nach oben

Erschienen in:

03.01.2018 | Original Paper

HIV-Related Healthcare Needs and Access Barriers for Brazilian Transgender and Gender Diverse People

verfasst von: Angelo Brandelli Costa, Anna Martha Vaitses Fontanari, Ramiro Figueiredo Catelan, Karine Schwarz, Juliana Ledur Stucky, Heitor Tome da Rosa Filho, Paola Fagundes Pase, Daniel Augusto Mori Gagliotti, Alexandre Saadeh, Maria Inês Rodrigues Lobato, Henrique Caetano Nardi, Silvia Helena Koller

Erschienen in: AIDS and Behavior | Ausgabe 8/2018

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study is to investigate HIV-related healthcare needs and access barriers for Brazilian transgender and gender diverse people. Data were collected from gender identity clinics and the questionnaire was also made available on the Internet. Out of the 543 participants—62.1% (n = 337) transgender women, 28.7 (n = 156) transgender men and 9.2% (n = 50) gender diverse people, 63.7% had been tested at least once in their lives. The prevalence of self-reported HIV-positive status among transgender women was 16.5%, of which 92.0% reported having a physician with whom they regularly consulted about HIV, whereas none of the transgender men or gender diverse people reported HIV-positive status. In addition, 8.2% of transgender men and 12.5% of gender diverse people did not know their serological status. Finally, 71.0% of the participants were unfamiliar with post-exposure prophylaxis. The study discusses the need for adequate behavior-oriented HIV health policies and training of healthcare professionals regarding the needs of Brazilian transgender and gender diverse people.

Baral SD, Poteat T, Strömdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infec Dis. 2013;13(3):214–22. https://doi.org/10.1016/S1473-3099(12)70315-8.CrossRef

Poteat T, Wirtz AL, Radix A, et al. HIV risk and preventive interventions in transgender women sex workers. Lancet. 2015;385(9964):274–86. https://doi.org/10.1016/S0140-6736(14)60833-3.CrossRefPubMed

Costa AB, Fontanari AMV, Jacinto MM, et al. Population-based HIV prevalence and associated factors in male-to-female transsexuals from southern Brazil. Arch Sex Behav. 2015;44(2):521–4. https://doi.org/10.1007/s10508-014-0386-z.CrossRefPubMed

Grinsztejn B, Jalil EM, Monteiro L, et al. Unveiling of HIV dynamics among transgender women: a respondent-driven sampling study in Rio de Janeiro, Brazil. Lancet HIV. 2017;4(4):169–76. https://doi.org/10.1016/s2352-3018(17)30015-2.CrossRef

Bauer GR, Travers R, Scanlon K, Coleman TA. High heterogeneity of HIV-related sexual risk among transgender people in Ontario, Canada: a province-wide respondent-driven sampling survey. BMC Public Health. 2012;12(1):1–12. https://doi.org/10.1186/1471-2458-12-292.CrossRef

Herbst JH, et al. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: a systematic review. AIDS Behav. 2008;12(1):1–17. https://doi.org/10.1007/s10461-007-9299-3.CrossRefPubMed

Reisner SL, Murchison GR. A global research synthesis of HIV and STI biobehavioural risks in female-to-male transgender adults. Glob Public Health. 2016;11(7–8):866–87. https://doi.org/10.1080/17441692.2015.1134613.CrossRefPubMedPubMedCentral

Scheim IA, Jackson R, James L, Sharp Dopler T, Pyne J, Bauer GR. Barriers to well-being for aboriginal gender-diverse people: results from the Trans PULSE Project in Ontario, Canada. Ethn Inequal Health Soc Care. 2013;6(4):108–20. https://doi.org/10.1108/EIHSC-08-2013-0010.CrossRef

Costa AB, Peroni RO, Camargo ES, Pasley A, Nardi HC. Prejudice toward gender and sexual diversity in a Brazilian Public University: prevalence, awareness, and the effects of education. Sex Res Social Policy. 2015;12(4):261–72. https://doi.org/10.1007/s13178-015-0191-z.CrossRef

10.

Cerqueira-Santos E, Calvetti PU, Rocha K, Moura A, Barbosa L, Herme J. Percepção de Usuários Gays, Lésbicas, Bissexuais e Transgêneros, Transexuais e Travestis do Sistema Único de Saúde [Perception of gay, lesbian, bisexual and transgender, transsexual and travesti users about Brazilian unified health system]. Interam J Psychol. 2010;44(2):235–45. https://doi.org/10.1007/s10508-014-0386-z.CrossRef

11.

Balzer C, Hutta JS, Adrián T, Hyndal P. Transrespect versus transphobia worldwide: a comparative review of the human-rights situation of gender-variant/trans people. Berlin: Transgender Europe (TGEU); 2012.

12.

