Men
who have sex with men (MSM) in developing countries such as Mexico have
received relatively little research attention. In Tijuana,
Mexico, a border city experiencing a dynamic HIV epidemic, data on MSM are over
a decade old. Our aims were to estimate the prevalence and examine correlates
of HIV infection among MSM in this city.
A total
of 33 MSM tested positive for HIV, yielding an RDS-adjusted estimated 20%
prevalence. Of those who tested positive, 89% were previously unaware of their
HIV status. An estimated 36% had been tested for HIV in the
past year, and 30% were estimated to have ever used
methamphetamine. Independent correlates of being infected with HIV were
methamphetamine use and
active syphilis infection.
Our
data indicate that MSM are a key sub-population in Tijuana at higher risk for HIV. Tijuana would also appear to have the highest
proportion among upper-middle-income countries of HIV-positive MSM who are
unknowingly infected. More HIV prevention research on MSM is urgently needed in Tijuana.
By: Eileen V Pitpitan,*,1 David Goodman-Meza,*,1 Jose Luis Burgos,1 Daniela Abramovitz,1 Claudia V Chavarin,2 Karla Torres,3 Steffanie A Strathdee,1 and Thomas L Patterson§,2
2Department of Psychiatry, University of California, San Diego, CA, USA
3
1Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, USA
2Department of Psychiatry, University of California, San Diego, CA, USA
3Agencia Familiar Binacional, A.C., Tijuana, Mexico
1Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, USA
1Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, USA
No comments:
Post a Comment