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HIV Infection, risk factors and health services use among male-to-female transgender sex workers: a cross-sectional study in Portugal

2017Journal article Restricted access
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dc.contributor.authorGama, Ana
dc.contributor.authorMartins, Maria Rosário Oliveira
dc.contributor.authorMendão, Luís
dc.contributor.authorBarros, Henrique
dc.contributor.authorDias, Sónia
dc.date.accessioned2024-09-19T12:37:46Z
dc.date.available2024-09-19T12:37:46Z
dc.date.issued2017
dc.description.abstractMale-to-female transgender sex workers (TSW) have been identified as a key population at risk for HIV. This study examined risk behaviors and HIV prevalence among TSW, and described health services use. A participatory cross-sectional survey was conducted with 125 TSW recruited in locations and networks where sex workers congregate. HIV-risk behaviors were common among participants. Inconsistent condom use with clients in the previous month was reported by 12.0% of participants and was associated with Portuguese nationality, inconsistent condom use with non-paying partners and not been reached by HIV prevention programs in the previous year. Ever use of psychoactive substances was reported by 61.6% of participants and was associated with being non-employed, doing full-time sex work, having higher number of non-paying partners and having never used health services. Also, ever use of psychoactive substances was negatively associated with older age and Portuguese nationality. About 34% of the participants reported having not been tested in the previous 12 months; 20.2% never used the health services. Overall, 14.9% (95%CI: 8.0-21.0%) reported being HIV-positive. Of those, 22.2% (95%CI: 1.0-43.5%) had unprotected sex with clients in the previous month, 26.7% (95%CI: 1.3-52.0%) had unprotected sex with non-paying partners in the previous year, 13.3% (95%CI: 0.0-33.0%) had ever injected drugs, 60.0% (95%CI: 23.0-97.0%) reported a past STI and 33.3% (95%CI: 2.0-64.6%) had currently HIV/STI co-infection. The socioeconomic, relational or partnering, and structural contexts conducive to increased risk are warranting further investigation. This knowledge would be valuable to inform prevention programs. HIV interventions, including secondary prevention, should address specific needs of TSW. Outreach initiatives aimed to reach TSW who are difficult to access can play a role in promoting access to health services and reducing HIV infection and transmission.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1080/09540121.2017.1332736pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/52128
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relationHIV INFECTION IN MEN WHO HAVE SEX WITH MEN MSM: RISK-TAKING BEHAVIOURS, DRIVERS OF INCREASED INFECTION AND PREVENTION NEEDS
dc.relationGlobal Health and Tropical Medicine
dc.subjectHIVpt_PT
dc.subjectTransgenderpt_PT
dc.subjectSex workerspt_PT
dc.subjectRisk behaviorpt_PT
dc.subjectHealth services utilizationpt_PT
dc.titleHIV Infection, risk factors and health services use among male-to-female transgender sex workers: a cross-sectional study in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleHIV INFECTION IN MEN WHO HAVE SEX WITH MEN MSM: RISK-TAKING BEHAVIOURS, DRIVERS OF INCREASED INFECTION AND PREVENTION NEEDS
oaire.awardTitleGlobal Health and Tropical Medicine
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/OE/SFRH%2FBD%2F84259%2F2012/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UID%2FMulti%2F04413%2F2013/PT
oaire.citation.endPage8pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleAIDS Carept_PT
oaire.citation.volume30pt_PT
oaire.fundingStreamOE
oaire.fundingStream6817 - DCRRNI ID
person.familyNamePenim Mendão
person.givenNameLuís Manuel
person.identifierAAW-2241-2021
person.identifier.ciencia-idAA16-B94D-A1A0
person.identifier.orcid0000-0001-7595-4499
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication29ca9078-add3-4e8b-a989-42af18fac73b
relation.isAuthorOfPublication.latestForDiscovery29ca9078-add3-4e8b-a989-42af18fac73b
relation.isProjectOfPublication059cc265-ea0d-40ab-90a3-7ab75cd843fb
relation.isProjectOfPublication45b61955-03fb-48f3-abb6-bafb6a4a8ae8
relation.isProjectOfPublication.latestForDiscovery45b61955-03fb-48f3-abb6-bafb6a4a8ae8

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