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Improving HIV and STI Prevention and Care for Venezuelan Sexual and Gender Minority Migrants in Lima, Peru

Award Number: R21MH133454
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/21/2023
PERIOD OF PERFORMANCE END DATE: 09/19/2025

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Improving HIV and STI Prevention and Care for Venezuelan Sexual and Gender Minority Migrants in Lima, Peru - The Venezuelan refugee crisis is the largest recorded mass migration in Latin America with 20% of Venezuela’s population displaced, primarily to Latin American countries. Venezuelan migrants face intersecting forms of socio-structural disadvantage that negatively impact their health—e.g., precarious employment, xenophobia and material deprivation. This displacement also strains chronically underfunded health care and public services; including in Peru, a country of 33 million, which is the second largest host country in the region with over 1 million Venezuelan migrants. These multi-level, systemic inequities perpetuate disadvantages among migrants and specifically among sexual and gender minorities (SGM). These unique biosocial stressors faced by Venezuelan sexual and gender minority migrants (VSGMM) require an urgent and tailored response to prevention and care services for HIV and other sexually transmitted infections (STIs); yet their needs remain understudied. SGM face individual and structural social conditions (e.g., high levels of violence, stigma, criminalization, and housing instability) and biomedical conditions (e.g., mental illness and substance use), can increase vulnerability to HIV/STI. Globally, SGM migrants are disproportionally at risk for HIV/STIs compared to non- SGM migrants as they are at the nexus of migration and SGM health disparities. Migrant populations face barriers to health care and social services access including stigmatization, discrimination and identity documentation requirements; these barriers are compounded among migrants engaged in sex work, who are frequently SGM. Venezuelan migrants living with HIV face heightened disparities; lower rates of viral suppression and higher rates of treatment non-adherence and abandonment compared to host countries’ citizens living with HIV. There is urgent need to assess the multi-level social and biomedical vulnerabilities that place VSGMM at risk for HIV/STI. Thus, we will apply Syndemic theory to assess the heightened risk of HIV/STIs acquisition and lower care engagement among adult VSGMM living in Peru and inform the future design and implementation of an integrated care and social prescribing intervention, providing for the HIV/STI needs of VSGMM and also linking them to with social services, to address both social and biomedical vulnerabilities. This two-year exploratory study will: Aim 1. Apply Syndemic Theory to explore how social vulnerabilities related to migration and SGM status drive unique HIV/STI prevention and care needs among VSGMM in Peru using qualitative research methods. Aim 2. Characterize the prevalence of HIV and STIs and identify syndemic clusters of biomedical and social factors associated with HIV/STI among VSGMM using a bio-behavioral survey and latent class analysis. Aim 3. Inform a novel intervention based on identified drivers of HIV/STI prevalence and care needs, migration, and social vulnerabilities including social prescribing and addressing their HIV/STI care needs.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = -$2,784 )
2026	2023	UNIVERSIDAD PERUANA CAYETANO HEREDIA	AVENIDA HONORIO DELGADO 430 URB URB INGENIERIA	LIMA				PER	Mental Health Research Grants	000	1	2/4/2026	NEW	-$2,784
														Subtotal = -$2,784

Issue Date FY: 2023 ( Subtotal = $317,220 )
2023	2023	UNIVERSIDAD PERUANA CAYETANO HEREDIA	AVENIDA HONORIO DELGADO 430 URB URB INGENIERIA	LIMA				PER	Mental Health Research Grants	000	1	9/21/2023	NEW	$317,220
														Subtotal = $317,220

Grand Total All Awards = $314,436

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Improving HIV and STI Prevention and Care for Venezuelan Sexual and Gender Minority Migrants in Lima, Peru

Award Number: R21MH133454

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/21/2023

PERIOD OF PERFORMANCE END DATE: 09/19/2025

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