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Current HIV/AIDS Reports
Erschienen in: Current HIV/AIDS Reports 2/2014

01.06.2014 | The Global Epidemic (S Vermund, Section Editor)

Review of HIV in the Caribbean: Significant Progress and Outstanding Challenges

verfasst von: J. Peter Figueroa

Erschienen in: Current HIV/AIDS Reports | Ausgabe 2/2014

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Abstract

This paper reviews the recent literature on HIV in the Caribbean and discusses the challenges faced. HIV incidence in the Caribbean has declined by 49 % in the past decade, coverage of persons living with HIV among those eligible for antiretroviral treatment as per national guidelines was 70 % in 2012, and some countries are meeting the target of virtual elimination of mother-to-child transmission. HIV prevalence in the Caribbean is 1 % with features of both a generalized and concentrated HIV epidemic. HIV prevalence among female sex workers has declined but remains unacceptably high among men who have sex with men. Social and cultural factors, gender norms, and strong stigma associated with HIV and homosexuality contribute to the continued spread of HIV. Caribbean countries and their partners have invested significant resources, creative effort and impressive research in strengthening the HIV response nationally and regionally. However, in order to control the HIV epidemic, leaders at all levels, and the people, must address fundamental structural barriers in society that deny marginalized persons their rights, undermine public health goals, and impede universal access to HIV prevention, treatment, and care.
Literatur
1.
2.
Figueroa JP. The HIV, epidemic in the Caribbean: meeting the challenges ofc achieving universal access to prevention, treatment and care. West Indian Med J. 2008;57(3):195–203.PubMed
3.
4.
5.
6.
Anderson T. HIV/AIDS in Cuba: Lessons and Challenges. Rev Panam Salud Publ. 2009;26(1):78–86.CrossRef
7.•
Binns LA. An Unassuming Revelation: Cuba’s Social Policy toward the AIDS Epidemic. West Indian Med J. 2013;62(4):368–73. Cuba’s success in controlling their HIV epidemic needs to be recognized and better understood.PubMed
8.
Halperin DT, de Moya EA, Pérez-Then E, Pappas G, Calleja JMG. Understanding the HIV epidemic in the Dominican Republic: a prevention success story in the Caribbean? JAIDS. 2009;51:S52–9.PubMed
9.
Gaillard EM, Boulos L-M, Cayemittes MPA, Eustache L, Van Onacker JD, Duval N, et al. Understanding the reasons for decline of HIV prevalence in Haiti. Sex Transm Infect. 2006;82 suppl 1:i14–20.PubMedCentralPubMedCrossRef
10.
Figueroa JP, Duncan J, Byfield L, Harvey K, Gebre Y, Hylton-Kong T, et al. A comprehensive response to the HIV/AIDS epidemic in Jamaica: a review of the past 20 years. West Indian Med J. 2008;57(6):562–76.PubMed
11.•
Figueroa JP. The critical role of locally conducted research in guiding the response to the HIV epidemic in Jamaica. West Indian Med J. 2012;61(4):387–95. This paper reviews how locally conducted research contributed to controlling the HIV epidemic in Jamaica.PubMedCrossRef
12.
13.
14.
15.
Mathers CD, Boerma T, Ma FD. Global and regional causes of death. Br Med Bull. 2009;92(1):7–32.PubMedCrossRef
16.
Duncan J, Beckford Jarrett S, Harvey K. Using estimation and projection package and Spectrum for Jamaica's national HIV estimates and targets. Sex Transm Infect. 2010;86(suppl II):ii43–7.PubMedCentralPubMed
17.•
Rojas P, Malow R, Ruffin B, Rosenburg R. The HIV/AIDS Epidemic in the Dominican Republic Key Contributing Factors. J Int Assoc Providers AIDS Care (JIAPAC). 2011;10(5):306–15. This article reviews HIV/AIDS epidemiological data and recent research conducted in the Dominican Republic, with a focus on explaining the variability in estimated seroincidence and prevalence within the country.CrossRef
18.•
UNAIDS, Jamaica National HIV/STI Program. Modes of HIV Transmission in Jamaica. Distribution of new HIV infections in Jamaica for 2012: Recommendations for efficient resource allocation and prevention strategies. 2013. This is the modes of transmission study for Jamaica 2012.
