| Author | Leite, Beo Oliveira | |
| Author | Medeiros, Danielle Souto de | |
| Author | Magno, Laio | |
| Author | Bastos, Francisco Inácio Pinkusfeld Monteiro | |
| Author | Coutinho, Carolina | |
| Author | Brito, Ana Maria de | |
| Author | Cavalcante, Maria Socorro | |
| Author | Dourado, Inês | |
| Access date | 2023-05-12T14:16:21Z | |
| Available date | 2023-05-12T14:16:21Z | |
| Document date | 2021 | |
| Citation | LEITE, Beo Oliveira et al. Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil. International Journal for Equity in Health, v. 20, n. 1, p. 1-11, Sep. 2021. | en_US |
| ISSN | 1475-9276 | |
| URI | https://www.arca.fiocruz.br/handle/icict/58348 | |
| Sponsorship | Brazilian Ministry of Health, through its Secretariat for Health Surveillance and its Department of Prevention, Surveillance and Control of Sexually Transmitted Infections, HIV/AIDS and Viral Hepatitis (Project 914BRZ1138 BRAZIL AIDS-SUS). | |
| Language | eng | en_US |
| Publisher | BioMed Central | en_US |
| Rights | open access | en_US |
| Title | Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil | en_US |
| Type | Article | en_US |
| DOI | 10.1186/s12939-021-01541-z | |
| Abstract | Gender-based discrimination remains a substantial barrier to health care access and HIV prevention among transgender women in Brazil. The aim of this study was to investigate the association between gender-based discrimination and medical visits, as well as with HIV testing among transgender women in the last 12 months in northeast Brazil. This is a cross-sectional study of 864 transgender women recruited using Respondent-Driven Sampling in three cities in northeastern Brazil in 2016. A socio-behavioral questionnaire was applied. Multivariate analyses were performed using logistic regression, with odds ratio and respective 95% confdence intervals estimation, to estimate the efect of gender-based discrimination on two outcomes: i) medical visits and ii) HIV testing in the last 12 months. 547 transgender women (67·0%) had medical visits, and 385 (45·8%) underwent HIV testing in the last 12 months. In the multivariate analysis, gender-based discrimination was associated with a reduced likelihood of medical visits (OR: 0·29; 95%CI: 0·14–0·63) and HIV testing (OR: 0·41; 95%CI: 0·22–0·78) in the last 12 months. Gender-based discrimination played an essential role in reducing the access of TGW to medical visits and HIV testing services. Furthermore, by confrming the association between gender-based discrimination and medical visits and HIV testing in the multivariate analysis, we have demonstrated how this predictive variable can afect by reducing access to health services. The fndings point to the need for non-discriminatory policies based on the defense and promotion of human rights that may foster the access of transgender women to Brazilian health services. | en_US |
| Affilliation | Universidade Federal da Bahia. Instituto Multidisciplinar de Saúde. Vitória da Conquista, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil. | en_US |
| Affilliation | Universidade Federal da Bahia. Instituto Multidisciplinar de Saúde. Vitória da Conquista, BA, Brasil. | en_US |
| Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Universidade do Estado da Bahia. Departamento de Ciências Biológicas. Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Getúlio Vargas. São Paulo, SP, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil. | en_US |
| Affilliation | Secretaria Estadual de Saúde do Ceará e Prefeitura Municipal de Fortaleza. Fortaleza, CE, Brasil. | en_US |
| Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil. | en_US |
| Subject | Transgender women | en_US |
| Subject | Discrimination | en_US |
| Subject | Stigma | en_US |
| Subject | Use of health services | en_US |
| Subject | HIV testing | en_US |
| e-ISSN | 1475-9276 | |
| xmlui.metadata.dc.subject.ods | 05 Igualdade de gênero | |
| xmlui.metadata.dc.subject.ods | 10 Redução das desigualdades | |
