aDepartment of Medical Education, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico;

bDivisión de Estudios de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico;

cDirección General de Epidemiología, Secretaría de Salud, Mexico City, Mexico;

dCentro Nacional para la Prevención y el Control del VIH y el sida, Mexican Ministry of Health, Mexico City, Mexico;

eInstituto de Diagnóstico y Referencia Epidemiológicos Dr. Manuel Martínez Báez, Secretaría de Salud, Mexico City, Mexico;

fSecretaría de Salud, Mexico City, Mexico;

gHospital Regional de Alta Especialidad del Bajío, Secretaría de Salud, León, Guanajuato, Mexico;

hDepartment of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; and

iInstitute of Bioelectronic Medicine, Feinstein Institutes for Medical Research, Manhasset, NY.

Correspondence to: Isaac Núñez, MD, Department of Medical Education, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga #15, Belisario Domínguez Sección XVI, Tlalpan, Mexico City, Mexico, 14080 (e-mail: [email protected]).

A preliminary version of this study was presented at the 2023 International AIDS Society Conference; July 24, 2023; Brisbane, Australia.

The authors have no funding or conflicts of interest to disclose.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jaids.com).

I.N. and S.I.V.F. designed the study. I.N. and S.E.C.L. performed data cleaning. I.N. performed the data analysis. A.T., G.G.R., I.L.M., H.L.G., J.L.M.G., and S.I.F.V. aided with literature review. I.N. wrote the first draft. All authors critically revised the manuscript.

I.N. and S.I.V.F. are equal contributors.