Costa AB, Rosa FHT, Pase PF, Fontanari AMV, Catelan RF, Mueller A, et al. Healthcare needs of and access barriers for Brazilian transgender and gender diverse people. J Immigr Minor Health. 2016. https://doi.org/10.1007/s10903-016-0527-7.CrossRef

13.

Andrinopoulos K, Hembling J, Guardado ME, Maria Hernandez F, Nieto AI, Melendez G. Evidence of the negative effect of sexual minority stigma on HIV testing among MSM and transgender women in San Salvador, El Salvador. AIDS Behav. 2015;19(1):60–71. https://doi.org/10.1007/s10461-014-0813-0.CrossRefPubMed

14.

Bao A, Colby DJ, Trang T, et al. Correlates of HIV testing among transgender women in Ho Chi Minh, Vietnam. AIDS Behav. 2016;20(Suppl 3):371–8. https://doi.org/10.1007/s10461-016-1574-8.CrossRefPubMed

15.

Pal K, Ngin C, Tuot S, et al. Acceptability study on HIV self-testing among transgender women, men who have sex with men, and female entertainment workers in Cambodia: a qualitative analysis. PLoS ONE. 2016;11(11):e0166129. https://doi.org/10.1371/journal.pone.0166129.CrossRefPubMedPubMedCentral

16.

Lippman SA, Moran L, Sevelius J, et al. Acceptability and feasibility of HIV self-testing among transgender women in San Francisco: a mixed methods pilot study. AIDS Behav. 2016;20(4):928–38. https://doi.org/10.1007/s10461-015-1236-2.CrossRefPubMedPubMedCentral

17.

Frye V, Wilton L, Hirshfied S, et al. “Just because it’s out there, people aren’t going to use it”: HIV self-testing among young, black MSM, and transgender women. AIDS Patient Care STDS. 2015;29(11):617–24. https://doi.org/10.1089/apc.2015.0100.CrossRefPubMedPubMedCentral

18.

Logie CH, Lacombe-Duncan A, Brien N, et al. Barriers and facilitators to HIV testing among young men who have sex with men and transgender women in Kingston, Jamaica: a qualitative study. J Int AIDS Soc. 2017;20(1):1–9. https://doi.org/10.7448/IAS.20.1.21385.CrossRef

19.

Woodford MR, Chakrapani V, Newman PA, Shunmugam M. Barriers and facilitators to voluntary HIV testing uptake among communities at high risk of HIV exposure in Chennai, India. Glob Public Health. 2015. https://doi.org/10.1080/17441692.2015.1057757.PubMedCrossRef

20.

Wirtz AL, Clouse E, Veronese V, et al. New HIV testing technologies in the context of a concentrated epidemic and evolving HIV prevention: qualitative research on HIV self-testing among men who have sex with men and transgender women in Yangon, Myanmar. PLoS ONE. 2017;20(1):1–9. https://doi.org/10.7448/IAS.20.1.21796.CrossRef

21.

Parker R, Aggleton P. HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action. Soc Sci Med. 2003;57(1):13–24. https://doi.org/10.1016/S0277-9536(02)00304-0.CrossRefPubMed

22.

Boerma JT, Weir SS. Integrating demographic and epidemiological approaches to research on HIV/AIDS: the proximate-determinants framework. J Infect Dis. 2005;191(Supp 1):S61–7. https://doi.org/10.1086/425282.CrossRefPubMed

23.

Lewis ND. Is the social–ecological framework useful in understanding infectious diseases? The case of HIV/AIDS. EcoHealth. 2005;2(4):343–8.CrossRef

24.

TransPULSE. Provincial survey. 2012. http://transpulseproject.ca/wp-content/uploads/2012/05/Trans-PULSE-survey-information-only-copy-2012.pdf.

25.

Reisner SL, Conron KJ, Tardiff LA, Jarvi S, Gordon AR, Austin SB. Monitoring the health of transgender and other gender minority populations: validity of natal sex and gender identity survey items in a U.S. national cohort of young adults. BMC Public Health. 2014;14(1):1224. https://doi.org/10.1186/1471-2458-14-1224.CrossRefPubMedPubMedCentral

26.

Carvalho M, Carrara S. Em direito a um futuro trans?: contribuição para a história do movimento de travestis e transexuais no Brasil [Towards a trans future? Contributions to a history of the travesti and transsexual movement in Brazil]. Sex Salud Soc. 2013;14:319–51. https://doi.org/10.1590/s1984-64872013000200015.CrossRef

27.

Barbosa C. “Doidas e putas”: usos das categorias travesti e transexual [“Freaks and whores”: uses of travesti and transsexual categories]. Sex Salud Soc. 2013;14(2):352–79. https://doi.org/10.1590/s1984-64872013000200016.CrossRef

28.

Socías ME, Marshall BD, Arístegui I, et al. Factors associated with healthcare avoidance among transgender women in Argentina. Int J Equity Health. 2014;13(1):1–12. https://doi.org/10.1186/s12939-014-0081-7.CrossRef

29.

