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Prevalence of chlamydia and gonorreheae among transgender women and travestis in five Brazilian capitals, 2019-2021.
Bassichetto, Katia Cristina; Sperandei, Sandro; McCartney, Daniel Jason; Luppi, Carla Gianna; Silva, Roberto José Carvalho da; Araújo, Sandra; Magno, Laio; Bazzo, Maria Luíza; Hughes, Gwenda; Mayaud, Philippe; Dourado, Inês; Veras, Maria Amélia de Sousa Mascena.
Afiliación
  • Bassichetto KC; Santa Casa de São Paulo, School of Medical Sciences - São Paulo (SP), Brazil.
  • Sperandei S; Western Sydney University, Translational Health Research Institute - Sydney, Australia.
  • McCartney DJ; London School of Hygiene & Tropical Medicine, Faculty of Infectious & Tropical Diseases, Department of Clinical Research - London, United Kingdom.
  • Luppi CG; State Health Secretariat of São Paulo, STD/AIDS Reference and Training Center - São Paulo (SP), Brazil.
  • Silva RJCD; State Health Secretariat of São Paulo, STD/AIDS Reference and Training Center - São Paulo (SP), Brazil.
  • Araújo S; State Health Secretariat of São Paulo, STD/AIDS Reference and Training Center - São Paulo (SP), Brazil.
  • Magno L; Universidade do Estado da Bahia, Department of Life Sciences - Salvador (BA), Brazil.
  • Bazzo ML; Universidade Federal da Bahia, Institute of Public Health - Salvador (BA), Brazil.
  • Hughes G; Universidade Federal de Santa Catarina, Postgraduate Program in Pharmacy/Health Sciences Center, Laboratory of Molecular Biology, Microbiology and Serology - Florianópolis (SC), Brazil.
  • Mayaud P; London School of Hygiene & Tropical Medicine, Faculty of Infectious & Tropical Diseases, Department of Clinical Research - London, United Kingdom.
  • Dourado I; London School of Hygiene & Tropical Medicine, Faculty of Infectious & Tropical Diseases, Department of Clinical Research - London, United Kingdom.
  • Veras MASM; Universidade Federal da Bahia, Institute of Public Health - Salvador (BA), Brazil.
Rev Bras Epidemiol ; 27Suppl 1(Suppl 1): e240006.supl.1, 2024.
Article en En, Pt | MEDLINE | ID: mdl-39166578
ABSTRACT

OBJECTIVE:

To estimate the prevalence and factors associated with the detection of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) in transgender women and travestis in five Brazilian capitals.

METHODS:

Data were obtained from a cross-sectional study conducted between 2019 and 2021, with participants recruited through Respondent Driven Sampling in São Paulo, Campo Grande, Manaus, Porto Alegre and Salvador. Detection of CT and NG was analyzed at three collection sites (anorectal, oropharyngeal and urethral). Mixed logistic regression models were employed to identify associated factors.

RESULTS:

A total of 1,297 recruited participants provided biological material to detect these infections. The prevalences of CT, NG and coinfection were 11.5%, 13.3% and 3.6%, respectively. Independent associations with CT infections included past (OR=1.73; 95%CI 1.02-2.95), current (OR=2.13; 95%CI 1.23-3.69), and part-time sex work (OR=2.75; 95%CI 1.60-4.75), as well as lifetime injectable drug use (OR=3.54; 95%CI 1.49-8.40). For NG, associations were observed with lifetime injectable drug use (OR=1.91; 95%CI 1.28-2.84) and sexual orientation, including heterosexual (OR=3.44; 95%CI 1.35-8.82), homosexual (OR=5.49; 95%CI 1.89-15.97), and bisexual (OR=3.21; 95%CI 1.06-9.68). Coinfection was associated with use of illicit drugs in the last 12 months (OR=2.34, 95%CI 1.10-5.00), and younger age was associated with all investigated outcomes.

CONCLUSION:

Estimated prevalences of CT, NG and co-infection were higher among transgender women and travestis compared to the general population, particularly among younger, individuals engaged in sex work and illicit drug use.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Chlamydia / Gonorrea / Chlamydia trachomatis / Personas Transgénero Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Bras Epidemiol Asunto de la revista: EPIDEMIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por Chlamydia / Gonorrea / Chlamydia trachomatis / Personas Transgénero Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Bras Epidemiol Asunto de la revista: EPIDEMIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil