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. 2022 Dec;33(14):1212-1222.
doi: 10.1177/09564624221134138. Epub 2022 Oct 18.

HIV prevalence and associated risk factors among men who have sex with men in three regions of Paraguay, 2020

Gloria Aguilar  1   2 , Tania Samudio  1 , Julieta Méndez  1   3 , Gladys López  1 , Liliana Giménez  1 , Christian Schaerer  4 , Santiago Gómez  4 , Teresita Báez  4 , Zoilo Morel  4 , Sergio Munoz  2 , William McFarland  5
Affiliations

HIV prevalence and associated risk factors among men who have sex with men in three regions of Paraguay, 2020

Gloria Aguilar et al. Int J STD AIDS. 2022 Dec.

Abstract

Background: Our study aimed to measure HIV prevalence and associated risk factors among men who have sex with men (MSM) in three regions of Paraguay in 2020.

Methods: MSM were recruited for cross-sectional surveys in three regions of Paraguay using respondent-driven sampling. Interview were conducted face-to-face to collect demographic characteristics and risk and preventive behaviors. The analysis assessed HIV prevalence and associated risk factors in the three samples of MSM within each region.

Results: A total of 1,207 MSM were recruited, including 559 in Asunción-Central, 245 in Alto Paraná, and 403 in Caaguazú. HIV prevalence was 24.2% (95% CI 20.6-27.9) in Asunción-Central, 10.2% (95% CI 6.7-14.6) in Alto Paraná, and 3.2% (95% CI 1.7-5.4) in Caaguazú. In Asunción-Central, associations with HIV were age ≥25 years (1.86, 95% CI 1.15-3.00), being employed (1.82, 95% CI 1.07-3.11), self-reporting as homosexual (1.90, 95% CI 1.06-3.43), having sex with a known HIV-positive partner acquisition (4.19, 95% CI 2.37-7.43), self-perceived as being at higher risk for HIV acquisition (4.15, 95% CI 2.54-6.77), and able to access condoms and lubricants (1.82, 95% CI 1.08-3.05). In Alto Paraná, associations with HIV were self-reporting as homosexual (4.33, 95% CI 1.19-15.65) and having higher HIV knowledge (2.53, 95% CI 0.97-6.61). In Caaguazú, associations with HIV were self-reporting as homosexual (7.06, 95% CI 1.53-32.46) and being diagnosed with depression (4.68, 95% CI 0.89-24.43).

Conclusions: HIV prevalence among MSM in Paraguay varied by region, being highest in the capital and major metropolitan area of Asunción-Central, followed by the border area of Alto Paraná. While being self-identified as homosexual was associated with HIV in all three regions, other associations differed, indicating prevention programs need to be tailored to the locale.

Keywords: HIV; Latin America; men who have sex with men; risk behavior; sexual behavior.

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Conflict of interest statement

Declaration of conflicting interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

The authors declare that there is no conflict of interest.

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