Baseline variables associated with subsequent HIV seroconversion among gay, bisexual and other men who have sex with men and transgender women: a prospective, multicenter PrEP demonstration study (ImPrEP)Research in context
Summary: Background: Ongoing implementation of HIV pre-exposure prophylaxis (PrEP) in Latin America should consider lessons learned from implementation projects such as ImPrEP (Brazil/Mexico/Peru, 2018–2021). In this analysis we assessed the effect of variables ascertained in early appointments on...
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2025-06-01
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| Series: | The Lancet Regional Health. Americas |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667193X25001085 |
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| author | Carlos F. Caceres Heather Pines Kelika A. Konda Annick Borquez Ronaldo Moreira Iuri Leite Pedro Amparo Marcelo Cunha Thiago S. Torres Juan V. Guanira Jean-Pierre Jirón Brenda Hoagland Heleen Vermandere Marcos Benedetti Hamid Vega Carlos M. Benites Cristina Pimenta Beatriz Grinztejn Valdiléa Veloso J. David Urbaez-Brito Polyana d’Albuquerque Claudio Palombo Paulo Ricardo Alencastro Raquel Keiko de Luca Ito João L. Benedetti Fabio V. Maria Paula M. Luz Lucilene Freitas Kim Geraldo Monica Derrico Sandro Nazer Tania Kristic Renato Girade Renato Lima Antônio R. Carvalho Carla Rocha Pedro Leite Marcio Lessa Marilia Santini-Oliveira Daniel R.B. Bezerra Cleo de Oliveira Souza Jacinto Corrêa Marcelo Alves Carolina Souza Camilla Portugal Mônica dos Santos Valões Gabriel Lima Mota Joyce Alves Gomes Cynthia Ferreira Lima Falcão Fernanda Falcão Riberson Luciano Melo Talita Andrade Oliveira Agnaldo Moreira Oliveira Júnior Bruna Fonseca Leonor Henriette Lannoy Ludymilla Anderson Santiago Carlos João Paulo Cunha Sonia Maria de Alencastro Coracini Thiago Oliveira Rodrigues Emília Regina Scharf Mettrau Kelly Vieira Meira Heder Tavares Ana Paula Nunes Viveiros Valeiras Taiane Miyake Alves de Carvalho Rocha Alex Amorim Patrícia Sabadini Luiz Gustavo Córdoba Caio Gusmão Erika Faustino Julia Soares da Silva Hansen Agatha Mirian Cunha Neuza Uchiyama Nishimura Jaime Eduardo Flygare Razo Prereira Santos Aline Barnabé Cano Willyam Magnum Telles Dias Magô Tonhon Tania Regina Rezende Alex Gomes Eloá dos Santos Rodrigues Maria das Dores Aires Carneiro Alexandre Castilho Mariana Carvalho Dulce Diaz-Sosa Centli Guillen-Diaz-Barriga Lorena Hernández Rebeca Robles Maria Elena Medina-Mora Marcela González Ivonne Huerta Icelo Araczy Martinez Davalos José Gomez Castro Luis Obed Ocampo Valdez Fernanda Ramírez Barajas Verónica Ruiz González Galileo Vargas Guadarrama Israel Macías Jehovani Tena Sánchez Juan Pablo Osuna Noriega H. Rodrigo Moheno M Jorge M. Bernal Ramírez Víctor Dante Galicia Juarez Gerardo Vizcaíno Francisco Javier Arjona Gino Calvo Silver Vargas Oliver Elorreaga Ximena Gutierrez Fernando Olivos Damaris Caviedes Daniella Adriazola Eduardo Juárez Gabriela Mariño Jazmin Qquellon Francesca Vasquez Jean Pierre Jiron Sonia Flores Karen Campos |
| author_facet | Carlos F. Caceres Heather Pines Kelika A. Konda Annick Borquez Ronaldo Moreira Iuri Leite Pedro Amparo Marcelo Cunha Thiago S. Torres Juan V. Guanira Jean-Pierre Jirón Brenda Hoagland Heleen Vermandere Marcos Benedetti Hamid Vega Carlos M. Benites Cristina Pimenta Beatriz Grinztejn Valdiléa Veloso J. David Urbaez-Brito Polyana d’Albuquerque Claudio Palombo Paulo Ricardo Alencastro Raquel Keiko de Luca Ito João L. Benedetti Fabio V. Maria Paula M. Luz Lucilene Freitas Kim Geraldo Monica Derrico Sandro Nazer Tania Kristic Renato Girade Renato Lima Antônio R. Carvalho Carla Rocha Pedro Leite Marcio Lessa Marilia Santini-Oliveira Daniel R.B. Bezerra Cleo de Oliveira Souza Jacinto Corrêa Marcelo Alves Carolina Souza Camilla Portugal Mônica dos Santos Valões Gabriel Lima Mota Joyce Alves Gomes Cynthia Ferreira Lima Falcão Fernanda Falcão Riberson Luciano Melo Talita