Skip to main content
Top
Published in: AIDS and Behavior 12/2017

01-12-2017 | Original Paper

The Where and How for Reaching Transgender Women and Men Who Have Sex with Men with HIV Prevention Services in Guatemala

Authors: William M. Miller, William C. Miller, Clare Barrington, Sharon S. Weir, Sanny Y. Chen, Michael E. Emch, Audrey E. Pettifor, Gabriela Paz-Bailey

Published in: AIDS and Behavior | Issue 12/2017

Login to get access

Abstract

This study aims to describe the transgender women and men who have sex with men (MSM) missed through venue-based sampling and illustrate how data on venues can be used to prioritize service delivery. Respondent-driven sampling (RDS) and time-location sampling (TLS) were used concurrently in 2010 for behavioral surveillance among MSM and transgender women in Guatemala City. RDS recruits who did not frequent venues (n = 106) were compared to TLS recruits (n = 609). TLS participants recruited at different types of venues were compared. RDS recruits who did not frequent venues were less educated, less likely to identify as gay, more likely to have concurrent partners and female sexual partners. Participants recruited at NGOs, saunas, hotels, streets and parks had more partners, were more likely to receive money for sex or have concurrent partners. Prevention programs for MSM and transgender women should characterize social venues and people that frequent them and improve service coverage through venues and social networks.
Literature
1.
go back to reference Baral S, Sifakis F, Cleghorn F, Beyrer C. Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000–2006: a systematic review. PLoS Med. 2007;4(12):e339.CrossRefPubMedPubMedCentral Baral S, Sifakis F, Cleghorn F, Beyrer C. Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000–2006: a systematic review. PLoS Med. 2007;4(12):e339.CrossRefPubMedPubMedCentral
2.
go back to reference Baral SD, Poteat T, Stromdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis. 2013;13(3):214–22.CrossRefPubMed Baral SD, Poteat T, Stromdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis. 2013;13(3):214–22.CrossRefPubMed
3.
go back to reference Miller WM, Buckingham L, Sanchez-Dominguez MS, Morales-Miranda S, Paz-Bailey G. Systematic review of HIV prevalence studies among key populations in Latin America and the Caribbean. Salud Publica Mex. 2013;55(Suppl 1):S65–78.CrossRefPubMed Miller WM, Buckingham L, Sanchez-Dominguez MS, Morales-Miranda S, Paz-Bailey G. Systematic review of HIV prevalence studies among key populations in Latin America and the Caribbean. Salud Publica Mex. 2013;55(Suppl 1):S65–78.CrossRefPubMed
4.
go back to reference Morales-Miranda S, Álvarez-Rodríguez B, Arambú N, Aguilar-Martínez J, Huamán Zevallos B, Figueroa W, et al. Encuesta de Vigilancia de Comportamiento Sexual y Prevalencia del VIH e ITS, en poblaciones vulnerables y poblaciones clave. Guatemala 2013: Universidad del Valle Guatemala, MSPAS, HIVOS Inc., septiembre 2013 Publicacion UVG No. 27. Morales-Miranda S, Álvarez-Rodríguez B, Arambú N, Aguilar-Martínez J, Huamán Zevallos B, Figueroa W, et al. Encuesta de Vigilancia de Comportamiento Sexual y Prevalencia del VIH e ITS, en poblaciones vulnerables y poblaciones clave. Guatemala 2013: Universidad del Valle Guatemala, MSPAS, HIVOS Inc., septiembre 2013 Publicacion UVG No. 27.
5.
go back to reference Steen R, Hontelez JA, Veraart A, White RG, de Vlas SJ. Looking upstream to prevent HIV transmission: can interventions with sex workers alter the course of HIV epidemics in Africa as they did in Asia? AIDS. 2014;28(6):891–9.CrossRefPubMed Steen R, Hontelez JA, Veraart A, White RG, de Vlas SJ. Looking upstream to prevent HIV transmission: can interventions with sex workers alter the course of HIV epidemics in Africa as they did in Asia? AIDS. 2014;28(6):891–9.CrossRefPubMed
6.