19.••
Figueroa JP, Weir SS, Jones Cooper C, Byfield L, Hobbs M, Mcknight I, et al. High HIV Prevalence among MSM in Jamaica is associated with Social Vulnerability and other Sexually Transmitted Infections. West Indian Med J. 2013;62(4):286–91. This paper reports on a 2007 survey of 201 MSM in Jamaica in which HIV prevalence was 32%. Most of the men were of lower socio-economic status and many were socially vulnerable as well as sex workers. This illustrates the importance of social vulnerability among these MSM and helps to explain the high HIV prevalence reported for Jamaica.PubMedCentralPubMed
20.
UNAIDS, Consejo Presidencial del SIDA, Direccion General de Infecciones de Transmission Sexual y SIDA. HIV Modes of Transmission Model: Analysis of the distribution of new HIV infections in the Domican Republic for prevention 2010.
21.
Figueroa JP, Jones Cooper C, Edwards J, Byfield L, Eastman S, Hobbs M, Weir SS. Understanding the High Prevalence of HIV and other Sexually Transmitted Infections among Socio-economically Vulnerable Men who have Sex with Men in Jamaica. Submitted.
22.
Beyrer C, Baral SD, van Griensven F, Goodreau SM, Chariyalertsak S, Wirtz AL, et al. Global epidemiology of HIV infection in men who have sex with men. Lancet July 2012 special issue on HIV in men who have sex with men 19-29.
23.
Allen CF, Edwards M, Williamson L, Kitson-Piggott W, Wagner H-U, Camara B, et al. Sexually Transmitted infection Service Use and Risk Factors for HIV Infection among Female Sex Workers in Georgetown, Guyana. JAIDS. 2006;43:96–101.PubMed
24.
Dechamps MM, Zorrilla CD, Morgan CA, Donastorg Y, Metch B, Madenwald T, et al. Recruitment of female commercial sex workers at high risk of HIV infection. Rev Panam Salud Publ. 2013;34(2):92–8.
25.
Duncan J, Gebre Y, Grant Y, Wedderburn M, Byfield L, Bourne D, et al. HIV Prevalence and Related Behaviours among Sex Workers in Jamaica. Sex Transm Dis. 2010;37(5):306–10.PubMed
26.
Duncan J, Weir SS, Byfield L, Jones-Cooper C, Jarrett S, Figueroa JP. STI prevalence and Risk Behaviours among Club-based and Street-based Sex Workers in Jamaica. Submitted.
27.
28.
29.
Gomez MP, Kimball AM, Orlander H, Bain RM, Fisher LD, Holmes KK. Epidemic crack cocaine use linked with epidemics of genital ulcer disease and heterosexual HIV infection in the Bahamas: Evidence of impact of prevention and control measures. Sex Transm Dis. 2002;29:259–64.PubMedCrossRef
30.
Andrinopoulos K, Kerrigan D, Figueroa JP, Reese R, Gaydos C, Bennett L, et al. Establishment of an HIV/sexually transmitted disease programme and prevalence of infection among incarcerated men in Jamaica. Int J STD AIDS. 2010;21:114–9.PubMedCentralPubMedCrossRef
31.
Gough E, Edwards P. HIV seroprevalence and associated risk factors among male inmates at the Belize Central Prison. Rev Panam Salud Publ. 2009;25(4):292–9.CrossRef
32.
Rodríguez-Díaz CE, Reece M, Rivera-Alonso B, Laureano-Landrón I, Dodge B, Malow RM. Behind the Bars of Paradise: HIV and Substance Use among Incarcerated Populations in Puerto Rico. JIAPAC Publ Online. 2011. doi:10.​1177/​1545109711398664​.
