Por favor, use este identificador para citar o enlazar este ítem:
https://www.arca.fiocruz.br/handle/icict/37125
Tipo
ArtículoDerechos de autor
Acceso restringido
Fecha del embargo
2025-01-01
Objetivos de Desarrollo Sostenible
05 Igualdade de gêneroColecciones
- INI - Artigos de Periódicos [3498]
Metadatos
Mostrar el registro completo del ítem
DEPRESSION, SEXUAL BEHAVIOR, AND HIV TREATMENT OUTCOMES AMONG TRANSGENDER WOMEN, CISGENDER WOMEN AND MEN WHO HAVE SEX WITH MEN LIVING WITH HIV IN BRAZIL AND THAILAND: A SHORT REPORT
Autor
Afiliación
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA./ Department of Social Medicine, University of North Carolina , Chapel Hill , NC , USA.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Department of Global Health and Population, Harvard T.H. Chan School of Public Health , Boston , MA , USA.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Departments of Behavioral & Social Health Sciences and Epidemiology, School of Public Health, Brown University , Providence , RI , USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Faculty of Medicine, and Research Institute for Health Sciences, Chiang Mai University , Chiang Mai , Thailand.
Department of Psychology, University of Miami , Miami , FL , USA.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Department of Global Health and Population, Harvard T.H. Chan School of Public Health , Boston , MA , USA.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Departments of Behavioral & Social Health Sciences and Epidemiology, School of Public Health, Brown University , Providence , RI , USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Faculty of Medicine, and Research Institute for Health Sciences, Chiang Mai University , Chiang Mai , Thailand.
Department of Psychology, University of Miami , Miami , FL , USA.
Resumen en ingles
One in five transgender women (TW) are living with HIV, yet little has been published about their health outcomes. We analyzed data from TW (n = 37), cisgender women (CW, n = 165), and cisgender men who have sex with men (MSM, n = 151) in Thailand and Brazil. We hypothesized: (1) TW will have higher odds of depressive symptoms, lower odds of condom use and greater odds of a detectable viral load compared to MSM and CW; and (2) TW will have lower odds of condom use and higher odds of detectable viral load. We found that TW had higher odds of depression (OR 2.2, 95%CI: 1.0, 4.8, p = 0.04) and were less likely than MSM (22% v. 42%, p = 0.01) to use condoms with partners of unknown serostatus. In multivariable models, TW had lower odds than MSM of using condoms with partners with unknown serostatus (OR 0.38, 95%CI: 0.15, 0.90) and CW had lower odds than MSM of using condoms with HIV-negative partners (0.60 [0.38, 0.95], p = 0.029). We found no significant differences in detectable viral load. Disaggregating data by gender is important to understand factors that contribute to viral suppression and HIV transmission risk among people living with HIV.
Compartir