go back to reference Binson D, Woods WJ, Pollack L, Paul J, Stall R, Catania JA. Differential HIV risk in bathhouses and public cruising areas. Am J Public Health. 2001;91(9):1482–6.CrossRefPubMedPubMedCentral Binson D, Woods WJ, Pollack L, Paul J, Stall R, Catania JA. Differential HIV risk in bathhouses and public cruising areas. Am J Public Health. 2001;91(9):1482–6.CrossRefPubMedPubMedCentral
7.
go back to reference Stanekova D, Kramarova P, Wimmerova S, Habekova M, Takacova M, Mojzesova M. HIV and risk behaviour among men who have sex with men in Slovakia (2008–2009). Cent Eur J Public Health. 2014;22(4):239–44.CrossRefPubMed Stanekova D, Kramarova P, Wimmerova S, Habekova M, Takacova M, Mojzesova M. HIV and risk behaviour among men who have sex with men in Slovakia (2008–2009). Cent Eur J Public Health. 2014;22(4):239–44.CrossRefPubMed
8.
go back to reference Yan H, Ding Y, Wong FY, Ning Z, Zheng T, Nehl EJ, et al. Epidemiological and molecular characteristics of HIV infection among money boys and general men who have sex with men in Shanghai, China. Infect Genet Evol J Mol Epidemiol Evol Genet Infect Dis. 2015;31:135–41. Yan H, Ding Y, Wong FY, Ning Z, Zheng T, Nehl EJ, et al. Epidemiological and molecular characteristics of HIV infection among money boys and general men who have sex with men in Shanghai, China. Infect Genet Evol J Mol Epidemiol Evol Genet Infect Dis. 2015;31:135–41.
9.
go back to reference Holland CE, Papworth E, Billong SC, Tamoufe U, LeBreton M, Kamla A, et al. Antiretroviral treatment coverage for men who have sex with men and female sex workers living with HIV in Cameroon. J Acquir Immune Defic Syndr. 2015;68(Suppl 2):S232–40.CrossRefPubMed Holland CE, Papworth E, Billong SC, Tamoufe U, LeBreton M, Kamla A, et al. Antiretroviral treatment coverage for men who have sex with men and female sex workers living with HIV in Cameroon. J Acquir Immune Defic Syndr. 2015;68(Suppl 2):S232–40.CrossRefPubMed
10.
go back to reference Firestone R, Rivas J, Lungo S, Cabrera A, Ruether S, Wheeler J, et al. Effectiveness of a combination prevention strategy for HIV risk reduction with men who have sex with men in Central America: a mid-term evaluation. BMC Public Health. 2014;14:1244.CrossRefPubMedPubMedCentral Firestone R, Rivas J, Lungo S, Cabrera A, Ruether S, Wheeler J, et al. Effectiveness of a combination prevention strategy for HIV risk reduction with men who have sex with men in Central America: a mid-term evaluation. BMC Public Health. 2014;14:1244.CrossRefPubMedPubMedCentral
11.
go back to reference Luo Y, Zhu C, Chen S, Geng Q, Fu R, Li X, et al. Risk factors for HIV and syphilis infection among male sex workers who have sex with men: a cross-sectional study in Hangzhou, China, 2011. BMJ Open. 2015;5(4):e006791.CrossRefPubMedPubMedCentral Luo Y, Zhu C, Chen S, Geng Q, Fu R, Li X, et al. Risk factors for HIV and syphilis infection among male sex workers who have sex with men: a cross-sectional study in Hangzhou, China, 2011. BMJ Open. 2015;5(4):e006791.CrossRefPubMedPubMedCentral
12.
go back to reference Holland CE, Papworth E, Billong SC, Kassegne S, Petitbon F, Mondoleba V, et al. Access to HIV services at non-governmental and community-based organizations among men who have sex with men (MSM) in Cameroon: an integrated biological and behavioral surveillance analysis. PLoS ONE. 2015;10(4):e0122881.CrossRefPubMedPubMedCentral Holland CE, Papworth E, Billong SC, Kassegne S, Petitbon F, Mondoleba V, et al. Access to HIV services at non-governmental and community-based organizations among men who have sex with men (MSM) in Cameroon: an integrated biological and behavioral surveillance analysis. PLoS ONE. 2015;10(4):e0122881.CrossRefPubMedPubMedCentral
13.
go back to reference Barrington C, Wejnert C, Guardado ME, Nieto AI, Bailey GP. Social network characteristics and HIV vulnerability among transgender persons in San Salvador: identifying opportunities for HIV prevention strategies. AIDS Behav. 2012;16(1):214–24.CrossRefPubMed Barrington C, Wejnert C, Guardado ME, Nieto AI, Bailey GP. Social network characteristics and HIV vulnerability among transgender persons in San Salvador: identifying opportunities for HIV prevention strategies. AIDS Behav. 2012;16(1):214–24.CrossRefPubMed
