Factors associated with HIV viremia in transgender women and transvestites in five Brazilian capitals, 2019-2021: a multicenter study
ABSTRACT Objective To analyze factors associated with detectable HIV viremia among transgender women/transvestites (TWT) in five Brazilian capitals. Methods : This was a cross-sectional study using data from a sample of TWT with HIV-positive serology and detectable viral load (VL), between 2019 an...
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Ministério da Saúde do Brasil
2024-12-01
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| Series: | Epidemiologia e Serviços de Saúde |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222024001300206&lng=en&tlng=en |
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| author | Claudia Renata dos Santos Barros Elaine Monteiro Matsuda Aline Borges Moreira da Rocha Giselle Ibete Silva López-Lopes Norberto Camilo Campos Luís Fernando de Macedo Brígido Katia Cristina Bassichetto Maria Amelia de Sousa Mascena Veras |
| author_facet | Claudia Renata dos Santos Barros Elaine Monteiro Matsuda Aline Borges Moreira da Rocha Giselle Ibete Silva López-Lopes Norberto Camilo Campos Luís Fernando de Macedo Brígido Katia Cristina Bassichetto Maria Amelia de Sousa Mascena Veras |
| author_sort | Claudia Renata dos Santos Barros |
| collection | DOAJ |
| description | ABSTRACT Objective To analyze factors associated with detectable HIV viremia among transgender women/transvestites (TWT) in five Brazilian capitals. Methods : This was a cross-sectional study using data from a sample of TWT with HIV-positive serology and detectable viral load (VL), between 2019 and 2021. The dependent and independent variables were, respectively: viral load measurement, socioeconomic/demographic characteristics; alcohol/drug use; and self-perceived mental health. Poisson regression with robust variance was used. Results : A total of 425 TWT tested positive for HIV and underwent VL measurement, 179 (42.0%) presented detectable viremia. Factors positively associated with detectability were: younger age (PR=2.26; 95%CI 1.13;4.51), poorer housing conditions (PR=2.72; 95%CI 1.30;5.68) and poor/very poor mental health (PR=1.70; 95%CI 1.08;2.66). The use of antiretroviral drugs was a protective factor against detectability (PR=0.29; 95%CI 0.30;0.61). Conclusion The factors associated with unsuppressed viral load highlight vulnerability related to gender identity that have a negative impact, despite the majority of participants being on antiretroviral therapy (ART). |
| format | Article |
| id | doaj-art-5d06b8f53e384b4687fe895c75fe5c32 |
| institution | OA Journals |
| issn | 2237-9622 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Ministério da Saúde do Brasil |
| record_format | Article |
| series | Epidemiologia e Serviços de Saúde |
| spelling | doaj-art-5d06b8f53e384b4687fe895c75fe5c322025-08-20T02:36:42ZengMinistério da Saúde do BrasilEpidemiologia e Serviços de Saúde2237-96222024-12-0133spe110.1590/s2237-96222024v33e2024412.especial.enFactors associated with HIV viremia in transgender women and transvestites in five Brazilian capitals, 2019-2021: a multicenter studyClaudia Renata dos Santos Barroshttps://orcid.org/0000-0002-1582-2010Elaine Monteiro Matsudahttps://orcid.org/0000-0002-0254-4154Aline Borges Moreira da Rochahttps://orcid.org/0000-0003-0558-6672Giselle Ibete Silva López-Lopeshttps://orcid.org/0000-0002-4564-3208Norberto Camilo Camposhttps://orcid.org/0000-0003-1425-9825Luís Fernando de Macedo Brígidohttps://orcid.org/0000-0002-1022-7837Katia Cristina Bassichettohttps://orcid.org/0000-0003-3645-025XMaria Amelia de Sousa Mascena Verashttps://orcid.org/0000-0002-1159-5762ABSTRACT Objective To analyze factors associated with detectable HIV viremia among transgender women/transvestites (TWT) in five Brazilian capitals. Methods : This was a cross-sectional study using data from a sample of TWT with HIV-positive serology and detectable viral load (VL), between 2019 and 2021. The dependent and independent variables were, respectively: viral load measurement, socioeconomic/demographic characteristics; alcohol/drug use; and self-perceived mental health. Poisson regression with robust variance was used. Results : A total of 425 TWT tested positive for HIV and underwent VL measurement, 179 (42.0%) presented detectable viremia. Factors positively associated with detectability were: younger age (PR=2.26; 95%CI 1.13;4.51), poorer housing conditions (PR=2.72; 95%CI 1.30;5.68) and poor/very poor mental health (PR=1.70; 95%CI 1.08;2.66). The use of antiretroviral drugs was a protective factor against detectability (PR=0.29; 95%CI 0.30;0.61). Conclusion The factors associated with unsuppressed viral load highlight vulnerability related to gender identity that have a negative impact, despite the majority of participants being on antiretroviral therapy (ART).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222024001300206&lng=en&tlng=enAntiretroviral therapyViral LoadTranssexual WomanTransvestitesCross-Sectional Study |
| spellingShingle | Claudia Renata dos Santos Barros Elaine Monteiro Matsuda Aline Borges Moreira da Rocha Giselle Ibete Silva López-Lopes Norberto Camilo Campos Luís Fernando de Macedo Brígido Katia Cristina Bassichetto Maria Amelia de Sousa Mascena Veras Factors associated with HIV viremia in transgender women and transvestites in five Brazilian capitals, 2019-2021: a multicenter study Epidemiologia e Serviços de Saúde Antiretroviral therapy Viral Load Transsexual Woman Transvestites Cross-Sectional Study |
| title | Factors associated with HIV viremia in transgender women and transvestites in five Brazilian capitals, 2019-2021: a multicenter study |
| title_full | Factors associated with HIV viremia in transgender women and transvestites in five Brazilian capitals, 2019-2021: a multicenter study |
| title_fullStr | Factors associated with HIV viremia in transgender women and transvestites in five Brazilian capitals, 2019-2021: a multicenter study |
| title_full_unstemmed | Factors associated with HIV viremia in transgender women and transvestites in five Brazilian capitals, 2019-2021: a multicenter study |
| title_short | Factors associated with HIV viremia in transgender women and transvestites in five Brazilian capitals, 2019-2021: a multicenter study |
| title_sort | factors associated with hiv viremia in transgender women and transvestites in five brazilian capitals 2019 2021 a multicenter study |
| topic | Antiretroviral therapy Viral Load Transsexual Woman Transvestites Cross-Sectional Study |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222024001300206&lng=en&tlng=en |
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