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.
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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)
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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