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High Willingness to Use HIV Pre-Exposure Prophylaxis Among Transgender Women in Argentina
Purpose: 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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mary Ann Liebert, Inc.
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367484/ https://www.ncbi.nlm.nih.gov/pubmed/28861540 http://dx.doi.org/10.1089/trgh.2016.0033 |
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author | Zalazar, Virginia Arístegui, Inés Kerr, Thomas Marshall, Brandon D.L. Romero, Marcela Sued, Omar Socías, M. Eugenia |
author_facet | Zalazar, Virginia Arístegui, Inés Kerr, Thomas Marshall, Brandon D.L. Romero, Marcela Sued, Omar Socías, M. Eugenia |
author_sort | Zalazar, Virginia |
collection | PubMed |
description | Purpose: 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. |
format | Online Article Text |
id | pubmed-5367484 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Mary Ann Liebert, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-53674842017-08-31 High Willingness to Use HIV Pre-Exposure Prophylaxis Among Transgender Women in Argentina Zalazar, Virginia Arístegui, Inés Kerr, Thomas Marshall, Brandon D.L. Romero, Marcela Sued, Omar Socías, M. Eugenia Transgend Health Original Article Purpose: 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. Mary Ann Liebert, Inc. 2016-12-01 /pmc/articles/PMC5367484/ /pubmed/28861540 http://dx.doi.org/10.1089/trgh.2016.0033 Text en © Virginia Zalazar et al. 2016; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Original Article Zalazar, Virginia Arístegui, Inés Kerr, Thomas Marshall, Brandon D.L. Romero, Marcela Sued, Omar Socías, M. Eugenia High Willingness to Use HIV Pre-Exposure Prophylaxis Among Transgender Women in Argentina |
title | High Willingness to Use HIV Pre-Exposure Prophylaxis Among Transgender Women in Argentina |
title_full | High Willingness to Use HIV Pre-Exposure Prophylaxis Among Transgender Women in Argentina |
title_fullStr | High Willingness to Use HIV Pre-Exposure Prophylaxis Among Transgender Women in Argentina |
title_full_unstemmed | High Willingness to Use HIV Pre-Exposure Prophylaxis Among Transgender Women in Argentina |
title_short | High Willingness to Use HIV Pre-Exposure Prophylaxis Among Transgender Women in Argentina |
title_sort | high willingness to use hiv pre-exposure prophylaxis among transgender women in argentina |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367484/ https://www.ncbi.nlm.nih.gov/pubmed/28861540 http://dx.doi.org/10.1089/trgh.2016.0033 |
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