Factors associated with prior testing for HIV, Syphilis, and Hepatitis B and C among transgender women and travestis in Brazil
To investigate the prior testing for HIV, syphilis, hepatitis B (HBV), and hepatitis C (HCV) among transgender women and travestis (TGW) in five Brazilian cities and identify factors associated with each of these previous tests. This is a cross-sectional study with the recruitment of TGW through res...
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| Published in: | Revista brasileira de epidemiologia Vol. 27Suppl 1; no. Suppl 1; p. e240008.supl.1 |
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| Language: | English Portuguese |
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2024
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| Abstract | To investigate the prior testing for HIV, syphilis, hepatitis B (HBV), and hepatitis C (HCV) among transgender women and travestis (TGW) in five Brazilian cities and identify factors associated with each of these previous tests.
This is a cross-sectional study with the recruitment of TGW through respondent-driven sampling (TransOdara Study). The investigated outcome variable was prior testing for HIV, syphilis, HBV, and HCV in the last 12 months. The association between sociodemographic and behavioral factors with the outcome was analyzed using a binomial logistic regression with mixed effects. Adjusted odds ratios (aOR) and 95% confidence intervals (CI95%) were estimated.
The proportions of individuals with prior testing in the past year were as follows: 56.3% for HIV, 58.0% for syphilis, 42.1% for HBV, and 44.7% for HCV. Negative associations with prior testing were observed for individuals aged 35 years or older, whereas positive associations were found for those with high school education, those who experienced verbal or psychological violence in the last 12 months, and those who had commercial or casual partners in the last 6 months.
There was low frequency of testing in the 12 months preceding the study for HIV, syphilis, HBV, and HCV compared to the guidelines established by the Ministry of Health. Expanding access to and engagement with healthcare and prevention services for TGW is an essential strategy in reducing the transmission chain of HIV and other sexually transmitted infections (STIs). |
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| AbstractList | To investigate the prior testing for HIV, syphilis, hepatitis B (HBV), and hepatitis C (HCV) among transgender women and travestis (TGW) in five Brazilian cities and identify factors associated with each of these previous tests.OBJECTIVETo investigate the prior testing for HIV, syphilis, hepatitis B (HBV), and hepatitis C (HCV) among transgender women and travestis (TGW) in five Brazilian cities and identify factors associated with each of these previous tests.This is a cross-sectional study with the recruitment of TGW through respondent-driven sampling (TransOdara Study). The investigated outcome variable was prior testing for HIV, syphilis, HBV, and HCV in the last 12 months. The association between sociodemographic and behavioral factors with the outcome was analyzed using a binomial logistic regression with mixed effects. Adjusted odds ratios (aOR) and 95% confidence intervals (CI95%) were estimated.METHODSThis is a cross-sectional study with the recruitment of TGW through respondent-driven sampling (TransOdara Study). The investigated outcome variable was prior testing for HIV, syphilis, HBV, and HCV in the last 12 months. The association between sociodemographic and behavioral factors with the outcome was analyzed using a binomial logistic regression with mixed effects. Adjusted odds ratios (aOR) and 95% confidence intervals (CI95%) were estimated.The proportions of individuals with prior testing in the past year were as follows: 56.3% for HIV, 58.0% for syphilis, 42.1% for HBV, and 44.7% for HCV. Negative associations with prior testing were observed for individuals aged 35 years or older, whereas positive associations were found for those with high school education, those who experienced verbal or psychological violence in the last 12 months, and those who had commercial or casual partners in the last 6 months.RESULTSThe proportions of individuals with prior testing in the past year were as follows: 56.3% for HIV, 58.0% for syphilis, 42.1% for HBV, and 44.7% for HCV. Negative associations with prior testing were observed for individuals aged 35 years or older, whereas positive associations were found for those with high school education, those who experienced verbal or psychological violence in the last 12 months, and those who had commercial or casual partners in the last 6 months.There was low frequency of testing in the 12 months preceding the study for HIV, syphilis, HBV, and HCV compared to the guidelines established by the Ministry of Health. Expanding access to and engagement with healthcare and prevention services for TGW is an essential strategy in reducing the transmission chain of HIV and other sexually transmitted infections (STIs).CONCLUSIONThere was low frequency of testing in the 12 months preceding the study for HIV, syphilis, HBV, and HCV compared to the guidelines established by the Ministry of Health. Expanding access to and engagement with healthcare and prevention services for TGW is an essential strategy in reducing the transmission chain of HIV and other sexually transmitted infections (STIs). ABSTRACT Objective: To investigate the prior testing for HIV, syphilis, hepatitis B (HBV), and hepatitis C (HCV) among transgender women and travestis (TGW) in five Brazilian cities and identify factors associated with each of these previous tests. Methods: This is a cross-sectional study with the recruitment of TGW through respondent-driven sampling (TransOdara Study). The investigated outcome variable was prior testing for HIV, syphilis, HBV, and HCV in the last 12 months. The association between sociodemographic and behavioral factors with the outcome was analyzed