HIV-Related Healthcare Needs and Access Barriers for Brazilian Transgender and Gender Diverse People.
Angelo Brandelli CostaAnna Martha Vaitses FontanariRamiro Figueiredo CatelanKarine SchwarzJuliana Ledur StuckyHeitor Tome da Rosa FilhoPaola Fagundes PaseDaniel Augusto Mori GagliottiAlexandre SaadehMaria Inês Rodrigues LobatoHenrique Caetano NardiSilvia Helena KollerPublished in: AIDS and behavior (2019)
The aim of this study is to investigate HIV-related healthcare needs and access barriers for Brazilian transgender and gender diverse people. Data were collected from gender identity clinics and the questionnaire was also made available on the Internet. Out of the 543 participants-62.1% (n = 337) transgender women, 28.7 (n = 156) transgender men and 9.2% (n = 50) gender diverse people, 63.7% had been tested at least once in their lives. The prevalence of self-reported HIV-positive status among transgender women was 16.5%, of which 92.0% reported having a physician with whom they regularly consulted about HIV, whereas none of the transgender men or gender diverse people reported HIV-positive status. In addition, 8.2% of transgender men and 12.5% of gender diverse people did not know their serological status. Finally, 71.0% of the participants were unfamiliar with post-exposure prophylaxis. The study discusses the need for adequate behavior-oriented HIV health policies and training of healthcare professionals regarding the needs of Brazilian transgender and gender diverse people.
Keyphrases
- hiv testing
- men who have sex with men
- hiv positive
- antiretroviral therapy
- healthcare
- mental health
- south africa
- human immunodeficiency virus
- hiv infected
- public health
- primary care
- hiv aids
- polycystic ovary syndrome
- hepatitis c virus
- middle aged
- risk factors
- type diabetes
- metabolic syndrome
- climate change
- cross sectional
- deep learning
- patient reported