Publications by authors named "A Silva-Santisteban"

Background: Latin America-amidst its largest mass migration-has seen minimal progress in curbing new HIV infections. Transgender women (TW) in the region are disproportionately affected, but scant data examines HIV vulnerabilities alongside migration.

Methods: Between February-July 2022, 211 young TW ages 16-24 in Lima participated in a cross-sectional quantitative study accompanied by serological testing (HIV, syphilis, chlamydia, gonorrhea, hepatitis B).

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Background: Transgender women are a key population in the HIV epidemic globally, including in Peru. This cross-sectional epidemiological study characterized the pre-exposure prophylaxis (PrEP) cascade in adolescent and young adult transgender women in Peru to inform roll-out of early HIV prevention efforts.

Methods: Between February-July 2022, a community-recruited sample of HIV-negative or status unknown young transgender women ( = 140) in Peru completed a socio-behavioral survey and biological testing for HIV and bacterial STIs.

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Article Synopsis
  • HIV Impact on Couples
  • : HIV significantly affects sexual minority men (SMM) in Lima, Peru, with a large percentage of new infections occurring among male couples; existing research often overlooks the dynamics of couples in prevention efforts.
  • P3 Intervention Developed
  • : To address this gap, the Para Ti, Para Mí, Para Nosotros (P3) program was created as a digital intervention aimed at helping SMM couples improve communication, decision-making, and adherence to tailored HIV prevention plans based on their sexual agreements.
  • Research Goals
  • : The pilot randomized controlled trial aims to evaluate the effectiveness and acceptability of the P3 intervention over six months, assessing its impact on couples' adherence to prevention
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Background: Hygiene-based practices of lubrication, genital cleansing, postcoital urination, and rectal douching are common behaviors among populations at higher risk of human immunodeficiency virus (HIV)/sexually transmitted infections (STI). Yet, the role these behaviors have on HIV/STI risk has not been well elucidated, especially among transgender women (TW) and gay, bisexual, and other men who have sex with men (GBMSM). Additionally, advances in biomedical strategies have heralded a new era of HIV/AIDS prevention that may be accompanied by behavioral changes that lead to decreases in condom usage and subsequent changes to STI sequelae.

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