Intergenerational sex and early sexual debut are associated with HIV infection among transgender women in Paraguay

Author:

Morel Zoilo1ORCID,Aguilar Gloria12,Samudio Tania3,López Gladys3,Rios‐González Carlos Miguel4,Giménez Liliana3,Schaerer Christian5,Gómez Santiago1,Báez Teresita6,Estigarribia Gladys7,Méndez Julieta37,Muñoz Sergio2,McFarland Willi8

Affiliation:

1. Facultad de Ciencias Médicas Universidad Nacional de Asunción San Lorenzo Paraguay

2. Departamento de Salud Pública Universidad de la Frontera Temuco Chile

3. National Control Program for HIV/AIDS/STI, Ministry of Public Health and Social Welfare Asuncion Paraguay

4. Dirección General de Investigación Universidad Sudamericana Pedro Juan Caballero Paraguay

5. Polytechnic School National University of Asuncion San Lorenzo Paraguay

6. Division Statisticians Association of Paraguayan Statisticians Asuncion Paraguay

7. Regional Health Research Institute Universidad Nacional de Caaguazu Caaguazú Paraguay

8. Center for Public Health Research San Francisco Department of Public Health San Francisco California USA

Abstract

AbstractIntroductionHIV prevalence among transgender women is high worldwide. The objectives of the present study were to estimate the current prevalence of HIV and identify factors associated with high HIV burden among transgender women in Paraguay.MethodsTransgender women aged ≥15 years in four regions of Paraguay were recruited by Starfish sampling between February and March 2021.ResultsIn total, 322 transgender women were included. Mean age was 31 years (range 15–67), and 102 had positive HIV test results (31.7%, 95% confidence interval [CI] 26.6–37.1). In multivariable analysis, factors associated with HIV infection were age at first intercourse ≤17 years (adjusted odds ratio [aOR] 5.47; 95% CI 1.05–28.42), >10 years difference in age with the last sexual partner (aOR 1.60; 95% CI 1.04–2.46), substance use (mostly cocaine) (aOR 3.00; 95% CI 1.47–6.12), higher risk perception (aOR 3.08; 95% CI 1.53–6.17), not testing for HIV (aOR 1.23; 95% CI 1.09–1.39), and accessed by a peer educator (aOR 3.86; 95% CI 1.77–8.38).ConclusionsSexual debut as a minor and a large age difference with sexual partners are associated with high burden of HIV among transgender women in Paraguay. Our study corroborates the finding of cocaine use during sex as a risk factor for HIV. Prevention programmes must address structural and social vulnerabilities to stem the tragically high burden of HIV among transgender women.

Funder

Global Fund to Fight AIDS, Tuberculosis and Malaria

Publisher

Wiley

Subject

Pharmacology (medical),Infectious Diseases,Health Policy

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3