Awareness, willingness and PrEP eligibility among transgender women in Rio de Janeiro, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/29216 |
Resumo: | 2019-09-10 |
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Jalil, Emilia M.Grinsztejn, BeatrizVelasque, LucianeMakkeda, Alessandra RamosLuz, Paula MendesMoreira, Ronaldo I.Kamel, LucianaFernandes, Nilo MartinezFerreira, Ana Cristina G.Hoagland, Brenda Regina de SiqueiraCardoso, Sandra WagnerLiu, AlbertMcFarland, WilliBuchbinder, SusanSantos, Valdiléa Gonçalves Veloso dosWilson, ErinTranscender Study Team2018-10-01T18:54:34Z2018-10-01T18:54:34Z2018JALIL, E. M. et al. Awareness, Willingness and PrEP Eligibility Among Transgender Women in Rio de Janeiro, Brazil. JAIDS, p. 1-22, 2018.1525-4135https://www.arca.fiocruz.br/handle/icict/2921610.1097/QAI.0000000000001839engAwareness, willingness and PrEP eligibility among transgender women in Rio de Janeiro, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2019-09-10Fundação 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.Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Rio de Janeiro Federal Institute of Education, Science and Technology. 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.Bridge HIV, San Francisco Department of Public Health. USA.Departments of Medicine, Epidemiology and Biostatistics, UCSFBridge HIV, San Francisco Department of Public Health./ Departments of Medicine, Epidemiology and Biostatistics, UCSFFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Bridge HIV, San Francisco Department of Public Health. USA.Background: HIV epidemics disproportionately affect transwomen worldwide. Trans-specific guidance, outreach, and interventions to increase pre-exposure prophylaxis (PrEP) use among transwomen are scarce. Setting: Rio de Janeiro, Brazil. Methods: We measured awareness and willingness to use PrEP and examined factors associated with those outcomes among transwomen in Rio de Janeiro, and estimated how many transwomen would be eligible for PrEP. Data originate from Transcender study, a respondent-driven sampling survey conducted from August 2015 to January 2016. We performed regression models for PrEP awareness and willingness. Results: 131 (38.0%) out of 345 participants had heard of PrEP. Among transwomen who selfreported as HIV-negative, 162 (76.4%) out of 212 (with available data) reported willingness to use it and 163 (66.8%) out of 244 met behavioral eligibility criteria for PrEP. Transwomen with health access in the prior six months, who reported HIV-infected sexual partner, and with 8+ years of schooling had increased odds of PrEP awareness. Lower PrEP awareness was associated with condomless anal intercourse and a newly diagnosed HIV-infection. Younger age and perceiving themselves at risk of HIV-infection increased the odds of PrEP willingness. Lower odds of PrEP willingness was associated with concerns about long-term effects of PrEP and with difficulties in getting access to health care due to transphobia. Conclusion: Combination of low awareness, high willingness and substantial PrEP eligibility corroborates transwomen as a key-population for HIV prevention. PrEP is a promising and empowering strategy for HIV prevention among transwomen, but trans-specific recommendations are needed to effectively implement PrEP in this population.Transgender personHIVPre-Exposure ProphylaxisHIV Infections/prevention & controlHealth KnowledgeAttitudesPracticeNãoNão Publicadoinfo: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/29216/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALAwareness, Willingness and PrEP Eligibility Among Transgender Women_Emilia_Jalil_INI_Lapclin_2018.pdfAwareness, Willingness and PrEP Eligibility Among Transgender Women_Emilia_Jalil_INI_Lapclin_2018.pdfapplication/pdf1046902https://www.arca.fiocruz.br/bitstream/icict/29216/2/Awareness%2c%20Willingness%20and%20PrEP%20Eligibility%20Among%20Transgender%20Women_Emilia_Jalil_INI_Lapclin_2018.pdfe0629a75b51e50158a659ece85b786e5MD52TEXTAwareness, Willingness and PrEP Eligibility Among Transgender Women_Emilia_Jalil_INI_Lapclin_2018.pdf.txtAwareness, Willingness and PrEP Eligibility Among Transgender Women_Emilia_Jalil_INI_Lapclin_2018.pdf.txtExtracted texttext/plain38784https://www.arca.fiocruz.br/bitstream/icict/29216/3/Awareness%2c%20Willingness%20and%20PrEP%20Eligibility%20Among%20Transgender%20Women_Emilia_Jalil_INI_Lapclin_2018.pdf.txt74ef8ccaf840945d0c319a024bbf08cbMD53icict/292162023-06-15 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dc.title.en.fl_str_mv |
