Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil

Ferreira, Ana Cristina Garcia; Coelho, Lara Esteves; Jalil, Emilia Moreira; Luz, Paula Mendes; Friedman, Ruth K.; Guimarães, Maria Regina C.; Moreira, Rodrigo C.; Eksterman, Leonardo F.; Cardoso, Sandra Wagner; Castro, Cristiane V.; Derrico, Monica; Moreira, Ronaldo I.; Fernandes, Biancka; Monteiro, Laylla; Kamel, Luciana; Pacheco, Antonio G.; Veloso, Valdiléa G.; Grinsztejn, Beatriz

Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil

Detalhes bibliográficos
Autor(a) principal:	Ferreira, Ana Cristina Garcia
Data de Publicação:	2019
Outros Autores:	Coelho, Lara Esteves, Jalil, Emilia Moreira, Luz, Paula Mendes, Friedman, Ruth K., Guimarães, Maria Regina C., Moreira, Rodrigo C., Eksterman, Leonardo F., Cardoso, Sandra Wagner, Castro, Cristiane V., Derrico, Monica, Moreira, Ronaldo I., Fernandes, Biancka, Monteiro, Laylla, Kamel, Luciana, Pacheco, Antonio G., Veloso, Valdiléa G., Grinsztejn, Beatriz
Tipo de documento:	Artigo
Idioma:	eng
Título da fonte:	Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo:	https://www.arca.fiocruz.br/handle/icict/32670
Resumo:	Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.

