scholarly journals Availability of HIV prevention and treatment services for people who inject drugs: findings from 21 countries

2013 ◽  
Vol 10 (1) ◽  
pp. 13 ◽  
Author(s):  
Zaino Petersen ◽  
Bronwyn Myers ◽  
Marie-Claire van Hout ◽  
Andreas Plüddemann ◽  
Charles Parry
Keyword(s):  
Hiv Prevention ◽  
People Who Inject Drugs ◽  
Treatment Services ◽  
Prevention And Treatment

scholarly journals High levels of mild to moderate depression among men who have sex with men and transgender women in Lima, Peru: implications for integrated depression and HIV care

2020 ◽  
Author(s):  
Jerome T. Galea ◽  
Stephanie Marhefka ◽  
Segundo R. León ◽  
Guitele Rahill ◽  
Elena Cyrus ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Transgender Women ◽  
Hiv Care ◽  
Depression Care ◽  
Care Services ◽  
Treatment Services ◽  
Moderate Depression ◽  
Prevention And Treatment ◽  
Patient Health ◽  
Sex With Men

ABSTRACTDepression disproportionally affects people at risk of acquiring or living with HIV and is associated with worse health outcomes; however, depression care is not routinely integrated with HIV prevention and treatment services. Selection of the best depression intervention(s) for integration depends both on the prevalence and severity of depression among potential users. To inform depression care integration in a community-based setting in Lima, Peru, we retrospectively analyzed routinely collected depression screening data from men who have sex with men and transgender women seeking HIV prevention and care services (N=185). Depression was screened for using the Patient Health Questionnaire-9. Prevalence of any depression (PHQ-9 ≥5) was 42% and was significantly associated with the last sexual partner being “casual” (p=0.01). Most (81%) depressive symptoms were mild to moderate (≥5 PHQ-9 ≤14). Integrating depression care with HIV prevention and treatment services in Peru should begin by implementing interventions targeting mild to moderate depression.

scholarly journals Integration of Gender-Affirming Primary Care and Peer Navigation With HIV Prevention and Treatment Services to Improve the Health of Transgender Women: Protocol for a Prospective Longitudinal Cohort Study (Preprint)

2019 ◽  
Author(s):  
Javier R Lama ◽  
Kenneth H Mayer ◽  
Amaya G Perez-Brumer ◽  
Leyla Huerta ◽  
Hugo Sanchez ◽  
...  
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
Hiv Prevention ◽  
Hormone Therapy ◽  
Transgender Women ◽  
Treatment Services ◽  
Prevention And Treatment ◽  
Gender Affirmation ◽  
Peer Navigation ◽  
Living With Hiv

BACKGROUND Public health strategies are urgently needed to improve HIV disparities among transgender women, including holistic intervention approaches that address those health needs prioritized by the community. Hormone therapy is the primary method by which many transgender women medically achieve gender affirmation. Peer navigation has been shown to be effective to engage and retain underserved populations living with HIV in stable primary medical care. OBJECTIVE This study aims to assess the feasibility and acceptability of an integrated innovative HIV service delivery model designed to improve HIV prevention and care by combining gender-affirming primary care and peer navigation with HIV prevention and treatment services. METHODS A 12-month, nonrandomized, single-arm cohort study was implemented in Lima, Peru, among adult individuals, assigned a male sex at birth, who identified themselves as transgender women, regardless of initiation or completion of medical gender affirmation, and who were unaware of their HIV serostatus or were living with HIV but not engaged in HIV treatment. HIV-negative participants received quarterly HIV testing and were offered to initiate pre-exposure prophylaxis. HIV-positive participants were offered to initiate antiretroviral treatment and underwent quarterly plasma HIV-1 RNA and peripheral CD4+ lymphocyte cell count monitoring. All participants received feminizing hormone therapy and adherence counseling and education on their use. Peer health navigation facilitated retention in care by visiting participants at home, work, or socialization venues, or by contacting them by social media and phone. RESULTS Patient recruitment started in October 2016 and finished in March 2017. The cohort ended follow-up on March 2018. Data analysis is currently underway. CONCLUSIONS Innovative and culturally sensitive strategies to improve access to HIV prevention and treatment services for transgender women are vital to curb the burden of HIV epidemic for this key population. Findings of this intervention will inform future policies and research, including evaluation of its efficacy in a randomized controlled trial. CLINICALTRIAL ClinicalTrials.gov NCT03757117; https://clinicaltrials.gov/ct2/show/NCT03757117 INTERNATIONAL REGISTERED REPOR DERR1-10.2196/14091

scholarly journals At the crossroads: HIV prevention and treatment for people who inject drugs in Ukraine

Addiction ◽  
2013 ◽  
Vol 108 (10) ◽  
pp. 1697-1699 ◽  
Author(s):  
Martha J. Bojko ◽  
Sergii Dvoriak ◽  
Frederick L. Altice
Keyword(s):  
Hiv Prevention ◽  
People Who Inject Drugs ◽  
Prevention And Treatment

Allocative and implementation efficiency in HIV prevention and treatment for people who inject drugs

2016 ◽  
Vol 38 ◽  
pp. 73-80 ◽  
Author(s):  
Clemens Benedikt ◽  
Sherrie L. Kelly ◽  
David Wilson ◽  
David P. Wilson
Keyword(s):  
Hiv Prevention ◽  
People Who Inject Drugs ◽  
Prevention And Treatment
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