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Multiple substance use and associated factors in transgender women and travestis: findings from the TransOdara Study, Brazil.
da Mota, Jurema Corrêa; Sperandei, Sandro; De Boni, Raquel Brandini; Dourado, Inês; Veras, Maria Amélia de Sousa Mascena; Bastos, Francisco Inácio.
Afiliação
  • da Mota JC; Fundação Oswaldo Cruz, Institute of Scientific and Technological Communication and Information in Health - Rio de Janeiro (RJ), Brazil.
  • Sperandei S; Western Sydney University, Translational Health Research Institute - Penrith (NSW), Australia.
  • De Boni RB; Fundação Oswaldo Cruz, Institute of Scientific and Technological Communication and Information in Health - Rio de Janeiro (RJ), Brazil.
  • Dourado I; Universidade Federal da Bahia, Institute of Public Health - Salvador (BA), Brazil.
  • Veras MASM; Santa Casa de São Paulo, School of Medical Sciences -São Paulo (SP), Brazil.
  • Bastos FI; Fundação Oswaldo Cruz, Institute of Scientific and Technological Communication and Information in Health - Rio de Janeiro (RJ), Brazil.
Rev Bras Epidemiol ; 27Suppl 1(Suppl 1): e240011.supl.1, 2024.
Article em En, Pt | MEDLINE | ID: mdl-39166583
ABSTRACT

OBJECTIVE:

To estimate the prevalence of concomitant substance consumption and analyze associated risk factors in a non-probabilistic sample of the Brazilian population of transgender women and travestis.

METHODS:

A cross-sectional study was conducted with recruitment via respondent-driven sampling. The sample included transgender women and travestis residing in São Paulo, Porto Alegre, Salvador, Manaus, and Campo Grande, aged 18 years or older, between 2019 and 2021. The outcome was the concomitant use of licit and illicit substances. The association between sociodemographic/behavioral factors and the outcome was analyzed through Poisson regression with mixed effects. Adjusted prevalence ratios (confidence interval of 95% - 95%CI) were estimated.

RESULTS:

The prevalence in the last 12 months of multiple substance use was 49.3%, of which 65.5% were alcohol, 52.9% tobacco, and 40.1% marijuana. Transgender women and travestis who use multiple substances face more violence (1.71; 95%CI 1.14-2.55), unemployment (1.58; 95%CI 1.05-2.37) and pervasive unstable work status (1.52; 95%CI 1.08-2.14), transactional sex (1.51; 95%CI 1.21-1.88) which can be their sole option to make a living, and are aged 18 to 24 years (1.37; 95%CI 1.14-1.65).

CONCLUSION:

The use of multiple substances may be an attempt to cope with distress and marginalization. Substance use has been associated with multiple harms and medical conditions. Comprehensive management and care should be provided, as defined by the key principles of the Brazilian Unified Health System. Health care should be integrated into structural interventions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Transtornos Relacionados ao Uso de Substâncias / Pessoas Transgênero Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Bras Epidemiol Assunto da revista: EPIDEMIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Transtornos Relacionados ao Uso de Substâncias / Pessoas Transgênero Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Bras Epidemiol Assunto da revista: EPIDEMIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil