Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/33837
Title: Awareness, willingness, and PrEP eligibility among transgender women in Rio de Janeiro, Brazil
Authors: Jalil, Emilia M.
Grinsztejn, Beatriz
Velasque, Luciane
Makkeda, Alessandra Ramos
Luz, Paula M.
Moreira, Ronaldo I.
Kamel, Luciana
Fernandes, Nilo M.
Ferreira, Ana Cristina G.
Hoagland, Brenda
Wagner, Sandra
Liu, Albert
McFarland, Willi
Buchbinder, Susan
Veloso, Valdilea G.
Wilson, Erin
Affilliation: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brasil.
Federal University of the State of Rio de Janeiro. Departamento de Matemática e Estatística. Rio de Janeiro, RJ, Brasil.
Rio de Janeiro Federal Institute of Education, Science and Technology. Niterói, RJ, Brazil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brasil.
San Francisco Department of Public Health. Bridge HIV. San Francisco, CA, USA.
University of California, San Francisco. Department of Medicine. San Francisco, CA, USA / University of California, San Francisco. Department of Epidemiology and Biostatistics. San Francisco, CA, USA.
San Francisco Department of Public Health. Bridge HIV. San Francisco, CA, USA / University of California, San Francisco. Department of Medicine. San Francisco, CA, USA / University of California, San Francisco. Department of Epidemiology and Biostatistics. San Francisco, CA, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST e AIDS. Rio de Janeiro, RJ, Brasil.
San Francisco Department of Public Health. Bridge HIV. San Francisco, CA, USA.
Abstract: Background: HIV epidemics disproportionately affect transwomen worldwide. Trans-specific guidance, outreach, and interventions to increase pre-exposure prophylaxis (PrEP) use among transwomen are scarce. Setting: Rio de Janeiro, Brazil. Methods: We measured awareness and willingness to use PrEP and examined factors associated with those outcomes among transwomen in Rio de Janeiro and estimated how many transwomen would be eligible for PrEP. Data originate from Transcender study, a respondent-driven sampling survey conducted from August 2015 to January 2016. We performed regression models for PrEP awareness and willingness. Results: One hundred thirty-one (38.0%) of 345 participants had heard of PrEP. Among transwomen who self-reported as HIVnegative, 162 (76.4%, N = 212 with available data) reported willingness to use it and 163 (66.8%, N = 244) met PrEP behavioral eligibility criteria. Transwomen with health access in the previous 6 months who reported HIV-infected sexual partner and with 8+ years of schooling had increased odds of PrEP awareness. Lower PrEP awareness was associated with condomless anal intercourse and newly diagnosed HIV infection. Younger age and perceiving themselves at risk of HIV infection increased the odds of PrEP willingness. Lower odds of PrEP willingness were associated with concerns about long-term effects of PrEP and with difficulties in getting access to health care due to transphobia. Conclusion: Combination of low awareness, high willingness, and substantial PrEP eligibility corroborates transwomen as a key population for HIV prevention. PrEP is a promising and empowering strategy for HIV prevention among transwomen, but trans-specific recommendations are needed to effectively implement PrEP in this population.
Keywords: Transgender person
HIV
Pre-exposure prophylaxis
HIV infections/prevention and control
Health knowledge
Attitudes
Practice
Issue Date: 2018
Publisher: Lippincott, Williams & Wilkins
Citation: JALIL, Emilia M. et al. Awareness, willingness, and PrEP eligibility among transgender women in Rio de Janeiro, Brazil. Journal of Acquired Immune Deficiency Syndromes, v. 79, n. 4, p. 445-452, Dec. 2018.
DOI: 10.1097/QAI.0000000000001839
ISSN: 1525-4135
Copyright: restricted access
Appears in Collections:INI - Artigos de Periódicos

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