33.
Boisson EV, Trotman C. HIV Seroprevalence Among Male Prison Inmates in the Six Countries of the Organization of Eastern Caribbean States in the Caribbean (OECS). West Indian Med J. 2009;58(2):106.PubMed
34.
35.
Andrinopoulos K, Kerrigan D, Figueroa JP, Reese R, Ellen JM. HIV coping self efficacy: a key to understanding stigma and HIV test acceptance among incarcerated men in Jamaica. AIDS Care. 2010;22(3):339–47.PubMedCentralPubMedCrossRef
36.
Anastario MP, Tavarez MI, Chun H. Sexual risk behavior among military personel stationed at border-crossing zones in the Dominican Republic. Rev Panam Salud Publ. 2010;28(5):361–7.
37.
Allen CF, Edwards P, Grennari F, Caffe S, Boisson E, Jones S, et al. Evidence on Delay in Sexual Initiation, Multiple Partnerships and Condom Use among Young People: Review of Caribbean HIV Behavioural Studies. West Indian Med J. 2013;62(4):292–8.PubMed
38.
Devieux JG, Rosenburg R, Saint-Jean G, Bryant VE, Malow RM. The Continuing Challenge of Reducing HIV Risk among Haitian Youth: The Need for Intervention. J Int Assoc Providers AIDS Care. 2013. doi:10.​1177/​2325957411418119​.
39.
Lashley J, Yearwood J. Drug Use and Risky Sexual Behaviour in Tertiary Institutions in Barbados: Personal and ‘Liberal Campus’ Effects. J East Caribb Stud. 2011;36(4):60–90.
40.
Andrews B. Sociodemographic and Behavioural Characteristics of Youth Reporting HIV Testing in Three Caribbean Countries. West Indian Med J. 2011;60(3):276–83.PubMed
41.
Figueroa JP. The Challenge of Sexually Active School Children in the Caribbean in the era of HIV/AIDS. Chapter in Challenging HIV & AIDS: A new role for Caribbean Education, pages 167-173. Ed M Morrissey, M Bernard, D Bundy. Ian Randle Publishers, UNESCO 2010.
42.
Morrissey M. Response of the Education System in the Commonwealth Caribbean to the HIV/AIDS Epidemic: A Preliminary Overview. Chapter in Challenging HIV & AIDS: A new role for Caribbean Education, pages 1-13. Ed M Morrissey, M Bernard, D Bundy. Ian Randle Publishers, UNESCO 2010.
43.
The CARICOM Secretariat. HIV and AIDS Education Through HFLE for 10-14 year olds. Chapter in Challenging HIV & AIDS: A new role for Caribbean Education, pages 289-303. Ed M Morrissey, M Bernard, D Bundy. Ian Randle Publishers, UNESCO 2010.
44.
Barrow C. Sexual Identity, HIV and Adolescent Girls in Barbados. Soc Econ Stud. 2008;57(2):7–26.
45.
Plummer D. HIV in Caribbean Schools: The Role of Education in the Second Most Severely Affected Region in the World. Chapter in Challenging HIV & AIDS: A new role for Caribbean Education, pages 14-25. Ed M Morrissey, M Bernard, D Bundy. Ian Randle Publishers, UNESCO 2010.
46.•
Challenging HIV & AIDS: A new role for Caribbean Education. Ed M Morrissey, M Bernard, D Bundy. Ian Randle Publishers, UNESCO 2010. This is an important collection of papers exploring the implications of HIV for the education sector in the Caribbean.
47.
48.
Kempadoo K, Taitt A. Gender, Sexuality and Implications for HIV/AIDS in the Caribbean: A Review of Literature and Programmes. UNIFEM and IDRC 2006.
49.
Bombereau G, Allen C. Social and Cultural factors driving the HIV epidemic in the Caribbean: a literature review. Caribbean Health Research Council 2008.
