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spelling 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 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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
dc.date.available.fl_str_mv 2018-10-01T18:54:34Z
dc.date.issued.fl_str_mv 2018
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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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
url https://www.arca.fiocruz.br/handle/icict/29216
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