Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/30408
Title: Optimising HIV programming for transgender women in Brazil
Authors: Sevelius, Jae
Murray, Laura Rebecca
Fernandes, Nilo Martinez
Veras, Maria Amelia
Grinsztejn, Beatriz
Lippman, Sheri A
Affilliation: University of California. Division of Prevention Sciences. Department of Medicine. San Francisco, CA, USA.
Universidade Estadual do Rio de Janeiro. Instituto de Medicina Social. Departamento de Política, Planejamento e Administração em Saúde. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Santa Casa de São Paulo. Faculdade de Ciências Médicas. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
University of California. Division of Prevention Sciences. Department of Medicine. San Francisco, CA, USA.
Abstract: In Brazil, little data is available to inform HIV prevention programming for travestis and transgender ('trans') women, despite the existence of a social movement that has gained strength in recent years. We conducted formative research in Rio de Janeiro to gather trans women's perspectives on combination HIV prevention approaches. Framing the analysis within the model of gender affirmation, we found that several social and contextual factors inhibited participants' access to HIV prevention and treatment. Experienced and anticipated gender-related discrimination and HIV stigma were linked to the avoidance of HIV testing, health services and HIV status disclosure. Participants recommended HIV prevention interventions which combined socio-structural interventions, such as peer-based empowerment and social support, with biomedical interventions such as pre-exposure prophylaxis (PrEP). Participants expressed a preference for programmes and interventions that emphasised a gender-affirmative approach, promoted autonomy and aimed to reduce stigma and discrimination in public health services.
Keywords: Brazil
HIV prevention
HIV treatment
Transgender women
Programme development
Travesti
Issue Date: 2018
Publisher: Taylor & Francis
Citation: SEVELIUS, J. et al. Optimising HIV programming for transgender women in Brazil. Culture, Health & Sexuality, 2018.
DOI: 10.1080/13691058.2018.1496277
ISSN: 1369-1058
Copyright: restricted access
Appears in Collections:INI - Artigos de Periódicos

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