14.
go back to reference Inciardi JA, Surratt J, Felles RR, et al. Sex, drugs, and the culture of transvestimo in Rio de Janeiro. In: Bockting W, Kirk S, editors. Transgender and HIV: risks, prevention and care. New York: Haworth Press; 2001. Inciardi JA, Surratt J, Felles RR, et al. Sex, drugs, and the culture of transvestimo in Rio de Janeiro. In: Bockting W, Kirk S, editors. Transgender and HIV: risks, prevention and care. New York: Haworth Press; 2001.
15.
go back to reference Clements-Nolle K, Wilkinson W, Kitano K, Marx R. HIV prevention and health service needs of the transgender community in San Francisco. In: Bockting W, Kirk S, editors. Transgender and HIV: risks, prevention and care Binghamton. NY: Haworth Press, Inc.; 2001. p. 69–89. Clements-Nolle K, Wilkinson W, Kitano K, Marx R. HIV prevention and health service needs of the transgender community in San Francisco. In: Bockting W, Kirk S, editors. Transgender and HIV: risks, prevention and care Binghamton. NY: Haworth Press, Inc.; 2001. p. 69–89.
16.
go back to reference Operario D, Nemoto T, Iwamoto M, Moore T. Unprotected sexual behavior and HIV risk in the context of primary partnerships for transgender women. AIDS Behav. 2011;15(3):674–82.CrossRefPubMedPubMedCentral Operario D, Nemoto T, Iwamoto M, Moore T. Unprotected sexual behavior and HIV risk in the context of primary partnerships for transgender women. AIDS Behav. 2011;15(3):674–82.CrossRefPubMedPubMedCentral
17.
go back to reference Sanchez T, Finlayson T, Murrill C, Guilin V, Dean L. Risk behaviors and psychosocial stressors in the new york city house ball community: a comparison of men and transgender women who have sex with men. AIDS Behav. 2010;14(2):351–8.CrossRefPubMed Sanchez T, Finlayson T, Murrill C, Guilin V, Dean L. Risk behaviors and psychosocial stressors in the new york city house ball community: a comparison of men and transgender women who have sex with men. AIDS Behav. 2010;14(2):351–8.CrossRefPubMed
18.
go back to reference Paz-Bailey G, Miller W, Shiraishi RW, Jacobson JO, Abimbola TO, Chen SY. Reaching men who have sex with men: a comparison of respondent-driven sampling and time-location sampling in Guatemala City. AIDS Behav. 2013;17(9):3081–90.CrossRefPubMedPubMedCentral Paz-Bailey G, Miller W, Shiraishi RW, Jacobson JO, Abimbola TO, Chen SY. Reaching men who have sex with men: a comparison of respondent-driven sampling and time-location sampling in Guatemala City. AIDS Behav. 2013;17(9):3081–90.CrossRefPubMedPubMedCentral
19.
go back to reference Burt RD, Thiede H. Evaluating consistency in repeat surveys of injection drug users recruited by respondent-driven sampling in the Seattle area: results from the NHBS-IDU1 and NHBS-IDU2 surveys. Ann Epidemiol. 2012;22(5):354–63.CrossRefPubMedPubMedCentral Burt RD, Thiede H. Evaluating consistency in repeat surveys of injection drug users recruited by respondent-driven sampling in the Seattle area: results from the NHBS-IDU1 and NHBS-IDU2 surveys. Ann Epidemiol. 2012;22(5):354–63.CrossRefPubMedPubMedCentral
20.
go back to reference Burt RD, Thiede H. Assessing differences in groups randomized by recruitment chain in a respondent-driven sample of Seattle-area injection drug users. Ann Epidemiol. 2014;24(11):861–67.CrossRefPubMedPubMedCentral Burt RD, Thiede H. Assessing differences in groups randomized by recruitment chain in a respondent-driven sample of Seattle-area injection drug users. Ann Epidemiol. 2014;24(11):861–67.CrossRefPubMedPubMedCentral
21.
22.
