High Willingness to Use HIV Pre-Exposure Prophylaxis Among Transgender Women in Argentina

Simple item page
dc.contributor.authorZalazar, Virginia
dc.contributor.authorAristegui, Ines
dc.contributor.authorKerr, Thomas
dc.contributor.authorMarshall, Brandon D L
dc.contributor.authorRomero, Marcela
dc.contributor.authorSued, Omar
dc.contributor.authorSocias, Maria E.
dc.date.accessioned2024-05-23T23:54:27Z
dc.date.available2024-05-23T23:54:27Z
dc.date.issued2016-12-01
dc.descriptionFil: Zalazar V. Fundación Huésped, Buenos Aires; Argentinaes_ES
dc.descriptionFil: Arístegui I. Fundación Huésped, Buenos Aires; Argentinaes_ES
dc.descriptionFil: Sued O. Fundación Huésped, Buenos Aires; Argentinaes_ES
dc.descriptionFil: Socías ME. Fundación Huésped, Buenos Aires; Argentinaes_ES
dc.description.abstractFil: Sued O. Fundación Huésped, Buenos Aires; Argentinaes_ES
dc.description.abstractPurpose: In Argentina, transgender women face a disproportionately high prevalence of HIV infection (34%). Although not currently approved in Argentina, pre-exposure prophylaxis (PrEP) may offer a potential effective HIV prevention tool for this population. In this study, we assessed the willingness to use PrEP among transgender women in Argentina. Methods: Data were drawn from a nationwide cross-sectional survey conducted among transgender women in 2013. Using multivariable logistic regression, we assessed the prevalence of and factors associated with willingness to use PrEP among transgender women with negative or unknown HIV status. Results: This study included 337 transgender women (278 HIV negative and 59 with unknown HIV status), most of whom had a history of sex work involvement (81.8%). Overall, 301 (89.3%) expressed willingness to use PrEP. In a multivariable analysis, having casual sexual partners was positively associated with willingness to use PrEP (adjusted odds ratio [AOR]=4.26, 95% confidence interval [CI] 1.73–10.51), while discrimination by healthcare workers was negatively associated (AOR=0.33, 95% CI 0.12–0.88). Conclusion: We found high levels of willingness to use PrEP among transgender women in Argentina, suggesting that there is high perception of HIV risk in this population. However, discrimination by healthcare workers was a strong negative correlate of willingness to use PrEP, suggesting that multilevel interventions that address gender-based stigma in healthcare settings will be critical for the success of PrEP as an HIV prevention strategy in this population.
dc.description.abstractPurpose: In Argentina, transgender women face a disproportionately high prevalence of HIV infection (34%). Although not currently approved in Argentina, pre-exposure prophylaxis (PrEP) may offer a potential effective HIV prevention tool for this population. In this study, we assessed the willingness to use PrEP among transgender women in Argentina. Methods: Data were drawn from a nationwide cross-sectional survey conducted among transgender women in 2013. Using multivariable logistic regression, we assessed the prevalence of and factors associated with willingness to use PrEP among transgender women with negative or unknown HIV status. Results: This study included 337 transgender women (278 HIV negative and 59 with unknown HIV status), most of whom had a history of sex work involvement (81.8%). Overall, 301 (89.3%) expressed willingness to use PrEP. In a multivariable analysis, having casual sexual partners was positively associated with willingness to use PrEP (adjusted odds ratio [AOR]=4.26, 95% confidence interval [CI] 1.73-10.51), while discrimination by healthcare workers was negatively associated (AOR=0.33, 95% CI 0.12-0.88). Conclusion: We found high levels of willingness to use PrEP among transgender women in Argentina, suggesting that there is high perception of HIV risk in this population. However, discrimination by healthcare workers was a strong negative correlate of willingness to use PrEP, suggesting that multilevel interventions that address gender-based stigma in healthcare settings will be critical for the success of PrEP as an HIV prevention strategy in this population.
dc.formatapplication/pdfes_ES
dc.identifier.doihttps://doi.org/10.1089/trgh.2016.0033
dc.identifier.urihttps://repositorio.huesped.org.ar/handle/123456789/1434
dc.languageENGes_ES
dc.provenancePublishedes_ES
dc.relation.ispartofseriesTransgender Health;2016 Dec 01;1(1):266-273
dc.rightsopenAccesses_ES
dc.subjectHIVes_ES
dc.subjectPre-Exposure Prophylaxises_ES
dc.subjectTransgender Personses_ES
dc.subjectArgentinaes_ES
dc.titleHigh Willingness to Use HIV Pre-Exposure Prophylaxis Among Transgender Women in Argentinaes_ES
dc.typeArticuloes_ES

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
10.1089trgh.2016.0033.pdf
Size:
625.1 KB
Format:
Adobe Portable Document Format
Description:
10.1089/trgh.2016.0033_eng
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Plain Text
Description:
Download

Collections

Articulos científicos