HIV infection and engagement in HIV care cascade among men who have sex with men and transgender women in Kigali, Rwanda: a cross-sectional study.
Jean Olivier Twahirwa RwemaCarrie E LyonsSara HerbstBenjamin LiestmanJulien NyombayireSosthenes KetendeAmelia MazzeiOluwasolape OlaworeSabin NsanzimanaPlacidie MugwanezaAflodis KagabaPatrick Sean SullivanSusan AllenEtienne KaritaStefan David BaralPublished in: Journal of the International AIDS Society (2021)
These data show a high burden of HIV among MSM/TGW in Kigali, Rwanda. Bisexual concurrency was common and associated with prevalent HIV infection, demonstrating the need of comprehensive screening for all sexual practices and preferences in the provision of comprehensive HIV prevention services in Rwanda. Viral suppression was below the UNAIDS target suggesting poor adherence and potential ART resistance. There is a need for adherence support, screening for primary and secondary ART resistance and stigma mitigation interventions to optimize HIV-related outcomes for MSM in Rwanda.
Keyphrases
- hiv testing
- men who have sex with men
- hiv positive
- antiretroviral therapy
- hiv infected
- hiv aids
- mental health
- human immunodeficiency virus
- healthcare
- primary care
- physical activity
- climate change
- sars cov
- social media
- polycystic ovary syndrome
- electronic health record
- palliative care
- glycemic control
- risk factors
- mental illness
- adipose tissue
- metabolic syndrome
- human health
- drug induced