Andrade Oliveira Agnaldo Moreira Oliveira Júnior Bruna Fonseca Leonor Henriette Lannoy Ludymilla Anderson Santiago Carlos João Paulo Cunha Sonia Maria de Alencastro Coracini Thiago Oliveira Rodrigues Emília Regina Scharf Mettrau Kelly Vieira Meira Heder Tavares Ana Paula Nunes Viveiros Valeiras Taiane Miyake Alves de Carvalho Rocha Alex Amorim Patrícia Sabadini Luiz Gustavo Córdoba Caio Gusmão Erika Faustino Julia Soares da Silva Hansen Agatha Mirian Cunha Neuza Uchiyama Nishimura Jaime Eduardo Flygare Razo Prereira Santos Aline Barnabé Cano Willyam Magnum Telles Dias Magô Tonhon Tania Regina Rezende Alex Gomes Eloá dos Santos Rodrigues Maria das Dores Aires Carneiro Alexandre Castilho Mariana Carvalho Dulce Diaz-Sosa Centli Guillen-Diaz-Barriga Lorena Hernández Rebeca Robles Maria Elena Medina-Mora Marcela González Ivonne Huerta Icelo Araczy Martinez Davalos José Gomez Castro Luis Obed Ocampo Valdez Fernanda Ramírez Barajas Verónica Ruiz González Galileo Vargas Guadarrama Israel Macías Jehovani Tena Sánchez Juan Pablo Osuna Noriega H. Rodrigo Moheno M Jorge M. Bernal Ramírez Víctor Dante Galicia Juarez Gerardo Vizcaíno Francisco Javier Arjona Gino Calvo Silver Vargas Oliver Elorreaga Ximena Gutierrez Fernando Olivos Damaris Caviedes Daniella Adriazola Eduardo Juárez Gabriela Mariño Jazmin Qquellon Francesca Vasquez Jean Pierre Jiron Sonia Flores Karen Campos |
| author_sort | Carlos F. Caceres |
| collection | DOAJ |
| description | Summary: Background: Ongoing implementation of HIV pre-exposure prophylaxis (PrEP) in Latin America should consider lessons learned from implementation projects such as ImPrEP (Brazil/Mexico/Peru, 2018–2021). In this analysis we assessed the effect of variables ascertained in early appointments on HIV seroconversion among ImPrEP participants. Methods: ImPrEP enrolled HIV-negative men who have sex with men and transgender women (MSM/TGW) aged 18+ years reporting recent condomless anal sex, anal sex with HIV-positive partners, transactional sex, or sexually transmitted infections (STI). Participants received a 30-day PrEP supply; at the 30-day visit and quarterly thereafter they completed behavioural assessments, underwent HIV testing, and received 3-month PrEP supplies if HIV-negative. PrEP adherence was measured using the medication possession ratio (MPR) at the 30-day visit. We used Cox's proportional hazards regression to examine the effect of our sociodemographic, behavioural, STI, and early PrEP care engagement variables of interest on time to HIV seroconversion. Findings: Compared to participants in Brazil, the hazard ratio for HIV seroconversion was higher among those in Peru (HR = 7.91, 95% CI: 4.74–13.20). Compared to participants aged ≥35 years, the HR for HIV seroconversion was higher for those aged 18–24 (aHR = 4.84, 95% CI: 2.55–9.17 and 25–34 (aHR = 2.43, 95% CI: 1.21–4.91). HIV seroconversion was also associated with transgender identity (aHR = 2.28, 95% CI: 1.12–4.66), transactional sex (aHR = 1.88, 95% CI: 1.18–2.99), receptive condomless anal sex (aHR = 2.42, 95% CI: 1.42–4.12), STI diagnosis (aHR = 1.93, 95% CI: 1.25–2.99), and a MPR < 0.6 (aHR = 2.64, 95% CI: 1.52–4.60). Interpretation: While moderate-high, HIV incidence among ImPrEP participants represented a considerable reduction from figures observed among MSM/TGW not using PrEP/PEP. Interventions to improve PrEP adherence are needed among new Latin American PrEP users, especially if baseline factors associated with seroconversion are present. Long-acting injectable PrEP can also become useful for this population. Funding: This study was funded by UNITAID. |
| format | Article |
| id | doaj-art-47b8f84f89404720a79cf14a9ddac838 |
| institution | OA Journals |
| issn | 2667-193X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Americas |
