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Methodology

H. Sucilla Pérez 1 , J.P. Gutierrez Reyes 2 , A.R. Shiba Matsumoto 2 , J.A. Izazola Licea 1 1 Formerly CENSIDA (at the time of this study and analysis), Mexico DF, Mexico,  2 National Institute of Public Health, Cuernavaca, Mexico. Methodology. Cross-sectional survey.

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Methodology

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  1. H. Sucilla Pérez1, J.P. Gutierrez Reyes2, A.R. Shiba Matsumoto2, J.A. Izazola Licea11 Formerly CENSIDA (at the time of this study and analysis), Mexico DF, Mexico, 2National Institute of Public Health, Cuernavaca, Mexico

  2. Methodology Cross-sectional survey. HIVserology rapid test. TP (transgender, transexual and travesti): ≥18 years. Meeting and work places: seven urban areas in Mexico ( from 3 States: Jalisco, Veracruz and Estado de México) Puerto Vallarta, Guadalajara, Ciudad Nezahualcóyotl, Ecatepec, Toluca, Veracruz and Coatzacoalcos-Minatitlán. Questionnaire: Socio-demographic data, risk factors and sexual behaviors. Jointly with Civil society organizations Efficiency: selection/approach/response (potential participants) Pre and post counseling (including referral to Health services) Two different rapid tests Two reactive tests = HIV sero-reactive (HIV+) Any other result = Non-reactive (HIV-)

  3. Results (i) • TP HIV sero-prevalence: 15.83% (IC95% 13.19 - 20.47) • Fitted-results (size-cities) 15.21% (IC95% 7.56%- 28.24%) • Table1. Sample by city and Trans involved population

  4. Results (ii) Mean age of TP. Sero-reactive: 33.9 years old (IC 95% 31.3 36.6). Non-reactive 27.1 years old, (IC 95% 25.0 – 29.1). Not statistical differences in socio-economic conditions between those sero-reactive and those non-reactive TP. Lower education level in those sero-reactive. >40% TS (HIV+ and HIV-): sexual work- main $ source. Mean age for sexual relations initiation: 13 years. Use of condom in last sexual relation. 76.2% (73.1-79.0) of those HIV+. 69.6% (57.1-79.8) of those HIV-. Main reason for not using condom. HIV+: mutual agreement . HIV-: forgot to use it.

  5. Conclusions Sero-reactivityin TP was slightly higher than in 1,110 MSM (same cities-parallel study) but not statistically significant 15.2% TP (IC95% 7.56% - 28.24%) vs 12.2% MSM (IC95% 6.61% - 17.69%). TP is at least equally or more affected than MSM by the HIV epidemic TP testing initiatives must be improved and implemented as a priority and permanent strategy Including reference to health services This results are only applicable for TP in meeting and work places of the seven studied cities.

  6. Acknowledgments Funding: CENSIDA/federal Ministry of Health, 2012 Aurora Franco Nuñez and CIEE of INSP: survey implementation Carlos Conde González (laboratory assistance). Special thanks: State HIV/AIDS Programs and CSOs in Estado de Mexico, Jalisco and Veracruz • Contact information • Hector Sucilla Perez: sucillaperezh@unaids.org • Jose Antonio Izazola Licea: izazolaj@unaids.org • Juan Pablo Gutierrez Reyes: jpgutier@insp.mx

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