| Author | Coutinho, Carolina | |
| Author | Jalil, Emília Moreira | |
| Author | Wargas, T. | |
| Author | Bertoni, N. | |
| Author | Arsolino, C. | |
| Author | Peixoto, E. | |
| Author | Jalil, Cristina Moreira | |
| Author | St Silva, M. | |
| Author | Moreira, Ronaldo Ismério | |
| Author | Ramos, M. | |
| Author | Cardoso, Sandra Wagner | |
| Author | Veloso, Valdiléa G. | |
| Author | Monteiro, L. | |
| Author | Grinsztejn, Beatriz | |
| Author | Wilson, E. | |
| Access date | 2024-09-22T02:04:47Z | |
| Available date | 2024-09-22T02:04:47Z | |
| Document date | 2024 | |
| Citation | COUTINHO, Carolina et al. Addressing substance use: decreased problematic substance use among young transgender women in Brazil - findings from a peer-led intervention study. In: INTERNATIONAL AIDS CONFERENCE, 25., 2024, Munique, Alemanha. [Abstracts...]. Munique, 2024. 2 p. | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/66006 | |
| Description | BeT Study Group. | en_US |
| Language | eng | en_US |
| Rights | open access | en_US |
| Subject in Portuguese | HIV | en_US |
| Subject in Portuguese | Mulheres transexuais jovens | en_US |
| Subject in Portuguese | Uso problemático de substâncias | en_US |
| Title | Addressing substance use: decreased problematic substance use among young transgender women in Brazil - findings from a peer-led intervention study | en_US |
| Type | Papers presented at events | en_US |
| Abstract | Background: Substance use linked to challenging social conditions may increase HIV risk among young trans women (YTGW) in Brazil. This study aimed to evaluate substance use among Brazilian YTGW and identify factors associated with a high risk of problematic substance use (PSU). Methods: Data from BeT, a 48-week status-neutral peer-led HIV systems navigation intervention study in Rio de Janeiro, Brazil (February 2022-August 2023), targeting YTGW (18-24 years old). to improve HIV prevention/care outcomes were analyzed. Baseline to follow-up visits data (48-week) were compared to assess changes in lower (0-10 for alcohol, 0-3 for others), moderate (11-26 for alcohol and 4-26 for others) and high risk PSU (27+) using ASSIST. Anxiety/depression screenings used PHQ4 (moderate/severe >5). Factors associated with moderate/high risk of any PSU (except tobacco/alcohol/marijuana) were identified using adjusted logistic regression models. Results: Among 164 participants (most were aged 20-24 years (74%), identified as Black/Pardo (66%), higher than secondary education (66%), and 49% reported transactional sex. Substance use prevalence at baseline included alcohol (82%), binge drinking (74%), marijuana (66%), tobacco (65%), cocaine/crack (12%), inhalants (9%), and amphetamines (8%). Moderate/high-risk of PSU decreased significantly from baseline to follow-up for all substances, especially tobacco (57.7%-39.7%), alcohol (22.5%-0.9%), marijuana (62.9%-50.9%), crack/cocaine (8.6%-4.3%), amphetamines (3.4%-0.9%), inhalants (8.6%-0.9%) (see Figure). No participant had high risk of PSU at follow-up. High risk of any PSU (except tobacco/alcohol/marijuana) at baseline was associated with lower education (aOR:4.12[95%CI:1.02-17.02]; p-value=0,046), binge drinking (aOR:5.92[95%CI:1.55-39.36];p-value=0.024), and moderate/severe anxiety/depression score (aOR:4.13[95%CI:1.22-17.23];p-value=0.032). Conclusions: An unanticipated outcome of the intervention was a significant decrease in problematic substance among YTGW in Brazil, indicating the relevance of intervention components beyond HIV. PSU was highly correlated with lower education, binge drinking, and mental distress among YTGW in our intervention. Intensive peer-led systems navigation interventions may serve as models for substance use reduction with YTGW. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Instituto Nacional de Câncer. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Center for Public Health Research. San Francisco Department of Public Health. San Francisco, CA, USA. | en_US |
| Subject | HIV | en_US |
| Subject | Young transgender women | en_US |
| Subject | Problematic substance use | en_US |
| xmlui.metadata.dc.subject.ods | 05 Igualdade de gênero | |