using a binomial logistic regression with mixed effects. Adjusted odds ratios (aOR) and 95% confidence intervals (CI95%) were estimated. Results: The proportions of individuals with prior testing in the past year were as follows: 56.3% for HIV, 58.0% for syphilis, 42.1% for HBV, and 44.7% for HCV. Negative associations with prior testing were observed for individuals aged 35 years or older, whereas positive associations were found for those with high school education, those who experienced verbal or psychological violence in the last 12 months, and those who had commercial or casual partners in the last 6 months. Conclusion: There was low frequency of testing in the 12 months preceding the study for HIV, syphilis, HBV, and HCV compared to the guidelines established by the Ministry of Health. Expanding access to and engagement with healthcare and prevention services for TGW is an essential strategy in reducing the transmission chain of HIV and other sexually transmitted infections (STIs). To investigate the prior testing for HIV, syphilis, hepatitis B (HBV), and hepatitis C (HCV) among transgender women and travestis (TGW) in five Brazilian cities and identify factors associated with each of these previous tests. This is a cross-sectional study with the recruitment of TGW through respondent-driven sampling (TransOdara Study). The investigated outcome variable was prior testing for HIV, syphilis, HBV, and HCV in the last 12 months. The association between sociodemographic and behavioral factors with the outcome was analyzed using a binomial logistic regression with mixed effects. Adjusted odds ratios (aOR) and 95% confidence intervals (CI95%) were estimated. The proportions of individuals with prior testing in the past year were as follows: 56.3% for HIV, 58.0% for syphilis, 42.1% for HBV, and 44.7% for HCV. Negative associations with prior testing were observed for individuals aged 35 years or older, whereas positive associations were found for those with high school education, those who experienced verbal or psychological violence in the last 12 months, and those who had commercial or casual partners in the last 6 months. There was low frequency of testing in the 12 months preceding the study for HIV, syphilis, HBV, and HCV compared to the guidelines established by the Ministry of Health. Expanding access to and engagement with healthcare and prevention services for TGW is an essential strategy in reducing the transmission chain of HIV and other sexually transmitted infections (STIs). |
| Author | Leite, Beo Oliveira Sperandei, Sandro Magno, Laio Luppi, Carla Gianna Veras, Maria Amelia de Sousa Mascena Dourado, Inês |
| AuthorAffiliation | I Universidade Federal da Bahia, Institute of Public Health – Salvador (BA), Brazil III Western Sydney University, Translational Health Research Institute – Penrith, Astralia II Universidade do Estado da Bahia, Life Sciences Department – Salvador (BA), Brazil IV Universidade Federal de São Paulo, Paulista School of Medicine, Preventive Medicine Department – São Paulo (SP), Brazil V Santa Casa de São Paulo, School of Medical Sciences – São Paulo (SP), Brazil |
| AuthorAffiliation_xml | – name: IV Universidade Federal de São Paulo, Paulista School of Medicine, Preventive Medicine Department – São Paulo (SP), Brazil – name: I Universidade Federal da Bahia, Institute of Public Health – Salvador (BA), Brazil – name: II Universidade do Estado da Bahia, Life Sciences Department – Salvador (BA), Brazil – name: V Santa Casa de São Paulo, School of Medical Sciences – São Paulo (SP), Brazil – name: III Western Sydney University, Translational Health Research Institute – Penrith, Astralia – name: Universidade Federal da Bahia – name: Western Sydney University – name: Universidade Federal de São Paulo – name: Santa Casa de São Paulo – name: Universidade do Estado da Bahia |
| Author_xml | – sequence: 1 givenname: Beo Oliveira orcidid: 0000-0002-4137-9809 surname: Leite fullname: Leite, Beo Oliveira organization: Universidade Federal da Bahia, Institute of Public Health - Salvador (BA), Brazil – sequence: 2 givenname: Inês orcidid: 0000-0003-1675-2146 surname: Dourado fullname: Dourado, Inês organization: Universidade Federal da Bahia, Institute of Public Health - Salvador (BA), Brazil – sequence: 3 givenname: Laio orcidid: 0000-0003-3752-0782 surname: Magno fullname: Magno, Laio organization: Universidade do Estado da Bahia, Life Sciences Department - Salvador (BA), Brazil – sequence: 4 givenname: Sandro orcidid: 0000-0001-5367-3397 surname: Sperandei fullname: Sperandei, Sandro organization: Western Sydney University, Translational Health Research Institute - Penrith, Astralia – sequence: 5 givenname: Carla Gianna orcidid: 0000-0001-9183-8594 surname: Luppi fullname: Luppi, Carla Gianna organization: Universidade Federal de São Paulo, Paulista School of Medicine, Preventive Medicine Department - São Paulo (SP), Brazil – sequence: 6 givenname: Maria Amelia de Sousa Mascena orcidid: 0000-0002-1159-5762 surname: Veras fullname: Veras, Maria Amelia de Sousa Mascena organization: Santa Casa de São Paulo, School of Medical Sciences - São Paulo (SP), Brazil |
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| Keywords | Hepatite C Serologic tests Hepatite B Pessoas transgênero HIV Syphilis Sífilis Testes sorológicos Transgender persons Hepatitis C Hepatitis B |
| Language | English Portuguese |
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| Snippet | To investigate the prior testing for HIV, syphilis, hepatitis B (HBV), and hepatitis C (HCV) among transgender women and travestis (TGW) in five Brazilian... ABSTRACT Objective: To investigate the prior testing for HIV, syphilis, hepatitis B (HBV), and hepatitis C (HCV) among transgender women and travestis (TGW) in... |
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| Title | Factors associated with prior testing for HIV, Syphilis, and Hepatitis B and C among transgender women and travestis in Brazil |
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