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Updated: Jul 8, 2026

An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings
Published on: March 30, 2014
New populations at high risk of HIV/STIs in low-income, urban coastal Peru
Carlos F Cáceres1, Kelika A Konda, Ximena Salazar
1Cayetano Heredia University School of Public Health, Av. Armendáriz 445, Lima 18, Miraflores, Peru. ccaceres@upch.edu.pe
Abstract:
The HIV epidemic in Peru is concentrated primarily among men who have sex with men. HIV interventions have focused exclusively on a narrowly defined group of MSM and FSW to the exclusion of other populations potentially at increased risk. Interventions targeting MSM and FSW are insufficient and there is evidence that focusing prevention efforts solely on these populations may ignore others that do not fall directly into these categories. This paper describes non-traditional, vulnerable populations within low-income neighborhoods. These populations were identified through the use of ethnographic and epidemiologic formative research methods and the results are reported in this publication. Although the traditional vulnerable groups are still in need of prevention efforts, this study provides evidence of previously unrecognized populations at increased risk that should also receive attention from HIV/STI prevention programs.
Insights
HIV prevention in Peru needs to expand beyond men who have sex with men (MSM) and female sex workers (FSW). This study identifies previously unrecognized vulnerable populations in low-income areas requiring targeted HIV/STI interventions.
Area of Science:
- Public Health
- Epidemiology
- Sociology
Background:
- The HIV epidemic in Peru disproportionately affects men who have sex with men (MSM).
- Current HIV prevention strategies primarily target MSM and female sex workers (FSW), potentially overlooking other at-risk groups.
- There is a recognized gap in understanding and addressing the needs of non-traditional vulnerable populations in Peru.
Purpose of the Study:
- To identify and describe non-traditional, vulnerable populations at increased risk for HIV/STIs in low-income neighborhoods in Peru.
- To inform the development of more inclusive and effective HIV/STI prevention programs.
- To highlight the limitations of narrowly focused HIV interventions.
Main Methods:
- Employed ethnographic and epidemiologic formative research methods.
- Conducted research within low-income urban neighborhoods.
- Utilized qualitative and quantitative data collection to identify vulnerable groups.
Main Results:
- Identified previously unrecognized populations facing increased risk of HIV/STIs.
- Highlighted the heterogeneity of vulnerable populations beyond the traditionally recognized groups.
- Provided evidence of specific risk factors within these non-traditional groups.
Conclusions:
- Existing HIV/STI prevention efforts in Peru are insufficient due to their narrow focus.
- Non-traditional vulnerable populations in low-income areas require targeted interventions.
- A broader, more inclusive approach to HIV/STI prevention is necessary to address the epidemic effectively.
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