Evidence map›Paper›PMID 30874476›Full record

ArticleLGBT health

Factors Associated with HIV Viral Suppression Among Transgender Women in Lima, Peru.

Katherine M Rich, Jeffrey A Wickersham, Javier Valencia Huamaní, Sara N Kiani, Robinson Cabello, Paul Elish, Jorge Florez Arce, Lia N Pizzicato, Jaime Soria, Jorge Sanchez and 1 more

Abstract read
In one paragraph

Article in LGBT health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. A Contextualization of Transgender Women and Condom Use Using the HIV Syndemic Framework: Scoping Review.International journal of sexual health : official journal of the World Association for Sexual Health · 2024
    Article
  6. Article
  7. HIV and Substance Use in Latin America: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Katherine M Rich1 AIDS Program, Department of Internal Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut.
Jeffrey A Wickersham1 AIDS Program, Department of Internal Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut.
Javier Valencia Huamaní3 Asociación Civil Impacta Salud y Educación, Lima, Peru.
Sara N Kiani4 Yale College, New Haven, Connecticut.
Robinson Cabello5 Asociación Vía Libre, Lima, Peru.
Paul Elish4 Yale College, New Haven, Connecticut.
Jorge Florez Arce6 Infectious Diseases Unit, Hospital Nacional Arzobispo Loayza, Lima, Peru.
Lia N Pizzicato7 Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut.
Jaime Soria8 Infectious Diseases Unit, Hospital Nacional Dos de Mayo, Lima, Peru.
Jorge Sanchez3 Asociación Civil Impacta Salud y Educación, Lima, Peru.
Frederick L Altice1 AIDS Program, Department of Internal Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut.

Funding

HIV Testing and Treatment to Prevent Onward HIV Transmission among High-risk MSMR01DA032106 · NIDA · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DUERR, ANN C · 2011 to 2015
$6.6M
Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
Training in Drug Abuse & HIV Prevention for Female & Transgender Sex WorkersK01DA038529 · NIDA · YALE UNIVERSITY · PI WICKERSHAM, JEFFREY ALLEN · 2014 to 2018
$838k
NIDA NIH HHS K01 DA038529NIDA NIH HHS K24 DA017072NIDA NIH HHS R01 DA032106
6 · The paper itself

Abstract

purposeGlobally, transgender women (TGW) experience a high burden of adverse health outcomes, including a high prevalence of HIV and sexually transmitted infections (STIs) as well as psychiatric disorders and substance use disorders. To address gaps in HIV research in Peru focused specifically on TGW, this study presents characteristics of a sample of HIV-positive TGW and identifies factors associated with viral suppression.

methodsBetween June 2015 and August 2016, 50 HIV-positive TGW were recruited in Lima, Peru. Multivariable logistic regression was used to identify factors associated with viral suppression (<200 copies/mL) among the TGW.

resultsAmong TGW, 85% achieved viral suppression. Approximately half (54%) reported anal sex with more than five partners in the past 6 months, 38% reported sex work, 68% had not disclosed their HIV status to one or more of their partners, and 38% reported condomless sex with their last partner. The prevalence of alcohol use disorders was high (54%), and 38% reported use of drugs in the past year. Moderate-to-severe drug use significantly reduced odds of achieving viral suppression (adjusted odds ratio 0.69; 95% confidence interval: 0.48-0.98).

conclusionOur findings highlight the need for integrated treatment for substance disorders in HIV care to increase the viral suppression rate among TGW in Lima, Peru.

Indexed as

AdultAnti-HIV AgentsCross-Sectional StudiesFemaleHealth Services AccessibilityHealth Services Needs and DemandHIV InfectionsHumansMalePeruRisk FactorsSubstance-Related DisordersTransgender PersonsTreatment OutcomeViral LoadAnti-HIV Agentsbarriers to careHIVLatin Americasubstance use disordertransgender women

Identifiers

PMID30874476
PMCPMC6306649

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.