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Considerable distance to reach 90-90-90 targets among female sex workers, men who have sex with men and transgender women in Port Moresby, Papua New Guinea: findings from a cross-sectional respondent-driven sampling survey.
Sex Transm Infect. 2020 03; 96(2):143-150.ST

Abstract

OBJECTIVE

To characterise the Joint United Nations Programme on HIV/AIDS 90-90-90 cascade among female sex workers (FSW) and men who have sex with men (MSM)/transgender women (TGW) in Port Moresby, Papua New Guinea (PNG).

METHODS

We conducted respondent-driven sampling surveys among FSW and MSM/TGW in Port Moresby, PNG from June to October 2016. All participants spoke English or Tok Pisin and were aged >12 years. FSW had to be born female and sell/exchange sex with a male in the past 6 months. MSM/TGW had to be born male and have oral/anal sex with another male-born person in the past 6 months. Participants were interviewed and offered rapid HIV diagnostic and viral load testing. HIV viral suppression (VS) was defined as <1000 copies/mL.

RESULTS

We recruited 674 FSW and 400 MSM/TGW; HIV prevalence was 15.2% (95% CI 11.7 to 18.8) and 8.5% (95% CI 5.0 to 11.9), respectively. Among FSW living with HIV, 39.0% (95% CI 26.6 to 51.4) self-reported having been diagnosed; of them 79.6% (95% CI 62.7 to 96.5) self-reported being on antiretroviral therapy (ART), and 54.1% (95% CI 31.8 to 76.4) achieved VS. Among MSM/TGW living with HIV, 24.4% (95% CI 4.7 to 44.1) self-reported having been diagnosed; of them 43.9% (95% CI 33.6 to 54.8) self-reported being on ART, and 86.1% (95% CI 71.1 to 93.9) achieved VS.

CONCLUSIONS

ART use among those aware of their HIV status is encouraging. However, the generally low awareness of infection status among FSW and MSM/TGW with HIV and the low VS among FSW on ART indicate an urgent need for innovative strategies to increase testing uptake and ART adherence among these populations. Monitoring drug resistance may be warranted.

Authors+Show Affiliations

Division of Global HIV and Tuberculosis, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA hxv8@cdc.gov.Kirby Institute for Infection and Immunity, UNSW Sydney, New South Wales, Australia.Division of Global HIV and Tuberculosis, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Papua New Guinea National Department of Health, Port Moresby, Papua New Guinea.Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Kirby Institute for Infection and Immunity, UNSW Sydney, New South Wales, Australia.Kirby Institute for Infection and Immunity, UNSW Sydney, New South Wales, Australia. Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.Kirby Institute for Infection and Immunity, UNSW Sydney, New South Wales, Australia. Sexual and Reproductive Health, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31182653

