Objective: To characterize and contextualize condom use in the transgender women (TW) population utilizing the HIV syndemic framework. Methods: Studies reported condom-use frequency and syndemic factors associated with HIV risk in the TW population were searched in databases. We followed the PRISMA Extension for Scoping Reviews checklist. Results: Social factors have a proven relationship with using condoms and HIV among TW. Syndemic factors, and how some of them reinforce others, deserve a specific analysis to develop strategies to face HIV among TW. Conclusions: Analyzing a syndemic perspective allows to generate specific health intervention and prevention policies to protect the TW.
Background: The prevalence of HIV is higher in the transgender population. Recently, the preexposure prophylaxis (PrEP) intervention has been proven successful in reducing HIV acquisition in trials among men who have sex with men (MSM), and heterosexual couples. This research aims to investigate the adherence to PrEP by HIV-negative transgender women (TW). Methods: Were followed the Cochrane Handbook for Systematic Reviews of Interventions and the PRISMA Statement. Research in WoS, Ovid, Scopus, MEDLINE, and the Cochrane Central Register of Controlled Trials (CENTRAL) electronic databases for studies that involved HIV-negative TW population and focused on their adherence to PrEP intervention and condom use after the treatment. Results: 11 studies were included. TW sample sizes were low in comparison to the total sample, which often included men who have sex with men (MSM) population. The participation and adherence to the intervention was low compared to MSM, and it was measured mainly by self-report (72.7%) or by Tenofovir-diphosphate (TFV-DP)/ Emtricitabine triphosphate (FTC-TP) dried blood spot (DBS) (45.5%). Conclusions: It is important to increase awareness and explain the effect of PrEP on feminizing hormone therapy at the beginning of the trials. Nevertheless, the low adherence may be affected by the interaction between drugs and the barriers faced to use the health services.
El control periódico en un tratamiento de Ortodoncia permite establecer una buena secuencia de tratamiento sin riesgos para el paciente. Un tratamiento sin la vigilancia adecuada puede llegar a generar daños irreversibles. Sin embargo, por la pandemia de COVID-19 que enfrenta el mundo actualmente y los riesgos en el área de la salud, se han suspendido temporalmente los servicios no vitales y potencialmente expuestos a contagios como lo son los servicios odontológicos de consulta programada. Teniendo en cuenta esta situación, y que este virus puede llegar a ser endémico en la población humana, se hace necesario establecer protocolos de bioseguridad que permitan reactivar las prácticas odontológicas, y a su vez generar garantías para operadores, personal de apoyo, pacientes y el entorno de los mismos. En este contexto, es de gran importancia desarrollar un protocolo con profesionales expertos en tratamientos ortodóncicos y en el manejo de la pandemia, para delinear procesos de calidad que garanticen un ambiente seguro y minimicen los riesgos de contagio.
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