Metadados do item

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spelling	Ferreira, Ana Cristina GarciaCoelho, Lara EstevesJalil, Emilia MoreiraLuz, Paula MendesFriedman, Ruth K.Guimarães, Maria Regina C.Moreira, Rodrigo C.Eksterman, Leonardo F.Cardoso, Sandra WagnerCastro, Cristiane V.Derrico, MonicaMoreira, Ronaldo I.Fernandes, BianckaMonteiro, LayllaKamel, LucianaPacheco, Antonio G.Veloso, Valdiléa G.Grinsztejn, Beatriz2019-04-22T16:24:49Z2019-04-22T16:24:49Z2019FERREIRA, Ana Cristina Garcia et al. Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil. Transgender Health, v. 4, n. 1, p. 107-117, 2019.2380-193Xhttps://www.arca.fiocruz.br/handle/icict/3267010.1089/trgh.2018.0063engMary Ann LiebertTranscendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Programa de Computação Científica. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Purpose: Worldwide, the burden of adverse health conditions is substantial among travestis and transgender women (trans women). Transcendendo, the first trans-specific cohort in a low- or middle-income country, is an open cohort established in August 2015 to longitudinally evaluate the health aspects of trans women aged ≥18 years in Rio de Janeiro, Brazil. Methods: Study visits occur on an annual basis. Data on sociodemographics, behavioral, gender transition, affirmation procedures, hormone use, discrimination, violence, clinical and mental health, HIV prevention, and care (for those HIV-infected) are collected. Physical examination, anthropometric measurements, and laboratory tests are performed. Results: As of July 2017, 322 trans women were enrolled in the cohort with a median age of 31.5 years (interquartile range 25.7-39.5), of whom 174 (54%) were HIV-infected. The Transcendendo baseline information reinforces the scenario of marginalization and deprivation surrounding trans women. Most participants had low income (62.0% were living with below US$ 10.00/day), showed a very high engagement in sex work (78.6%), and reported increased occurrence of sexual (46.3%) and physical (54.0%) violence. Pre-exposure peophylaxis (PReP) was used by 18.8% of the HIV-uninfected trans women, only through research participation. Positive screening for depression (57.8%) and problematic use of tobacco (56.6%), cannabis (28.9%), cocaine (23.8%), and alcohol (21.5%) were high. Almost all participants (94.8%) reported hormone use at some point, mostly without medical supervision (78.7%). Conclusion: Our results describe a context of exclusion experienced by trans women, exposing vulnerabilities of this population in a middle-income country, with poor access to trans-specific care, HIV prevention and care, and mental health care. Addressing transgender experiences and needs can help the development of strategies to diminish stigma, improve health care environment, guide future research on trans morbidities, substance use, and trans-specific interventions to support health-related recommendations. Ultimately, it contributes to close the gaps concerning transgender health and reinforces that trans care cannot be disentangled from the social environment that surrounds trans women.HIVCohortTransgender healthTransgender personTransgender womaninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/32670/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALTranscendendo_Ana_Ferreira_INI_Lapclin-AIDS_2019.pdfTranscendendo_Ana_Ferreira_INI_Lapclin-AIDS_2019.pdfapplication/pdf906775https://www.arca.fiocruz.br/bitstream/icict/32670/2/Transcendendo_Ana_Ferreira_INI_Lapclin-AIDS_2019.pdfaaffe6c606616bc28639e694f5432204MD52TEXTTranscendendo_Ana_Ferreira_INI_Lapclin-AIDS_2019.pdf.txtTranscendendo_Ana_Ferreira_INI_Lapclin-AIDS_2019.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv	Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil
title	Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil
spellingShingle	Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil Ferreira, Ana Cristina Garcia HIV Cohort Transgender health Transgender person Transgender woman
title_short	Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil
title_full	Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil
title_fullStr	Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil
title_full_unstemmed	Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil
title_sort	Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil
author	Ferreira, Ana Cristina Garcia
author_facet	Ferreira, Ana Cristina Garcia Coelho, Lara Esteves Jalil, Emilia Moreira Luz, Paula Mendes Friedman, Ruth K. Guimarães, Maria Regina C. Moreira, Rodrigo C. Eksterman, Leonardo F. Cardoso, Sandra Wagner Castro, Cristiane V. Derrico, Monica Moreira, Ronaldo I. Fernandes, Biancka Monteiro, Laylla Kamel, Luciana Pacheco, Antonio G. Veloso, Valdiléa G. Grinsztejn, Beatriz
author_role	author
author2	Coelho, Lara Esteves Jalil, Emilia Moreira Luz, Paula Mendes Friedman, Ruth K. Guimarães, Maria Regina C. Moreira, Rodrigo C. Eksterman, Leonardo F. Cardoso, Sandra Wagner Castro, Cristiane V. Derrico, Monica Moreira, Ronaldo I. Fernandes, Biancka Monteiro, Laylla Kamel, Luciana Pacheco, Antonio G. Veloso, Valdiléa G. Grinsztejn, Beatriz
author2_role	author author author author author author author author author author author author author author author author author
dc.contributor.author.fl_str_mv	Ferreira, Ana Cristina Garcia Coelho, Lara Esteves Jalil, Emilia Moreira Luz, Paula Mendes Friedman, Ruth K. Guimarães, Maria Regina C. Moreira, Rodrigo C. Eksterman, Leonardo F. Cardoso, Sandra Wagner Castro, Cristiane V. Derrico, Monica Moreira, Ronaldo I. Fernandes, Biancka Monteiro, Laylla Kamel, Luciana Pacheco, Antonio G. Veloso, Valdiléa G. Grinsztejn, Beatriz
dc.subject.en.pt_BR.fl_str_mv	HIV Cohort Transgender health Transgender person Transgender woman
topic	HIV Cohort Transgender health Transgender person Transgender woman
description	Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
publishDate	2019
dc.date.accessioned.fl_str_mv	2019-04-22T16:24:49Z
dc.date.available.fl_str_mv	2019-04-22T16:24:49Z
dc.date.issued.fl_str_mv	2019
dc.type.status.fl_str_mv	info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv	info:eu-repo/semantics/article
format	article
status_str	publishedVersion
dc.identifier.citation.fl_str_mv	FERREIRA, Ana Cristina Garcia et al. Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil. Transgender Health, v. 4, n. 1, p. 107-117, 2019.
dc.identifier.uri.fl_str_mv	https://www.arca.fiocruz.br/handle/icict/32670
dc.identifier.issn.pt_BR.fl_str_mv	2380-193X
dc.identifier.doi.none.fl_str_mv	10.1089/trgh.2018.0063
identifier_str_mv	FERREIRA, Ana Cristina Garcia et al. Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil. Transgender Health, v. 4, n. 1, p. 107-117, 2019. 2380-193X 10.1089/trgh.2018.0063
url	https://www.arca.fiocruz.br/handle/icict/32670
dc.language.iso.fl_str_mv	eng
language	eng
dc.rights.driver.fl_str_mv	info:eu-repo/semantics/openAccess
eu_rights_str_mv	openAccess
dc.publisher.none.fl_str_mv	Mary Ann Liebert
publisher.none.fl_str_mv	Mary Ann Liebert
dc.source.none.fl_str_mv	reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ
instname_str	Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str	FIOCRUZ
institution	FIOCRUZ
reponame_str	Repositório Institucional da FIOCRUZ (ARCA)
collection	Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv	https://www.arca.fiocruz.br/bitstream/icict/32670/1/license.txt https://www.arca.fiocruz.br/bitstream/icict/32670/2/Transcendendo_Ana_Ferreira_INI_Lapclin-AIDS_2019.pdf https://www.arca.fiocruz.br/bitstream/icict/32670/3/Transcendendo_Ana_Ferreira_INI_Lapclin-AIDS_2019.pdf.txt
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Transcendendo: a cohort study of HIV-infected and uninfected transgender women in Rio de Janeiro, Brazil

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