50.
Figueroa JP. Understanding Sexual Behaviour in Jamaica. In: Horace L, editor. “The African-Caribbean Worldview and the Making of Caribbean Society”. Kingston: University of the West Indies Press; 2009.
51.
Anderson P. Measuring Masculinity in an Afro-Caribbean Context. Soc Econ Studies Nov 2011.
52.
Lefranc E, Wyatt GE, Chambers C, Eldemire D, Bain B, Ricketts H. Working Women’s Sexual Risk Taking in Jamaica. Soc Sci Med. 1996;42(10):1411–7.CrossRef
53.
Padilla MB, Guilamo-Ramos V, Bouris A, Reyes AM. HIV/AIDS and tourism in the Caribbean: an ecological systems perspective. Am J Public Health. 2010;100(1):70–7.PubMedCentralPubMedCrossRef
54.
Padilla MB, Guilamo-Ramos V, Godbole R. A Syndemic Analysis of Alcohol Use and Sexual Risk Behavior Among Tourism Employees in Sosúa. Dominican Repub Qual Health Res. 2012;22(1):89–102.CrossRef
55.
Boxill I, at al. Tourism & HIV/AIDS in Jamaica & The Bahamas. Arawak Publications 2005.
56.
Allen C. Intersections between HIV/AIDS and Violence Against Women: Research to Develop Pilot Projects in Barbados and Dominica. J East Carib Stud. 2011;36(4):39–59.
57.
Le Franc E, Samms-Vaughan M, Hambleton I, Fox K, Brown D. Interpersonal violence in three Caribbean countries: Barbados, Jamaica, and Trinidad and Tobago. Rev Panam Salud Publ. 2008;24(6):409–21.CrossRef
58.
59.
Forbes MA. Music, Media & Adolescent Sexuality in Jamaica. Arawak Publications 2010.
60.
Rowe Y. Vitamin S: Messages, Music and Video – An Analysis of the sexual Content and Perceptions of Sexuality Communicated in Popular Music Videos. Soc Econ Stud. 2013;62(1):227–47.
61.••
Barrow C, Aggleton P. Good face, Bad Mind? HIV Stigma and Tolerance Rhetoric in Barbados. Soc Econ Stud. 2013;62(1):29–52. The authors analyse the limits of tolerance as an antidote to stigma and discrimination and call for fundamental “reform of discriminatory laws, along with county-specific mechanisms for stigma elimination, sanctions and redress for discrimination”.
62.
Plummer D, McLean A. The Price of Prejudice: The Corrosive Effect of HIV-Related Stigma on Individuals and Society. Chapter in Challenging HIV & AIDS: A new role for Caribbean Education, pages 232-239. Ed M Morrissey, M Bernard, D Bundy. Ian Randle Publishers, UNESCO 2010.
63.
Clarke TR, Gibson R, Barrow G, James S, Abel WD, Barton EN. Disclosure of HIV status among HIV clinic attendees in Jamaica. West Indian Med J. 2010;59(4):445–9.PubMed
64.
Padilla MB, Reyes AM, Connolly M, Natsui S, Puello A, Chapman H. Examining the policy climate for HIV prevention in the Caribbean tourism sector: a qualitative study of policy makers. Dominican Repub Health Policy Plan. 2012;27(3):245–55.CrossRef
65.
St John A, Mascoll K, Waterman I, Chrichlow S. Ruther Reduction in Mother-To-Child Transmission of HIV in Barbados following intervention with HAART. J East Carib Stud. 2011;36(4):28–38.
66.
Christie CDC, Pierre R. Eliminating Vertically-transmitted HIV/AIDS while Improving Acess to Treatment and Care for Women, Children and Adolescents in Jamaica. West Indian Med J. 2012;61(4):396.PubMedCrossRef
67.