Pinheiro Junior FM, Kendall C, Martins TA, et al. Risk factors associated with resistance to HIV testing among transwomen in Brazil. AIDS Care. 2016;28(1):92–7. https://doi.org/10.1080/09540121.2015.1066751.CrossRefPubMed

30.

Pascom ARP, Arruda MR, Simão MBG. Pesquisa de conhecimentos, atitudes e práticas na população brasileira de 15 a 64 anos 2008 [Research on knowledge, attitudes and practices in the Brazilian population from 15 to 64 years-old 2008]. Ministério da Saúde, Brasília, Brazil; 2011.

31.

Sousa PJD, Ferreira LOC, Sá JBD. Estudo descritivo da homofobia e vulnerabilidade ao HIV/Aids das travestis da Região Metropolitana do Recife, Brasil [Descriptive study of homophobia and vulnerability to HIV/Aids of the transvestites in the Metropolitan Region of Recife, Brazil]. Cien Saude Colet. 2013;18(8):2239–51. https://doi.org/10.1590/S1413-81232013000800008.CrossRefPubMed

32.

Martins TA, Kerr LRF, Macena RH, et al. Travestis, an unexplored population at risk of HIV in a large metropolis of northeast Brazil: a respondent-driven sampling survey. AIDS Care. 2013;25(5):606–12. https://doi.org/10.1080/09540121.2012.726342.CrossRefPubMed

33.

Brazilian Ministry of Health. Boletim epidemiológico AIDS e DST [Epidemiological data on AIDS and IST]. Ministério da Saúde, Brasília, Brazil; 2012.

34.

World Health Organization. Post-exposure prophylaxis to prevent HIV infection. Geneva: WHO; 2014. http://www.who.int/hiv/topics/prophylaxis/info/en/.

35.

Silva AS, Barboza R. Exclusão social e consciência política: luta e militância de transgêneros no ENTLAIDS [Social exclusion and political awareness: transgender struggle and activism in ENTLAIDS]. Cadernos CERU. 2009;20:257–76.

36.

Ensor T, Cooper S. Overcoming barriers to health service access: influencing the demand side. Health Policy Plan. 2004;19(2):69–79. https://doi.org/10.1093/heapol/czh009.CrossRefPubMed

37.

Weinhardt LS, Forsyth AD, Carey MP, Jaworski BC, Durant LE. Reliability and validity of self-report measures of HIV-related sexual behavior: progress since 1990 and recommendations for research and practice. Arch Sex Behav. 1998;27(2):155–80.CrossRefPubMedPubMedCentral

38.

Mota RMS, Kerr LRFS, Kendall C, Pinho A, de Mello MB, Dourado I, et al. Reliability of self-report of HIV status among men who have sex with men in Brazil. JAIDS. 2011;57:S153–6.

Titel: HIV-Related Healthcare Needs and Access Barriers for Brazilian Transgender and Gender Diverse People
verfasst von: Angelo Brandelli Costa
Anna Martha Vaitses Fontanari
Ramiro Figueiredo Catelan
Karine Schwarz
Juliana Ledur Stucky
Heitor Tome da Rosa Filho
Paola Fagundes Pase
Daniel Augusto Mori Gagliotti
Alexandre Saadeh
Maria Inês Rodrigues Lobato
Henrique Caetano Nardi
Silvia Helena Koller
Publikationsdatum: 03.01.2018
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 8/2018
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-017-2021-1

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

25.04.2024 | Hypotonie | Nachrichten

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

HIV-Related Healthcare Needs and Access Barriers for Brazilian Transgender and Gender Diverse People

Abstract

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Adjuvante Immuntherapie verlängert Leben bei RCC

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

Update Innere Medizin

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2018

Past Care Predicts Future Care in Out-of-Care People Living with HIV: Results of a Clinic-Based Retention-in-Care Intervention in North Carolina

Randomized Trial of a Health Coaching Intervention to Enhance Retention in Care: California Collaborative Treatment Group 594

Longitudinal Effects of Syndemics on ART Non-adherence Among Sexual Minority Men

Testing the Efficacy of Combined Motivational Interviewing and Cognitive Behavioral Skills Training to Reduce Methamphetamine Use and Improve HIV Medication Adherence Among HIV-Positive Gay and Bisexual Men

Peer Support and the HIV Continuum of Care: Results from a Multi-Site Randomized Clinical Trial in Three Urban Clinics in the United States

Integrated Bio-behavioral Approach to Improve Adherence to Pre-exposure Prophylaxis and Reduce HIV Risk in People Who Use Drugs: A Pilot Feasibility Study

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Adjuvante Immuntherapie verlängert Leben bei RCC

Alectinib verbessert krankheitsfreies Überleben bei ALK-positivem NSCLC

Update Innere Medizin