go back to reference Wei C, McFarland W, Colfax GN, Fuqua V, Raymond HF. Reaching black men who have sex with men: a comparison between respondent-driven sampling and time-location sampling. Sex Transm Infect. 2012;88(8):622–6.CrossRefPubMedPubMedCentral Wei C, McFarland W, Colfax GN, Fuqua V, Raymond HF. Reaching black men who have sex with men: a comparison between respondent-driven sampling and time-location sampling. Sex Transm Infect. 2012;88(8):622–6.CrossRefPubMedPubMedCentral
23.
go back to reference Kendall C, Kerr LR, Gondim RC, Werneck GL, Macena RH, Pontes MK, et al. An empirical comparison of respondent-driven sampling, time location sampling, and snowball sampling for behavioral surveillance in men who have sex with men, Fortaleza, Brazil. AIDS Behav. 2008;12(4 Suppl):S97–104.CrossRefPubMed Kendall C, Kerr LR, Gondim RC, Werneck GL, Macena RH, Pontes MK, et al. An empirical comparison of respondent-driven sampling, time location sampling, and snowball sampling for behavioral surveillance in men who have sex with men, Fortaleza, Brazil. AIDS Behav. 2008;12(4 Suppl):S97–104.CrossRefPubMed
24.
go back to reference Zhao J, Cai R, Chen L, Cai W, Yang Z, Richardus JH, et al. A comparison between respondent-driven sampling and time-location sampling among men who have sex with men in Shenzhen, China. Arch Sex Behav. 2015;44(7):2055–65.CrossRefPubMed Zhao J, Cai R, Chen L, Cai W, Yang Z, Richardus JH, et al. A comparison between respondent-driven sampling and time-location sampling among men who have sex with men in Shenzhen, China. Arch Sex Behav. 2015;44(7):2055–65.CrossRefPubMed
25.
go back to reference Lau JT, Lin C, Hao C, Wu X, Gu J. Public health challenges of the emerging HIV epidemic among men who have sex with men in China. Public Health. 2011;125(5):260–5.CrossRefPubMed Lau JT, Lin C, Hao C, Wu X, Gu J. Public health challenges of the emerging HIV epidemic among men who have sex with men in China. Public Health. 2011;125(5):260–5.CrossRefPubMed
26.
go back to reference Yang H, Hao C, Huan X, Yan H, Guan W, Xu X, et al. HIV incidence and associated factors in a cohort of men who have sex with men in Nanjing, China. Sex Transm Dis. 2010;37(4):208–13.PubMed Yang H, Hao C, Huan X, Yan H, Guan W, Xu X, et al. HIV incidence and associated factors in a cohort of men who have sex with men in Nanjing, China. Sex Transm Dis. 2010;37(4):208–13.PubMed
27.
go back to reference Feng L, Ding X, Lu R, Liu J, Sy A, Ouyang L, et al. High HIV prevalence detected in 2006 and 2007 among men who have sex with men in China’s largest municipality: an alarming epidemic in Chongqing, China. J Acquir Immune Defic Syndr. 2009;52(1):79–85.CrossRefPubMed Feng L, Ding X, Lu R, Liu J, Sy A, Ouyang L, et al. High HIV prevalence detected in 2006 and 2007 among men who have sex with men in China’s largest municipality: an alarming epidemic in Chongqing, China. J Acquir Immune Defic Syndr. 2009;52(1):79–85.CrossRefPubMed
28.
go back to reference Hong FC, Zhou H, Cai YM, Pan P, Feng TJ, Liu XL, et al. Prevalence of syphilis and HIV infections among men who have sex with men from different settings in Shenzhen, China: implications for HIV/STD surveillance. Sex Transm Infect. 2009;85(1):42–4.CrossRefPubMed Hong FC, Zhou H, Cai YM, Pan P, Feng TJ, Liu XL, et al. Prevalence of syphilis and HIV infections among men who have sex with men from different settings in Shenzhen, China: implications for HIV/STD surveillance. Sex Transm Infect. 2009;85(1):42–4.CrossRefPubMed
29.
go back to reference Thiede H, Jenkins RA, Carey JW, Hutcheson R, Thomas KK, Stall RD, et al. Determinants of recent HIV infection among Seattle-area men who have sex with men. Am J Public Health. 2009;99(Suppl 1):S157–64.CrossRefPubMedPubMedCentral Thiede H, Jenkins RA, Carey JW, Hutcheson R, Thomas KK, Stall RD, et al. Determinants of recent HIV infection among Seattle-area men who have sex with men. Am J Public Health. 2009;99(Suppl 1):S157–64.CrossRefPubMedPubMedCentral
30.