Morgan ND, Ferguson TS, Younger NOM, Tulloch-Reid MK, Francis DK, McFarlane SR, et al. Prevalence of High-risk Sexual Behaviour in Jamaican Adults and its Relationship to Sociodemographic and Religious Factors: Findings from the Jamaica Health and Lifestyle Survey 2007-2008. West Indian Med J. 2012;61(9):873–80.PubMedCrossRef
68.
White L, Byfield L, Sutherland S, Reid R. “Pinch, Leave an Inch and Roll” Applying the Communication-for-Behavioural-Impact (COMBI) Approach to the Promotion of Proper Male Condom Use in Jamaica. Caribb Q. 2012;58:43–66.
69.
Weir SS, Figueroa JP, Byfield L, Hall A, Cummings S. Suchindran. Randomized controlled trial to investigate the impact of site-based safer sex programmes in Kingston, Jamaica: trial design, methods and baseline findings. Trop Med Int Health. 2008;13(6):801–13.PubMedCrossRef
70.••
Figueroa JP, Weir SS, Byfield L, Hall A, Cummings S, Suckindron C. The Challenge of promoting safe sex at sites where persons go to meet new sex partners in Jamaica: results of the Kingston PLACE randomized controlled trial. Trop Med Int Health. 2010;15(8):945–54. In the Kingston PLACE randomized controlled trial, 147 sites where persons go to meet new sex partners were grouped into 50 geographic clusters and randomized to receive or not receive a multilevel PLACE intervention during 2006. There was no significant difference between the intervention and control groups in the proportion of men and women who reported new or multiple relationships in the past year and inconsistent condom use. Reasons given for the failure to show an intervention effect included difficulty in implementation, patron mixing among sites, intensity of national education campaigns, delay in conducting the post-intervention survey and evidence of other interventions at some control sites.
71.
Anderson C, Gallo MF, Hylton-Kong T, Steiner MJ, Hobbs MM, Macaluso M, et al. Randomized controlled trial on the effectiveness of counseling messages for avoiding unprotected sexual intercourse during STI and reproductive tract infection treatment among female STI clinic patients. Sex Transm Dis. 2013;40(2):105–10.
72.
Chin-Quee DS, Wedderburn M, Otterness C, Janowitz B, Chen-Mok M. Bridging emergency contraceptive pill users to regular contraception: results from a randomized trial in Jamaica. Contraception. 2010;81(2):133–9.PubMedCrossRef
73.
Figueroa JP, Jones-Cooper C. Attitudes towards male circumcision among attendees of a sexually transmitted infection clinic in Kingston, Jamaica. West Indian Med J. 2010;59(4):351–5.PubMed
74.
75.
Carter M, Gallo M, Anderson C, Snead MC, Wiener J, Costenbader E, et al. Intraviginal Cleansing among Women Attending a Sexually Transmitted Infection Clinic in Kingston, Jamaica. West Indian Med J. 2013;62(1):56–61.PubMed
76.
Foster TM, Lee MG, McGaw CD, Frankson MA. Prevalence of Needlestick Injuries and other High Risk Exposures among Healthcare Workers in Jamaica. West Indian Med J. 2010;59(2):153–8.PubMed
77.
78.
Duncan J, Grant Y, Clarke TR, Harvey KM, Gibson RC, Barrow G, et al. Sociodemographics and clinical presentation of HIV in Jamaica over 20 years. A comparative analysis of surveillance data. West Indian Med J. 2010;59(4):409–17.PubMed
79.••
Koenig SP, Rodriguez LA, Bartholomew C, Edwards A, Carmichael TE, Barrow G, et al. Long-term antiretroviral treatment outcomes in seven countries in the Caribbean. J Acquir Immune Defic Syndr. 2012;59(4):e60–71. doi:10.​1097/​QAI.​0b013e318245d3c1​. HIV treatment outcomes for 8,203 patients starting ART from 1998 to 2008 were studied in 7 Caribbean countries. Mortality was 13% overall with 75% of patients alive and in-care at the end of the study period.PubMedCentralPubMedCrossRef
80.
