Keywords
travestis
transgender woman
TransOdara
cross-sectional study
social vulnerability.
How to Cite
Abstract
Introduction: The prevalence of HIV among travestis and transgender women (TrTW) is high. Objective: To estimate the prevalence of HIV in this population and describe the socioeconomic characteristics of TrTW in three subgroups with high social vulnerability. Methods: Descriptive study, with data from participants recruited in Manaus, from November 2020 to April 2021, by the multicenter study-TransOdara. Structured interviews and a rapid HIV test were carried out. Variables were described in absolute and relative frequencies. Results: 39 TrMT participated (48.7% incarcereted, 28.2% in homeless, and 23.1% immigrants). About 50% of the participants were between 20 and 29 years old, with up to 8 years of study, and 81.6% were black or brown. HIV prevalence was 23.1% (9/39), with no statistical difference between the analyzed subgroups (p = 0.090). Conclusion: The high prevalence of HIV among the selected TrMT requires the improvement of targeted strategies to expand this population's access to health.
References
Brasil, Ministério da Saúde, Departamento de Doenças de Condições Crônicas e Infecções Sexualmente Transmissíveis, Secretaria de Vigilância em Saúde do MS. Boletim Epidemiológico HIV / Aids | 2019 2019:72.
Amazonas. Fundação de Vigilâcia em Saúde do Amazonas. Boletim epidemiológico. Manaus, 2021. Disponivel em: https://www.fvs.am.gov.br/transparenciacovid19_dadosepidemiologicos. Acesso em: 11 de outubro de 2022.
Rocha ABM, Barros C, Generoso IP, Bastos F, Veras MASM. HIV continuum of care among trans women and travestis living in São Paulo, Brazil. Rev Saude Publica. 2020;54:118.
Veras MASM, Saggese GSR , Gomez Junior JL, Silveira P, Paiatto B, Ferreira D, Souza PA, Calado R, Castejon MJ, Yamashiro M, Brígido LFM, Turner C, Lin J, Wilson EC, MacFarland W. Young Age and Sex Work Are Associated With HIV Seroconversion Among Transgender Women in São Paulo, Brazil. J Acquir Immune Defic Syndr 2021;88:e1-e4.
Ferreira Jr S, Bergamo PMS, Nogueira FPA. Perfil de travestis e transgêneros: tuberculose e HIV/Aids na cidade de São Paulo. Rev Panam Salud Publica, 2016, pp. 410-17.
Who Global AIDS Monitoring 2023. Indicators and questions for monitoring progress on the 2021 Political Declaration on HIV and AIDS. Disponível em: https://unaids.org. Acesso em: 18 de janeiro de 2023.
Meerwijk EL, Sevelius JM. Transgender population size in the United States: A meta-regression of population-based probability samples. American Journal of Public Health 2017; 107: e1-e8.
Campos LN, Guimarães MDC, Carmo RA, Melo APS, Oliveira HN, Elkington K, McKinnon K. HIV, syphilis, and hepatitis B and C prevalence among patients with mental illness: a review of the literature. Cadernos de Saúde Pública [online]. 2008, v. 24, suppl 4 [Accessed 14 August 2022], pp. s607-s620. Available from: <https://doi.org/10.1590/S0102-311X2008001600012>. Epub. ISSN 1678-4464.
Winter S, Diamond M, Green J, Karasic D, Reed T, Whittle S, Wylie K. Transgender people: health at the
margins of society. Lancet mini-series on transgender health: paper one, 2016, pp.1-34.
Magnol L, Silva LAVD, Veras MA, Pereira-Santos M, Dourado I. Stigma and discrimination related to gender
identity and vulnerability to hiv/aids among transgender women: A systematic review. Cadernos de Saúde
Pública; 35. Epub ahead of print 2019. DOI: 10.1590/0102-311X00112718.
Unaids. Estatísticas Globais Sobre HIV 2019. UNAIDS, 2019. Disponível em: https://unaids.org.br/
wpcontent/uploads/2019/11/2019_UNAIDS_WAD2019_FactSheet.pdf. Acesso em: 25 de abril de 2022.
n.d.
Moscheta MS, Souza LV, Santos MA. Health care provision in Brazil: A dialogue between health professionals and lesbian, gay, bisexual and transgender service users. Journal of Health Psychology 2016; 21: 369-78.
Rocon PC, Rodrigues A, Zamboni J, Pedrini MD. Dificuldades vividas por pessoas trans no acesso ao Sistema Único de Saúde. Ciência e Saúde Coletiva 2016; 21: 2517-25.
Gestos. Índice de Estigma em relação às pessoas vivendo com HIV/AIDS. Sumário Executivo Brasília, 2019. Disponível em: https://unaids.org.br/indice-estigma/. Acesso em: 05 de julho de 2022.
Bastos FI, Bastos LS, Coutinho C, Toledo L, Mota JC, Velasco-de-Castro CA et al. HIV, HCV, HBV, and syphilis among transgender women from Brazil: Assessing different methods to adjust infection rates of a hard-to-reach, sparse population. Medicine 2018; 97: S16-S24.
Brasil. Ministério da Saúde. Portaria nº 2.803, de 19 de novembro de 2013. Brasília 2013. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt2803_19_11_2013.html. Acesso em: 11 de outubro de 2022.
Martins TA, Kerr LRS, Macena RHM, Kendall C. Travestis, an unexplored population at risk of HIV in a large metropolis of northeast Brazil: A respondent-driven sampling survey. AIDS Care 2012;25.
Herbst JH, Jacobs ED, Finlayson TJ, McKleroy VS, Neumann MS, Crepaz N, HIV/AIDS Prevention Research Synthesis Team. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: A systematic review. AIDS Behav 2008;12:1-17. https://doi.org/10.1007/s10461-007-9299-3.
Amazonas. Ministério Público. MPAM em ação: Promotora destaca a importância da garantia de direitos às pessoas trans por meio do projeto "Manas no Cárcere". Abril de 2021, Manaus, Amazonas. Disponível em: MPAM em ação: Promotora destaca a importância da garantia de direitos às pessoas trans por meio do projeto "Manas no Cárcere" Acesso em: 04 de outubro de 2022.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Raphael Borges Serra, Katia Cristina Bassichetto , Maria Paula Batalha Costa , Dária Barroso Serrão, Rita Bacuri, Claudia Barros, Adele Schwartz Benzaken , Maria Amelia Sousa Mascena Veras