| spelling | doaj-art-47b8f84f89404720a79cf14a9ddac8382025-08-20T02:29:45ZengElsevierThe Lancet Regional Health. Americas2667-193X2025-06-014610109810.1016/j.lana.2025.101098Baseline variables associated with subsequent HIV seroconversion among gay, bisexual and other men who have sex with men and transgender women: a prospective, multicenter PrEP demonstration study (ImPrEP)Research in contextCarlos F. Caceres0Heather Pines1Kelika A. Konda2Annick Borquez3Ronaldo Moreira4Iuri Leite5Pedro Amparo6Marcelo Cunha7Thiago S. Torres8Juan V. Guanira9Jean-Pierre Jirón10Brenda Hoagland11Heleen Vermandere12Marcos Benedetti13Hamid Vega14Carlos M. Benites15Cristina Pimenta16Beatriz Grinztejn17Valdiléa Veloso18J. David Urbaez-BritoPolyana d’AlbuquerqueClaudio PalomboPaulo Ricardo AlencastroRaquel Keiko de Luca ItoJoão L. BenedettiFabio V. MariaPaula M. LuzLucilene FreitasKim GeraldoMonica DerricoSandro NazerTania KristicRenato GiradeRenato LimaAntônio R. CarvalhoCarla RochaPedro LeiteMarcio LessaMarilia Santini-OliveiraDaniel R.B. BezerraCleo de Oliveira SouzaJacinto CorrêaMarcelo AlvesCarolina SouzaCamilla PortugalMônica dos Santos ValõesGabriel Lima MotaJoyce Alves GomesCynthia Ferreira Lima FalcãoFernanda Falcão RibersonLuciano MeloTalita Andrade OliveiraAgnaldo Moreira Oliveira JúniorBruna FonsecaLeonor Henriette LannoyLudymilla Anderson Santiago CarlosJoão Paulo CunhaSonia Maria de Alencastro CoraciniThiago Oliveira RodriguesEmília Regina Scharf MettrauKelly Vieira MeiraHeder TavaresAna Paula Nunes Viveiros ValeirasTaiane Miyake Alves de Carvalho RochaAlex AmorimPatrícia SabadiniLuiz Gustavo CórdobaCaio GusmãoErika FaustinoJulia Soares da Silva HansenAgatha Mirian CunhaNeuza Uchiyama NishimuraJaime Eduardo Flygare Razo Prereira SantosAline Barnabé CanoWillyam Magnum Telles DiasMagô TonhonTania Regina RezendeAlex GomesEloá dos Santos RodriguesMaria das Dores Aires CarneiroAlexandre CastilhoMariana CarvalhoDulce Diaz-SosaCentli Guillen-Diaz-BarrigaLorena HernándezRebeca RoblesMaria Elena Medina-MoraMarcela GonzálezIvonne Huerta IceloAraczy Martinez DavalosJosé Gomez CastroLuis Obed Ocampo ValdezFernanda Ramírez BarajasVerónica Ruiz GonzálezGalileo Vargas GuadarramaIsrael MacíasJehovani Tena SánchezJuan Pablo Osuna NoriegaH. Rodrigo Moheno MJorge M. Bernal RamírezVíctor Dante Galicia JuarezGerardo VizcaínoFrancisco Javier ArjonaGino CalvoSilver VargasOliver ElorreagaXimena GutierrezFernando OlivosDamaris CaviedesDaniella AdriazolaEduardo JuárezGabriela MariñoJazmin QquellonFrancesca VasquezJean Pierre JironSonia FloresKaren CamposUniversidad Peruana Cayetano Heredia, Center for Interdisciplinary Studies in Sexuality, AIDS and Society, Lima, Peru; Corresponding author. Av. Armendáriz 445, Miraflores, Lima, 15074, Peru.San Diego State University, San Diego, CA, USAUniversidad Peruana Cayetano Heredia, Center for Interdisciplinary Studies in Sexuality, AIDS and Society, Lima, Peru; University of Southern California, Los Angeles, CA, USAUniversity of California, San Diego, CA, USAOswaldo Cruz Foundation/Fiocruz, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, BrazilOswaldo Cruz Foundation/Fiocruz, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, BrazilOswaldo Cruz Foundation/Fiocruz, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, BrazilOswaldo Cruz Foundation/Fiocruz, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, BrazilOswaldo Cruz Foundation/Fiocruz, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, BrazilUniversidad Peruana Cayetano Heredia, Center for Interdisciplinary Studies in Sexuality, AIDS and Society, Lima, PeruUniversidad Peruana Cayetano Heredia, Center for Interdisciplinary Studies in Sexuality, AIDS and Society, Lima, PeruOswaldo Cruz Foundation/Fiocruz, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, BrazilNational Institute of Public Health, Cuernavaca, MexicoOswaldo Cruz Foundation/Fiocruz, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, BrazilInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, MexicoMinistry of Health of Peru, Lima, PeruMinistry of Health of Brazil, Brasilia, BrazilOswaldo Cruz