High Rates of STD and Sexual Risk Behaviors Among Garífunas in Honduras

@article{PazBailey2009HighRO,
  title={High Rates of STD and Sexual Risk Behaviors Among Gar{\'i}funas in Honduras},
  author={Gabriela Paz-Bailey and Sonia Morales-Miranda and Jerry Owen Jacobson and Sundeep K Gupta and Keith M Sabin and Suyapa Mendoza and Mayte Paredes and Berta Alvarez and Edgar R. Monterroso},
  journal={JAIDS Journal of Acquired Immune Deficiency Syndromes},
  year={2009},
  volume={51},
  pages={S26-S34}
}
Background: Honduras has the highest concentration of HIV and AIDS cases in Central America, with an estimated adult HIV prevalence of 1.5%. Prevalence is higher among certain ethnic groups such as the Garífuna with a reported HIV prevalence of 8%. Methods: A biological and behavioral survey was conducted on a stratified random sample of the Garífuna population in Honduras, using computer-assisted interviews. Blood was tested for HIV, herpes simplex type 2 (HSV-2), and syphilis; urine was… 
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The low estimated prevalence of M. genitalium in the general population, pregnant women and asymptomatic attenders at clinics does not support expansion of testing to asymPTomatic people in these groups, and can inform testing guidelines for M. genitalsium infection.
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The racial and ethnic heritage of the Garifuna is key to understanding the current HIV crisis in this subpopulation, which has mixed racial heritages and is at particularly high-risk for HIV infection relative to their nonminority Honduran counterparts.
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Evidence from the review indicates the need for the concern stakeholders to attempt a holistic approach towards eradicating the disease in the authors' environment.
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Latin America and the Caribbean is a region with similarities and important disparities, but LAC has the highest anti-retroviral treatment coverage of any low- and middle-income region in the world, but women and children are less likely than men to receive treatment.
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