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ABSTRACT: Objectives
The current study aims to assess longitudinal differences in stigma and HIV outcomes among key populations at risk for and living with HIV.Design
Key populations enrolled into two parallel prospective cohorts; one for female sex workers and one for sexual and gender minorities (SGMs). Participants were recruited from three urban areas in Senegal; were followed for 24 months; and had the option to participate in an integrated stigma mitigation intervention.Methods
Participants included individuals both at risk for and living with HIV. Sociobehavioral questionnaires and biological HIV testing were administered every 3-4 months. Longitudinal analyses used nonparametric Chi-squared test for trends and multivariable logistic regression with generalized estimating equations.Results
183 SGM and 192 sex workers were enrolled. Among SGM participants, 39.9% were living with HIV at baseline and incidence over 24 months was 3.21/100 person-years. Among sex workers, 36.6% were living with HIV at baseline and incidence was 1.32/100 person-years. Among SGM, perceived healthcare stigma (P?ConclusionOverall, there were decreases in stigmas observed but clear differences in stigma patterns by HIV status. These data highlight the need to consider specific strategies to address multiple intersecting stigmas as a means of improving HIV-related prevention and treatment outcomes among key populations with diverse identities.
SUBMITTER: Lyons CE
PROVIDER: S-EPMC7880051 | biostudies-literature | 2020 Sep
REPOSITORIES: biostudies-literature
Lyons Carrie E CE Olawore Oluwasolape O Turpin Gnilane G Coly Karleen K Ketende Sosthenes S Liestman Benjamin B Ba Ibrahima I Drame Fatou M FM Ndour Cheikh C Turpin Nguissali N Ndiaye Sidy M SM Mboup Souleymane S Toure-Kane Coumba C Leye-Diouf Nafissatou N Castor Delivette D Diouf Daouda D Baral Stefan D SD
AIDS (London, England) 20200901
<h4>Objectives</h4>The current study aims to assess longitudinal differences in stigma and HIV outcomes among key populations at risk for and living with HIV.<h4>Design</h4>Key populations enrolled into two parallel prospective cohorts; one for female sex workers and one for sexual and gender minorities (SGMs). Participants were recruited from three urban areas in Senegal; were followed for 24 months; and had the option to participate in an integrated stigma mitigation intervention.<h4>Methods</ ...[more]