Foundation/Fiocruz, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, BrazilOswaldo Cruz Foundation/Fiocruz, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, BrazilSummary: Background: Ongoing implementation of HIV pre-exposure prophylaxis (PrEP) in Latin America should consider lessons learned from implementation projects such as ImPrEP (Brazil/Mexico/Peru, 2018–2021). In this analysis we assessed the effect of variables ascertained in early appointments on HIV seroconversion among ImPrEP participants. Methods: ImPrEP enrolled HIV-negative men who have sex with men and transgender women (MSM/TGW) aged 18+ years reporting recent condomless anal sex, anal sex with HIV-positive partners, transactional sex, or sexually transmitted infections (STI). Participants received a 30-day PrEP supply; at the 30-day visit and quarterly thereafter they completed behavioural assessments, underwent HIV testing, and received 3-month PrEP supplies if HIV-negative. PrEP adherence was measured using the medication possession ratio (MPR) at the 30-day visit. We used Cox's proportional hazards regression to examine the effect of our sociodemographic, behavioural, STI, and early PrEP care engagement variables of interest on time to HIV seroconversion. Findings: Compared to participants in Brazil, the hazard ratio for HIV seroconversion was higher among those in Peru (HR = 7.91, 95% CI: 4.74–13.20). Compared to participants aged ≥35 years, the HR for HIV seroconversion was higher for those aged 18–24 (aHR = 4.84, 95% CI: 2.55–9.17 and 25–34 (aHR = 2.43, 95% CI: 1.21–4.91). HIV seroconversion was also associated with transgender identity (aHR = 2.28, 95% CI: 1.12–4.66), transactional sex (aHR = 1.88, 95% CI: 1.18–2.99), receptive condomless anal sex (aHR = 2.42, 95% CI: 1.42–4.12), STI diagnosis (aHR = 1.93, 95% CI: 1.25–2.99), and a MPR < 0.6 (aHR = 2.64, 95% CI: 1.52–4.60). Interpretation: While moderate-high, HIV incidence among ImPrEP participants represented a considerable reduction from figures observed among MSM/TGW not using PrEP/PEP. Interventions to improve PrEP adherence are needed among new Latin American PrEP users, especially if baseline factors associated with seroconversion are present. Long-acting injectable PrEP can also become useful for this population. Funding: This study was funded by UNITAID.http://www.sciencedirect.com/science/article/pii/S2667193X25001085Pre-exposure prophylaxisHIV seroconversionHIV seroincidenceSexual and gender minoritiesMedication adherenceLatin America |
| spellingShingle | Carlos F. Caceres Heather Pines Kelika A. Konda Annick Borquez Ronaldo Moreira Iuri Leite Pedro Amparo Marcelo Cunha Thiago S. Torres Juan V. Guanira Jean-Pierre Jirón Brenda Hoagland Heleen Vermandere Marcos Benedetti Hamid Vega Carlos M. Benites Cristina Pimenta Beatriz Grinztejn Valdiléa Veloso J. David Urbaez-Brito Polyana d’Albuquerque Claudio Palombo Paulo Ricardo Alencastro Raquel Keiko de Luca Ito João L. Benedetti Fabio V. Maria Paula M. Luz Lucilene Freitas Kim Geraldo Monica Derrico Sandro Nazer Tania Kristic Renato Girade Renato Lima Antônio R. Carvalho Carla Rocha Pedro Leite Marcio Lessa Marilia Santini-Oliveira Daniel R.B. Bezerra Cleo de Oliveira Souza Jacinto Corrêa Marcelo Alves Carolina Souza Camilla Portugal Mônica dos Santos Valões Gabriel Lima Mota Joyce Alves Gomes Cynthia Ferreira Lima Falcão Fernanda Falcão Riberson Luciano Melo Talita Andrade Oliveira Agnaldo Moreira Oliveira Júnior Bruna Fonseca Leonor Henriette Lannoy Ludymilla Anderson Santiago Carlos João Paulo Cunha Sonia Maria de Alencastro Coracini Thiago Oliveira Rodrigues Emília Regina Scharf Mettrau Kelly Vieira Meira Heder Tavares Ana Paula Nunes Viveiros Valeiras Taiane Miyake Alves de Carvalho Rocha Alex Amorim Patrícia Sabadini Luiz Gustavo Córdoba Caio Gusmão Erika Faustino Julia Soares da Silva Hansen Agatha Mirian Cunha Neuza Uchiyama Nishimura Jaime Eduardo Flygare Razo Prereira Santos Aline Barnabé Cano Willyam Magnum Telles Dias Magô Tonhon