Halpern M, Lachmansingh B, Minior T, Hasbrouck LM, Persaud N, Foo A. Implementation of a standardized HIV patient monitoring system in Guyana. Rev Panam Salud Publ. 2010;28(2):107–13.CrossRef
81.••
Landis RC, Branch-Beckles SL, Crichlow S, Hambleton IR, Best A. Ten Year Trends in Community Viral Load n Barbados: Implications for Treatment as Prevention. PLoS One. 2013;8(3):e58590. Analysis of viral load trends in Barbados showed a significant improvement in viral load suppression in the past decade; from 33.6% of clients achieving the 200 copies/ml threshold in 2002 to 70.3% in 2011 (p<0.001) (80). This translated into an estimated 26.2% viral load suppression at a population level at the end of 2010, which is similar to reports in developed countries that used similar methods.PubMedCentralPubMedCrossRef
82.
Allen CF, Simon Y, Edwards J, Simeon DT. Adherence to Antiretroviral Therapy by People Accessing Services from Non-governmental HIV Support Organisations in Three Caribbean countries. West Indian Med J. 2011;60(3):269–75.PubMed
83.
Harvey K, Carrington D, Duncan D, Figueroa J, Hirshorn L, Manning D. Evaluation of adherence to highly active antiretroviral therapy in adults in Jamaica. West Indian Med J. 2008;57:293–7.PubMed
84.
Ravas G, Jack N, Alonso Gonzalez M, Sued O, Perez-Rosales, Gomez B, et al. Progress of implementation of the World Health Organisation strategy for HIV drug resistance control in Latin America and the Caribbean. Rev Panam Salud Publ. 2011;30(6):657–62.CrossRef
85.
Duke N, Aboh S, Bosivert N. Analysis of Resistance Testing in Trinidad. West Indian Med J. 2010;59:400–2.PubMed
86.
Barrow G, Hylton-Kong T, Rodriguez N, Yamamura Y, Figueroa JP. HIV-1 Drug Resistance Testing in Treatment Naïve, Chronically Infected Patients in Jamaica. Antivir Ther. 2013. doi:10.​3851/​IMP2869.PubMed
87.
Machado LY, Dubed M, Díaz H, Ruiz N, Romay D, Váldes N, et al. AIDS Res Hum Retrovir. 2013;29(2):411–4.PubMed
88.
Hamilton CL, Eyzaguirre LM, Amarakoon II, Figueroa P, Duncan J, Carr JK, et al. Analysis of protease and reverse transcriptase genes of HIV for antiretroviral drug resistance in Jamaican adults. AIDS Res Hum Retrovir. 2012;28(8):923–7.PubMedCrossRef
89.
Collins-Fairclough AM, Charurat M, Nadai Y, Pando M, Avila MM, Blattner WA, et al. Significantly longer envelope V2 loops are characteristic of heterosexually transmitted subtype B HIV-1 in Trinidad. PLoS One. 2011;6(6):e19995.PubMedCentralPubMedCrossRef
90.•
Barrow C, Barrow G. HIV Treatment as Prevention in Jamaica and Barbados: Magic Bullet or Sustainable Response? JIAPAC 2013. J Int Assoc Provid AIDS Care 2013 Dec 30. [Epub ahead of print]. This paper discusses the potential and challenges of ARV treatment as prevention in the context of Jamaica and Barbados.
91.
Figueroa JP. Turning the Tide toward an AIDS Free Generation: Is It Within Our Reach? West Indian Med J. 2013;62(4):279–81.
Metadaten
Titel
Review of HIV in the Caribbean: Significant Progress and Outstanding Challenges
verfasst von
J. Peter Figueroa
Publikationsdatum
01.06.2014
Verlag
Springer US
Erschienen in
Current HIV/AIDS Reports / Ausgabe 2/2014
Print ISSN: 1548-3568
Elektronische ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-014-0199-7

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