Citation

Hakim, Avi J., et al. "Considerable Distance to Reach 90-90-90 Targets Among Female Sex Workers, Men Who Have Sex With Men and Transgender Women in Port Moresby, Papua New Guinea: Findings From a Cross-sectional Respondent-driven Sampling Survey." Sexually Transmitted Infections, vol. 96, no. 2, 2020, pp. 143-150.
Hakim AJ, Badman SG, Weikum D, et al. Considerable distance to reach 90-90-90 targets among female sex workers, men who have sex with men and transgender women in Port Moresby, Papua New Guinea: findings from a cross-sectional respondent-driven sampling survey. Sex Transm Infect. 2020;96(2):143-150.
Hakim, A. J., Badman, S. G., Weikum, D., Amos, A., Willie, B., Narokobi, R., Gabuzzi, J., Pekon, S., Kupul, M., Hou, P., Aeno, H., Neo Boli, R., Nembari, J., Ase, S., Kaldor, J. M., Vallely, A. J., & Kelly-Hanku, A. (2020). Considerable distance to reach 90-90-90 targets among female sex workers, men who have sex with men and transgender women in Port Moresby, Papua New Guinea: findings from a cross-sectional respondent-driven sampling survey. Sexually Transmitted Infections, 96(2), 143-150. https://doi.org/10.1136/sextrans-2019-053961
Hakim AJ, et al. Considerable Distance to Reach 90-90-90 Targets Among Female Sex Workers, Men Who Have Sex With Men and Transgender Women in Port Moresby, Papua New Guinea: Findings From a Cross-sectional Respondent-driven Sampling Survey. Sex Transm Infect. 2020;96(2):143-150. PubMed PMID: 31182653.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Considerable distance to reach 90-90-90 targets among female sex workers, men who have sex with men and transgender women in Port Moresby, Papua New Guinea: findings from a cross-sectional respondent-driven sampling survey. AU - Hakim,Avi J, AU - Badman,Steven G, AU - Weikum,Damian, AU - Amos,Angelyne, AU - Willie,Barne, AU - Narokobi,Rebecca, AU - Gabuzzi,Josephine, AU - Pekon,Simon, AU - Kupul,Martha, AU - Hou,Parker, AU - Aeno,Herick, AU - Neo Boli,Ruthy, AU - Nembari,Joshua, AU - Ase,Sophie, AU - Kaldor,John M, AU - Vallely,Andrew J, AU - Kelly-Hanku,Angela, AU - ,, Y1 - 2019/06/10/ PY - 2019/01/09/received PY - 2019/04/15/revised PY - 2019/05/20/accepted PY - 2019/6/12/pubmed PY - 2020/7/1/medline PY - 2019/6/12/entrez KW - Female sex workers KW - epidemiology (general) KW - hiv KW - hiv testing KW - men who have sex with men KW - surveillance KW - transgender women SP - 143 EP - 150 JF - Sexually transmitted infections JO - Sex Transm Infect VL - 96 IS - 2 N2 - OBJECTIVE: To characterise the Joint United Nations Programme on HIV/AIDS 90-90-90 cascade among female sex workers (FSW) and men who have sex with men (MSM)/transgender women (TGW) in Port Moresby, Papua New Guinea (PNG). METHODS: We conducted respondent-driven sampling surveys among FSW and MSM/TGW in Port Moresby, PNG from June to October 2016. All participants spoke English or Tok Pisin and were aged >12 years. FSW had to be born female and sell/exchange sex with a male in the past 6 months. MSM/TGW had to be born male and have oral/anal sex with another male-born person in the past 6 months. Participants were interviewed and offered rapid HIV diagnostic and viral load testing. HIV viral suppression (VS) was defined as <1000 copies/mL. RESULTS: We recruited 674 FSW and 400 MSM/TGW; HIV prevalence was 15.2% (95% CI 11.7 to 18.8) and 8.5% (95% CI 5.0 to 11.9), respectively. Among FSW living with HIV, 39.0% (95% CI 26.6 to 51.4) self-reported having been diagnosed; of them 79.6% (95% CI 62.7 to 96.5) self-reported being on antiretroviral therapy (ART), and 54.1% (95% CI 31.8 to 76.4) achieved VS. Among MSM/TGW living with HIV, 24.4% (95% CI 4.7 to 44.1) self-reported having been diagnosed; of them 43.9% (95% CI 33.6 to 54.8) self-reported being on ART, and 86.1% (95% CI 71.1 to 93.9) achieved VS. CONCLUSIONS: ART use among those aware of their HIV status is encouraging. However, the generally low awareness of infection status among FSW and MSM/TGW with HIV and the low VS among FSW on ART indicate an urgent need for innovative strategies to increase testing uptake and ART adherence among these populations. Monitoring drug resistance may be warranted. SN - 1472-3263 UR - https://www.unboundmedicine.com/medline/citation/31182653/Considerable_distance_to_reach_90_90_90_targets_among_female_sex_workers_men_who_have_sex_with_men_and_transgender_women_in_Port_Moresby_Papua_New_Guinea:_findings_from_a_cross_sectional_respondent_driven_sampling_survey_ L2 - https://sti.bmj.com/lookup/pmidlookup?view=long&amp;pmid=31182653 DB - PRIME DP - Unbound Medicine ER -