Tania Regina Rezende Alex Gomes Eloá dos Santos Rodrigues Maria das Dores Aires Carneiro Alexandre Castilho Mariana Carvalho Dulce Diaz-Sosa Centli Guillen-Diaz-Barriga Lorena Hernández Rebeca Robles Maria Elena Medina-Mora Marcela González Ivonne Huerta Icelo Araczy Martinez Davalos José Gomez Castro Luis Obed Ocampo Valdez Fernanda Ramírez Barajas Verónica Ruiz González Galileo Vargas Guadarrama Israel Macías Jehovani Tena Sánchez Juan Pablo Osuna Noriega H. Rodrigo Moheno M Jorge M. Bernal Ramírez Víctor Dante Galicia Juarez Gerardo Vizcaíno Francisco Javier Arjona Gino Calvo Silver Vargas Oliver Elorreaga Ximena Gutierrez Fernando Olivos Damaris Caviedes Daniella Adriazola Eduardo Juárez Gabriela Mariño Jazmin Qquellon Francesca Vasquez Jean Pierre Jiron Sonia Flores Karen Campos Baseline variables associated with subsequent HIV seroconversion among gay, bisexual and other men who have sex with men and transgender women: a prospective, multicenter PrEP demonstration study (ImPrEP)Research in context The Lancet Regional Health. Americas Pre-exposure prophylaxis HIV seroconversion HIV seroincidence Sexual and gender minorities Medication adherence Latin America |
| title | Baseline variables associated with subsequent HIV seroconversion among gay, bisexual and other men who have sex with men and transgender women: a prospective, multicenter PrEP demonstration study (ImPrEP)Research in context |
| title_full | Baseline variables associated with subsequent HIV seroconversion among gay, bisexual and other men who have sex with men and transgender women: a prospective, multicenter PrEP demonstration study (ImPrEP)Research in context |
| title_fullStr | Baseline variables associated with subsequent HIV seroconversion among gay, bisexual and other men who have sex with men and transgender women: a prospective, multicenter PrEP demonstration study (ImPrEP)Research in context |
| title_full_unstemmed | Baseline variables associated with subsequent HIV seroconversion among gay, bisexual and other men who have sex with men and transgender women: a prospective, multicenter PrEP demonstration study (ImPrEP)Research in context |
| title_short | Baseline variables associated with subsequent HIV seroconversion among gay, bisexual and other men who have sex with men and transgender women: a prospective, multicenter PrEP demonstration study (ImPrEP)Research in context |
| title_sort | baseline variables associated with subsequent hiv seroconversion among gay bisexual and other men who have sex with men and transgender women a prospective multicenter prep demonstration study imprep research in context |
| topic | Pre-exposure prophylaxis HIV seroconversion HIV seroincidence Sexual and gender minorities Medication adherence Latin America |
| url | http://www.sciencedirect.com/science/article/pii/S2667193X25001085 |
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baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT brunafonseca baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT leonorhenriettelannoy baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT ludymillaandersonsantiagocarlos baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT joaopaulocunha baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT soniamariadealencastrocoracini baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT thiagooliveirarodrigues baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT emiliareginascharfmettrau baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT kellyvieirameira baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT hedertavares baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT anapaulanunesviveirosvaleiras baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT taianemiyakealvesdecarvalhorocha baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT alexamorim baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT patriciasabadini baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT luizgustavocordoba baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT caiogusmao baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT erikafaustino baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT juliasoaresdasilvahansen baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT agathamiriancunha baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT neuzauchiyamanishimura baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT jaimeeduardoflygarerazoprereirasantos baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT alinebarnabecano baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT willyammagnumtellesdias baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT magotonhon baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT taniareginarezende baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT alexgomes baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT eloadossantosrodrigues baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT mariadasdoresairescarneiro baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT alexandrecastilho baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT marianacarvalho baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT dulcediazsosa baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT centliguillendiazbarriga baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT lorenahernandez baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT rebecarobles baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT mariaelenamedinamora baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT marcelagonzalez baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT ivonnehuertaicelo baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT araczymartinezdavalos baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT josegomezcastro baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT luisobedocampovaldez baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT fernandaramirezbarajas baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT veronicaruizgonzalez baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT galileovargasguadarrama baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT israelmacias baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT jehovanitenasanchez baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT juanpabloosunanoriega baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT hrodrigomohenom baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT jorgembernalramirez baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT victordantegaliciajuarez baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT gerardovizcaino baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT franciscojavierarjona baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT ginocalvo baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT silvervargas baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT oliverelorreaga baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT ximenagutierrez baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT fernandoolivos baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT damariscaviedes baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT daniellaadriazola baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT eduardojuarez baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT gabrielamarino baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT jazminqquellon baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT francescavasquez baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT jeanpierrejiron baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT soniaflores baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext AT karencampos baselinevariablesassociatedwithsubsequenthivseroconversionamonggaybisexualandothermenwhohavesexwithmenandtransgenderwomenaprospectivemulticenterprepdemonstrationstudyimprepresearchincontext |