Awareness, willingness and PrEP eligibility among transgender women in Rio de Janeiro, Brazil |
title |
Awareness, willingness and PrEP eligibility among transgender women in Rio de Janeiro, Brazil |
spellingShingle |
Awareness, willingness and PrEP eligibility among transgender women in Rio de Janeiro, Brazil Jalil, Emilia M. Transgender person HIV Pre-Exposure Prophylaxis HIV Infections/prevention & control Health Knowledge Attitudes Practice |
title_short |
Awareness, willingness and PrEP eligibility among transgender women in Rio de Janeiro, Brazil |
title_full |
Awareness, willingness and PrEP eligibility among transgender women in Rio de Janeiro, Brazil |
title_fullStr |
Awareness, willingness and PrEP eligibility among transgender women in Rio de Janeiro, Brazil |
title_full_unstemmed |
Awareness, willingness and PrEP eligibility among transgender women in Rio de Janeiro, Brazil |
title_sort |
Awareness, willingness and PrEP eligibility among transgender women in Rio de Janeiro, Brazil |
author |
Jalil, Emilia M. |
author_facet |
Jalil, Emilia M. Grinsztejn, Beatriz Velasque, Luciane Makkeda, Alessandra Ramos Luz, Paula Mendes Moreira, Ronaldo I. Kamel, Luciana Fernandes, Nilo Martinez Ferreira, Ana Cristina G. Hoagland, Brenda Regina de Siqueira Cardoso, Sandra Wagner Liu, Albert McFarland, Willi Buchbinder, Susan Santos, Valdiléa Gonçalves Veloso dos Wilson, Erin Transcender Study Team |
author_role |
author |
author2 |
Grinsztejn, Beatriz Velasque, Luciane Makkeda, Alessandra Ramos Luz, Paula Mendes Moreira, Ronaldo I. Kamel, Luciana Fernandes, Nilo Martinez Ferreira, Ana Cristina G. Hoagland, Brenda Regina de Siqueira Cardoso, Sandra Wagner Liu, Albert McFarland, Willi Buchbinder, Susan Santos, Valdiléa Gonçalves Veloso dos Wilson, Erin Transcender Study Team |
author2_role |
author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Jalil, Emilia M. Grinsztejn, Beatriz Velasque, Luciane Makkeda, Alessandra Ramos Luz, Paula Mendes Moreira, Ronaldo I. Kamel, Luciana Fernandes, Nilo Martinez Ferreira, Ana Cristina G. Hoagland, Brenda Regina de Siqueira Cardoso, Sandra Wagner Liu, Albert McFarland, Willi Buchbinder, Susan Santos, Valdiléa Gonçalves Veloso dos Wilson, Erin Transcender Study Team |
dc.subject.en.en.fl_str_mv |
Transgender person HIV Pre-Exposure Prophylaxis HIV Infections/prevention & control Health Knowledge Attitudes Practice |
topic |
Transgender person HIV Pre-Exposure Prophylaxis HIV Infections/prevention & control Health Knowledge Attitudes Practice |
description |
2019-09-10 |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-10-01T18:54:34Z |
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2018-10-01T18:54:34Z |
dc.date.issued.fl_str_mv |
2018 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
JALIL, E. M. et al. Awareness, Willingness and PrEP Eligibility Among Transgender Women in Rio de Janeiro, Brazil. JAIDS, p. 1-22, 2018. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/29216 |
dc.identifier.issn.pt_BR.fl_str_mv |
1525-4135 |
dc.identifier.doi.none.fl_str_mv |
10.1097/QAI.0000000000001839 |
identifier_str_mv |
JALIL, E. M. et al. Awareness, Willingness and PrEP Eligibility Among Transgender Women in Rio de Janeiro, Brazil. JAIDS, p. 1-22, 2018. 1525-4135 10.1097/QAI.0000000000001839 |
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https://www.arca.fiocruz.br/handle/icict/29216 |
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eng |
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eng |
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