Bayer Angela M, Díaz Chanelle M, Chiappe Marina, Baker Amira N, Egoavil Miguel S, Pérez-Lu José E, Gorbach Pamina M, García Patricia J
David Geffen School of Medicine, University of California, Los Angeles, 10833 LeConte Ave, CHS 12-105, Los Angeles, CA 90095 and School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
Leonard M. Miller School of Medicine, University of Miami, 1600 NW 10th Ave #1140, Miami, FL 33136.
J HIV AIDS. 2017 Jan;3(1). doi: 10.16966/2380-5536.134. Epub 2016 Nov 25.
In Peru, there is little information about the HIV care continuum. Therefore, we conducted a study to describe the HIV care continuum among male sex workers (MSWs) in Lima.
We applied close-ended surveys with 209 MSWs about their engagement in the HIV care continuum and open-ended surveys with 34 MSWs who are people living with HIV (PLHIV) to explore their linkage to and retention in HIV care.
Of 209 MSWs, only 71% (n=148) reported a lifetime HIV test and 56% (n=116) of all MSWs received confirmatory HIV test results. Of the 34 MSWs who are PLHIV, 76% had received HIV care at least once, but only 59% were currently in care, 50% were currently taking ART(antiretroviral therapy) and an even lower 32% had been on ART for 6 months or more. The primary reason for non-linkage to HIV care is the multiple visits to link at the Ministry of Health (MOH). Remaining in care was also challenging, particularly at non-governmental organizations (NGOs).
Substantial barriers linking to and remaining in HIV care result in significant delays in linkage and high proportions of PLHIV that remain unlinked or become unstably linked following initial linkage. Urgent implementation science research is needed to facilitate linkage to HIV care and strengthen retention in HIV care post-linkage.
在秘鲁，关于艾滋病病毒（HIV）照护连续体的信息很少。因此，我们开展了一项研究，以描述利马男男性行为者（MSWs）的HIV照护连续体情况。
我们对209名MSWs进行了关于其参与HIV照护连续体情况的封闭式调查，并对34名HIV感染者（PLHIV）进行了开放式调查，以探讨他们与HIV照护的关联及在照护中的留存情况。
在209名MSWs中，只有71%（n = 148）报告有过终生HIV检测，所有MSWs中有56%（n = 116）收到了HIV检测确诊结果。在34名PLHIV中，76%至少接受过一次HIV照护，但目前只有59%正在接受照护，50%目前正在接受抗逆转录病毒治疗（ART），而接受ART达6个月或更长时间的比例甚至更低，为32%。未与HIV照护建立关联的主要原因是多次前往卫生部（MOH）进行关联。维持照护也具有挑战性，尤其是在非政府组织（NGOs）。
与HIV照护建立关联及维持照护存在重大障碍，导致关联出现显著延迟，且有很大比例的PLHIV在初次关联后仍未关联或关联不稳定。迫切需要开展实施科学研究，以促进与HIV照护的关联，并加强关联后在HIV照护中的留存。