go back to reference Zhao J, Chen L, Cai WD, Tan JG, Tan W, Zheng CL, et al. HIV infection and sexual behaviors among non-commercial men who have sex with men at different venues. Arch Sex Behav. 2014;43(4):801–9.CrossRefPubMed Zhao J, Chen L, Cai WD, Tan JG, Tan W, Zheng CL, et al. HIV infection and sexual behaviors among non-commercial men who have sex with men at different venues. Arch Sex Behav. 2014;43(4):801–9.CrossRefPubMed
31.
go back to reference Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505.CrossRefPubMedPubMedCentral Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505.CrossRefPubMedPubMedCentral
32.
go back to reference Fuqua V, Chen YH, Packer T, Dowling T, Ick TO, Nguyen B, et al. Using social networks to reach Black MSM for HIV testing and linkage to care. AIDS Behav. 2012;16(2):256–65.CrossRefPubMed Fuqua V, Chen YH, Packer T, Dowling T, Ick TO, Nguyen B, et al. Using social networks to reach Black MSM for HIV testing and linkage to care. AIDS Behav. 2012;16(2):256–65.CrossRefPubMed
33.
34.
go back to reference Latkin CA, Davey-Rothwell MA, Knowlton AR, Alexander KA, Williams CT, Boodram B. Social network approaches to recruitment, HIV prevention, medical care, and medication adherence. J Acquir Immune Defic Syndr. 2013;63(Suppl 1):S54–8.CrossRefPubMedPubMedCentral Latkin CA, Davey-Rothwell MA, Knowlton AR, Alexander KA, Williams CT, Boodram B. Social network approaches to recruitment, HIV prevention, medical care, and medication adherence. J Acquir Immune Defic Syndr. 2013;63(Suppl 1):S54–8.CrossRefPubMedPubMedCentral
35.
go back to reference Amirkhanian YA, Kelly JA, Kabakchieva E, McAuliffe TL, Vassileva S. Evaluation of a social network HIV prevention intervention program for young men who have sex with men in Russia and Bulgaria. AIDS Educ Prev. 2003;15(3):205–20.CrossRefPubMed Amirkhanian YA, Kelly JA, Kabakchieva E, McAuliffe TL, Vassileva S. Evaluation of a social network HIV prevention intervention program for young men who have sex with men in Russia and Bulgaria. AIDS Educ Prev. 2003;15(3):205–20.CrossRefPubMed
36.
go back to reference Amirkhanian YA, Kelly JA, Kabakchieva E, Kirsanova AV, Vassileva S, Takacs J, et al. A randomized social network HIV prevention trial with young men who have sex with men in Russia and Bulgaria. AIDS. 2005;19(16):1897–905.CrossRefPubMed Amirkhanian YA, Kelly JA, Kabakchieva E, Kirsanova AV, Vassileva S, Takacs J, et al. A randomized social network HIV prevention trial with young men who have sex with men in Russia and Bulgaria. AIDS. 2005;19(16):1897–905.CrossRefPubMed
37.
go back to reference Weir SS, Pailman C, Mahlalela X, Coetzee N, Meidany F, Boerma JT. From people to places: focusing AIDS prevention efforts where it matters most. AIDS. 2003;17(6):895–903.CrossRefPubMed Weir SS, Pailman C, Mahlalela X, Coetzee N, Meidany F, Boerma JT. From people to places: focusing AIDS prevention efforts where it matters most. AIDS. 2003;17(6):895–903.CrossRefPubMed
38.
go back to reference Stahlman S, Johnston LG, Yah C, Ketende S, Maziya S, Trapence G, et al. Respondent-driven sampling as a recruitment method for men who have sex with men in southern sub-Saharan Africa: a cross-sectional analysis by wave. Sex Transm Infect. 2016;92(4):292–8.CrossRefPubMed Stahlman S, Johnston LG, Yah C, Ketende S, Maziya S, Trapence G, et al. Respondent-driven sampling as a recruitment method for men who have sex with men in southern sub-Saharan Africa: a cross-sectional analysis by wave. Sex Transm Infect. 2016;92(4):292–8.CrossRefPubMed
Metadata
Title
The Where and How for Reaching Transgender Women and Men Who Have Sex with Men with HIV Prevention Services in Guatemala
Authors
William M. Miller
William C. Miller
Clare Barrington
Sharon S. Weir
Sanny Y. Chen
Michael E. Emch
Audrey E. Pettifor
Gabriela Paz-Bailey
Publication date
01-12-2017
Publisher
Springer US
Published in
AIDS and Behavior / Issue 12/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1655-8

Other articles of this Issue 12/2017

AIDS and Behavior 12/2017 Go to the issue