The goal of the proposed research is to assess new strategies for partner management and STI control as methods to reduce the spread of HIV-1 among men who have sex with men (MSM) in Latin America. The HIV epidemic in Peru remains concentrated within the core risk group of MSM. STI infection and re-infection are central to the continuation of the HIV epidemic among MSM in Peru. Development of improved strategies for partner notification and treatment will reduce the incidence and prevalence of STIs and ultimately reduce the incidence of HIV infection in this population.
Specific Aim 1 : To explore the influence of behavioral, sociocultural, and clinical aspects of STI transmission on partner notification attitudes and practices among MSM in urban Peru.
Specific Aim 1 a. To develop a quantitative survey for the assessment of behavioral, sociocultural, and biomedical factors influencing partner notification decisions among MSM in Peru.
Specific Aim 1 b. To use quantitative methods to assess behavioral, sociocultural, and biomedical factors influencing partner notification decisions among MSM in Peru.
Specific Aim 2 : To assess the efficacy of internet- and referral card-based partner notification tools for the improvement of partner notification outcomes among MSM in Lima, Peru. The intervention is tailored to address key aspects of Peru's social and epidemiologic environment, including high rates of internet use, underdeveloped community formation among MSM, and circular patterns of HIV and STI transmission within MSM sexual networks. As a result, the proposed research manipulates existing mechanisms and patterns of interaction for the spread of HIV/STIs among MSM to design innovative, cost-effective systems of partner notification for the prevention of STI and HIV transmission in Peru. PUBLI

Public Health Relevance

Partner notification and treatment are critical, unresolved aspects of HIV and STI control in both developed and developing regions. The strategies assessed here, while organic to the specific needs of the HIV epidemic in Latin America, will be applicable to a wide range of global settings to increase control of STIs and prevent the transmission of HIV infection.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23MH084611-04
Application #
8259699
Study Section
Behavioral and Social Science Approaches to Preventing HIV/AIDS Study Section (BSPH)
Program Officer
Pequegnat, Willo
Project Start
2009-05-01
Project End
2014-02-28
Budget Start
2012-03-01
Budget End
2013-02-28
Support Year
4
Fiscal Year
2012
Total Cost
$151,200
Indirect Cost
$11,200
Name
University of California Los Angeles
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Clark, Jesse L; Segura, Eddy R; Perez-Brumer, Amaya G et al. (2014) Potential impact and acceptability of Internet partner notification for men who have sex with men and transgender women recently diagnosed as having sexually transmitted disease in Lima, Peru. Sex Transm Dis 41:43-5
Cambou, Mary C; Perez-Brumer, Amaya G; Segura, Eddy R et al. (2014) The risk of stable partnerships: associations between partnership characteristics and unprotected anal intercourse among men who have sex with men and transgender women recently diagnosed with HIV and/or STI in Lima, Peru. PLoS One 9:e102894
Clark, Jesse; Salvatierra, Javier; Segura, Eddy et al. (2013) Moderno love: sexual role-based identities and HIV/STI prevention among men who have sex with men in Lima, Peru. AIDS Behav 17:1313-28
Clark, Jesse L; Salvatierra, Hector J; Segura, Eddy R et al. (2013) Frequency, patterns, and preferences of lubricant use during anal intercourse within male sexual partnerships in Lima, Peru: implications for a rectal microbicide HIV prevention intervention. AIDS Care 25:579-85
Perez-Brumer, Amaya G; Konda, Kelika A; Salvatierra, H Javier et al. (2013) Prevalence of HIV, STIs, and risk behaviors in a cross-sectional community- and clinic-based sample of men who have sex with men (MSM) in Lima, Peru. PLoS One 8:e59072
Clark, Jesse L; Segura, Eddy R; Montano, Silvia M et al. (2010) Routine laboratory screening for acute and recent HIV infection in Lima, Peru. Sex Transm Infect 86:545-7
Clark, Jesse L; Lescano, Andres G; Konda, Kelika A et al. (2009) Syndromic management and STI control in urban Peru. PLoS One 4:e7201