Considerable distance to reach 90-90-90 targets among female sex workers, men who have sex with men and transgender women in Port Moresby, Papua New Guinea: findings from a cross-sectional respondent-driven sampling survey

Details

• Alternative Title:
  Sex Transm Infect
• Personal Author:
  Hakim, Avi J ; Badman, Steven G ; Weikum, Damian ; Amos, Angelyne ; Willie, Barne ; Narokobi, Rebecca ; Gabuzzi, Josephine ; Pekon, Simon ; Kupul, Martha ; Hou, Parker ; Aeno, Herick ; Boli, Ruthy Neo ; Nembari, Joshua ; Ase, Sophie ; Kaldor, John M ; Vallely, Andrew J ; Kelly-Hanku, Angela
• Description:
  Objective
  
  To characterise the Joint United Nations Programme on HIV/AIDS 90-90-90 cascade among female sex workers (FSW) and men who have sex with men (MSM)/transgender women (TGW) in Port Moresby, Papua New Guinea (PNG).
  
  Methods
  
  We conducted respondent-driven sampling surveys among FSW and MSM/TGW in Port Moresby, PNG from June to October 2016. All participants spoke English or Tok Pisin and were aged >12 years. FSW had to be born female and sell/exchange sex with a male in the past 6 months. MSM/TGW had to be born male and have oral/anal sex with another male-born person in the past 6 months. Participants were interviewed and offered rapid HIV diagnostic and viral load testing. HIV viral suppression (VS) was defined as <1000 copies/mL.
  
  Results
  
  We recruited 674 FSW and 400 MSM/TGW; HIV prevalence was 15.2% (95% CI 11.7 to 18.8) and 8.5% (95% CI 5.0 to 11.9), respectively. Among FSW living with HIV, 39.0% (95% CI 26.6 to 51.4) self-reported having been diagnosed; of them 79.6% (95% CI 62.7 to 96.5) self-reported being on antiretroviral therapy (ART), and 54.1% (95% CI 31.8 to 76.4) achieved VS. Among MSM/TGW living with HIV, 24.4% (95% CI 4.7 to 44.1) self-reported having been diagnosed; of them 43.9% (95% CI 33.6 to 54.8) self-reported being on ART, and 86.1% (95% CI 71.1 to 93.9) achieved VS.
  
  Conclusions
  
  ART use among those aware of their HIV status is encouraging. However, the generally low awareness of infection status among FSW and MSM/TGW with HIV and the low VS among FSW on ART indicate an urgent need for innovative strategies to increase testing uptake and ART adherence among these populations. Monitoring drug resistance may be warranted.
  
  
• Subjects:
  Adolescent Adult Anti-Retroviral Agents Article Condoms Cross-Sectional Studies Depression Disclosure Estrenes Female HIV Infections Humans Male Papua New Guinea Prevalence Sexual And Gender Minorities Sexual Behavior Sexually Transmitted Diseases Sex Workers Transgender Persons United Nations Viral Load Young Adult

  More +
• Source:
  Sex Transm Infect. 96(2):143-150
• Pubmed ID:
  31182653
• Pubmed Central ID:
  PMC8678575
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; NU2GGH002093/CC/CDC HHSUnited States/ ; R21 ES014004/ES/NIEHS NIH HHSUnited States/ ; U2G GH001531/GH/CGH CDC HHSUnited States/
• Volume:
  96
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:858a0472993f35abfff799c4b44c14dff0c3f45a58303850e16d78b197c59fc2
• Download URL:
  https://stacks.cdc.gov/view/cdc/112802/cdc_112802_DS1.pdf
• File Type:
  [PDF - 359.61 KB ]