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HIV incidence among vulnerable populations in Honduras: results from an integrated behavioral and biologic survey among female sex workers, men who have sex with men, and Garifuna in Honduras, 2006.
MedLine Citation:
PMID:  23034068     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: Honduras has one of the highest HIV prevalence rates in Central America. Data on HIV incidence is needed to identify groups at greatest need of prevention interventions to inform the HIV response. Methods: We applied a test for recent infection to HIV-positive specimens from a biologic and behavioral survey to estimate assay-derived incidence among men who have sex with men (MSM), female sex workers (FSW), and the Garifuna population in Honduras. Assay-derived estimates were compared to the mathematically modeled estimates in the same populations to assess plausibility of the assay-based estimates. Results: Assay-derived incidence estimates were 1.1% (95% CI 0.2 - 2.0) among MSM, 0.4% (95% CI 0.1 - 0.8) among the Garifuna, and 0% (95% CI 0 - 0.01) among FSWs. The modeled incidence estimates were similar at 1.03% among MSM, 0.30% among the Garifuna, and 0.23% among FSWs. Discussion: HIV incidence was highest among MSM in Honduras, lowest among FSWs, and similar to modeled incidence in these groups. Targeted programs on HIV prevention, care, and treatment are urgently needed for the MSM population. Continued support for existing prevention programs for FSWs and Garifuna are recommended.
Authors:
Andrea A Kim; Sonia Morales Miranda; Ivette Lorenzana de Rivera; Mayte Paredes; Sandra I Juarez; Berta Alverez; Xin Liu; Bharat Parekh; Edgar Monterroso; Gabriela Paz Bailey
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-3
Journal Detail:
Title:  AIDS research and human retroviruses     Volume:  -     ISSN:  1931-8405     ISO Abbreviation:  AIDS Res. Hum. Retroviruses     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8709376     Medline TA:  AIDS Res Hum Retroviruses     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
HHS-Centers for Disease Control and Prevention, Division of Global HIV/AIDS, Atlanta, Georgia, United States; aakim@cdc.gov.
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