Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil

Detalhes bibliográficos
Autor(a) principal: Leite, Beo Oliveira
Data de Publicação: 2021
Outros Autores: Medeiros, Danielle Souto de, Magno, Laio, Bastos, Francisco Inácio Pinkusfeld Monteiro, Coutinho, Carolina, Brito, Ana Maria de, Cavalcante, Maria Socorro, Dourado, Inês
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/58348
Resumo: Universidade Federal da Bahia. Instituto Multidisciplinar de Saúde. Vitória da Conquista, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
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spelling Leite, Beo OliveiraMedeiros, Danielle Souto deMagno, LaioBastos, Francisco Inácio Pinkusfeld MonteiroCoutinho, CarolinaBrito, Ana Maria deCavalcante, Maria SocorroDourado, Inês2023-05-12T14:16:21Z2023-05-12T14:16:21Z2021LEITE, Beo Oliveira et al. Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil. International Journal for Equity in Health, v. 20, p. 1-11, 2021.1475-9276https://www.arca.fiocruz.br/handle/icict/5834810.1186/s12939-021-01541-zengBioMed CentralAssociation between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal da Bahia. Instituto Multidisciplinar de Saúde. Vitória da Conquista, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Universidade Federal da Bahia. Instituto Multidisciplinar de Saúde. Vitória da Conquista, BA, Brasil.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Universidade do Estado da Bahia. Departamento de Ciências Biológicas. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Getúlio Vargas. São Paulo, SP, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.Secretaria Estadual de Saúde do Ceará e Prefeitura Municipal de Fortaleza. Fortaleza, CE, Brasil.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Gender-based discrimination remains a substantial barrier to health care access and HIV prevention among transgender women in Brazil. The aim of this study was to investigate the association between gender-based discrimination and medical visits, as well as with HIV testing among transgender women in the last 12 months in northeast Brazil. This is a cross-sectional study of 864 transgender women recruited using Respondent-Driven Sampling in three cities in northeastern Brazil in 2016. A socio-behavioral questionnaire was applied. Multivariate analyses were performed using logistic regression, with odds ratio and respective 95% confdence intervals estimation, to estimate the efect of gender-based discrimination on two outcomes: i) medical visits and ii) HIV testing in the last 12 months. 547 transgender women (67·0%) had medical visits, and 385 (45·8%) underwent HIV testing in the last 12 months. In the multivariate analysis, gender-based discrimination was associated with a reduced likelihood of medical visits (OR: 0·29; 95%CI: 0·14–0·63) and HIV testing (OR: 0·41; 95%CI: 0·22–0·78) in the last 12 months. Gender-based discrimination played an essential role in reducing the access of TGW to medical visits and HIV testing services. Furthermore, by confrming the association between gender-based discrimination and medical visits and HIV testing in the multivariate analysis, we have demonstrated how this predictive variable can afect by reducing access to health services. The fndings point to the need for non-discriminatory policies based on the defense and promotion of human rights that may foster the access of transgender women to Brazilian health services.Transgender womenDiscriminationStigmaUse of health servicesHIV testinginfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/58348/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALva_Leite_Beo Oliveira_et al_ICICT_2021.pdfva_Leite_Beo Oliveira_et al_ICICT_2021.pdfapplication/pdf1453328https://www.arca.fiocruz.br/bitstream/icict/58348/2/va_Leite_Beo%20Oliveira_et%20al_ICICT_2021.pdf14278c50ad6254ebe738595e3fc6c164MD52icict/583482023-08-23 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dc.title.en_US.fl_str_mv Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil
title Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil
spellingShingle Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil
Leite, Beo Oliveira
Transgender women
Discrimination
Stigma
Use of health services
HIV testing
title_short Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil
title_full Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil
title_fullStr Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil
title_full_unstemmed Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil
title_sort Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil
author Leite, Beo Oliveira
author_facet Leite, Beo Oliveira
Medeiros, Danielle Souto de
Magno, Laio
Bastos, Francisco Inácio Pinkusfeld Monteiro
Coutinho, Carolina
Brito, Ana Maria de
Cavalcante, Maria Socorro
Dourado, Inês
author_role author
author2 Medeiros, Danielle Souto de
Magno, Laio
Bastos, Francisco Inácio Pinkusfeld Monteiro
Coutinho, Carolina
Brito, Ana Maria de
Cavalcante, Maria Socorro
Dourado, Inês
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Leite, Beo Oliveira
Medeiros, Danielle Souto de
Magno, Laio
Bastos, Francisco Inácio Pinkusfeld Monteiro
Coutinho, Carolina
Brito, Ana Maria de
Cavalcante, Maria Socorro
Dourado, Inês
dc.subject.en.en_US.fl_str_mv Transgender women
Discrimination
Stigma
Use of health services
HIV testing
topic Transgender women
Discrimination
Stigma
Use of health services
HIV testing
description Universidade Federal da Bahia. Instituto Multidisciplinar de Saúde. Vitória da Conquista, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2023-05-12T14:16:21Z
dc.date.available.fl_str_mv 2023-05-12T14:16:21Z
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 LEITE, Beo Oliveira et al. Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil. International Journal for Equity in Health, v. 20, p. 1-11, 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/58348
dc.identifier.issn.en_US.fl_str_mv 1475-9276
dc.identifier.doi.none.fl_str_mv 10.1186/s12939-021-01541-z
identifier_str_mv LEITE, Beo Oliveira et al. Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil. International Journal for Equity in Health, v. 20, p. 1-11, 2021.
1475-9276
10.1186/s12939-021-01541-z
url https://www.arca.fiocruz.br/handle/icict/58348
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 BioMed Central
publisher.none.fl_str_mv BioMed Central
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)
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collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/58348/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/58348/2/va_Leite_Beo%20Oliveira_et%20al_ICICT_2021.pdf
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