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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.
Poteat, Tonia C; Celentano, David D; Mayer, Kenneth H; Beyrer, Chris; Mimiaga, Matthew J; Friedman, Ruth K; Srithanaviboonchai, Kriengkrai; Safren, Steven A.
Afiliação
  • Poteat TC; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • Celentano DD; Department of Social Medicine, University of North Carolina, Chapel Hill, NC, USA.
  • Mayer KH; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • Beyrer C; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
  • Mimiaga MJ; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • Friedman RK; Departments of Behavioral & Social Health Sciences and Epidemiology, School of Public Health, Brown University, Providence, RI, USA.
  • Srithanaviboonchai K; Instituto de Pesquisa Clinica Evandro Chagas, Rio de Janeiro, Brazil.
  • Safren SA; Faculty of Medicine, and Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand.
AIDS Care ; 32(3): 310-315, 2020 03.
Article em En | MEDLINE | ID: mdl-31530004
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Comportamento Sexual / Infecções por HIV / Homossexualidade Masculina / Fármacos Anti-HIV / Depressão / Pessoas Transgênero Tipo de estudo: Prognostic_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do sul / Asia / Brasil Idioma: En Revista: AIDS Care Assunto da revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Comportamento Sexual / Infecções por HIV / Homossexualidade Masculina / Fármacos Anti-HIV / Depressão / Pessoas Transgênero Tipo de estudo: Prognostic_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do sul / Asia / Brasil Idioma: En Revista: AIDS Care Assunto da revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido