH HHS/United States
GR  - R01 DA023877/DA/NIDA NIH HHS/United States
GR  - K01 DA025504/DA/NIDA NIH HHS/United States
GR  - D43 TW008633/TW/FIC NIH HHS/United States
GR  - R37 DA019829/DA/NIDA NIH HHS/United States
GR  - T32 DA023356/DA/NIDA NIH HHS/United States
GR  - K01 DA039767/DA/NIDA NIH HHS/United States
GR  - R01 MH065849/MH/NIMH NIH HHS/United States
PT  - Journal Article
PL  - United States
TA  - AIDS Behav
JT  - AIDS and behavior
JID - 9712133
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Awareness
MH  - *Continuity of Patient Care
MH  - *Drug Users
MH  - Epidemics
MH  - HIV Infections/*drug therapy/epidemiology/prevention & control
MH  - Health Knowledge, Attitudes, Practice
MH  - *Homosexuality, Male
MH  - Humans
MH  - Male
MH  - Mass Screening
MH  - Mexico/epidemiology
MH  - Prevalence
MH  - *Sex Workers
MH  - Substance Abuse, Intravenous/*complications
PMC - PMC4785089
MID - NIHMS722210
OTO - NOTNLM
OT  - HIV Continuum of Care
OT  - HIV testing
OT  - Key populations
OT  - Secondary HIV prevention
COIS- The authors have no conflicts of interest to declare.
EDAT- 2015/09/12 06:00
MHDA- 2017/07/18 06:00
PMCR- 2017/05/01
CRDT- 2015/09/11 06:00
PHST- 2015/09/11 06:00 [entrez]
PHST- 2015/09/12 06:00 [pubmed]
PHST- 2017/07/18 06:00 [medline]
PHST- 2017/05/01 00:00 [pmc-release]
AID - 10.1007/s10461-015-1186-8 [pii]
AID - 10.1007/s10461-015-1186-8 [doi]
PST - ppublish
SO  - AIDS Behav. 2016 May;20(5):1017-25. doi: 10.1007/s10461-015-1186-8.