Travestis and transsexual women: who are at higher risk for sexually transmitted infections?

Carvalho, Paulie Marcelly Ribeiro dos Santos; Santos, Kamila Cardoso dos; Magalhães, Larissa Silva; Oliveira, Brunna Rodrigues de; Carneiro, Megmar Aparecida dos Santos; Souza, Márcia María de; Caetano, Karlla Antonieta Amorim; Pacheco, Leonora Rezende; Teles, Sheila Araújo

doi:10.1590/1980-549720210017

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…These findings suggest differences in socioeconomic status and sexual risk behaviors which may affect the degree of STI exposure among key populations. 24 Further, the study found a high prevalence of HSV-2 and HIV coinfection, HSV-2 and syphilis coinfection, and HSV-2, HIV, and syphilis triple infection among TGW living in Central Brazil. A meta-analysis showed that HSV-2 seropositivity is a risk factor for HIV infection among female sex workers.…”

Section: Discussionmentioning

confidence: 69%

“…This is similar to that found among TGW in Peru (79.4%), 22 but higher than those found in female sex workers (47.3%) 18 and men who have sex with men (45.7%) 23 in Brazil, which are other key populations for at high risk of STIs. These findings suggest differences in socioeconomic status and sexual risk behaviors which may affect the degree of STI exposure among key populations 24 …”

Section: Discussionmentioning

confidence: 91%

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Herpes, Syphilis, and Human Immunodeficiency Virus Coinfection Among Transgender Women in Central Brazil

et al. 2022

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Background: Human herpesvirus 2 (HSV-2) is a major cause of sexually transmitted infections (STIs) worldwide and often occurs synergistically with syphilis, and human immunodeficiency virus (HIV) infection. Transgender women (TGW) are disproportionately affected by STIs. The aim of this study was to estimate the prevalence of HSV-2 monoinfection, and HSV-2, syphilis, and HIV coinfection (triple infection) among TGW in Central Brazil. Methods: A seroprevalence survey was conducted among TGW inCentral Brazil from 2018 to 2019. Participants were recruited using respondent-driven sampling and interviewed about their sociodemographic characteristics and STI risk behaviors, and were tested for antibodies to HSV-2, Treponema pallidum, and HIV. Multivariable logistic regression models were used to identify variables associated with HSV-2 monoinfection and triple infection.Results: Of the 431 participants, 345 (80%) were positive for HSV-2 antibodies, of whom 36 were HSV-2 immunoglobulin M-positive, and 340 were HSV-2 immunoglobulin G-positive. Human herpesvirus 2 and HIV coinfection, HIV and syphilis coinfection, and triple infection were detected in 38 participants (9.0%), 58 participants (13.8%), and 27 participants (6.4%), respectively. Report of a previous STI was associated with a decreased risk of HSV-2 monoinfection (adjusted odds ratio, 0.39), and an increased risk of triple infection (adjusted odds ratio, 4.4). Participants who reported sex not only with men had a 2.42-fold increased risk of triple infection. Conclusions:The high prevalence of HSV-2, syphilis, and HIV coinfection among TGW is a cause for concern. Transgender women should be screened for HIVand other STIs. Further studies of risk factors for triple infection among TGW are warranted.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 91%

Herpes, Syphilis, and Human Immunodeficiency Virus Coinfection Among Transgender Women in Central Brazil

et al. 2022

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“…In the combined study population, the majority self-identified as trans women (n = 741, 56.4%) or "travesti" (n = 393, 29.9%), a distinct trans identity with cultural significance in Brazil. 28,29 Although over one-quarter (n = 359, 27.4%) reported undergoing some transition-related surgery or procedure, only a small proportion (n = 22, 1.7%) reported having a neovagina after undergoing surgery to remove their penis and scrotum, and almost half (n = 536, 47.6%) used gender-affirming hormones. Almost all participants (n = 971, 90.7%) reported receptive anal intercourse, and two-fifths (n = 523, 40.0%) indicated at least one commercial sex partner in the past 6 months.…”

Section: Study Populationmentioning

confidence: 99%

Acceptability and Usability of Self-Sampling for the Detection of Sexually Transmitted Infections Among Transgender Women: The TransOdara Multicentric Study in Brazil

McCartney,

Bassichetto,

Leal

et al. 2024

Sexual Trans Dis

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Background The effective testing of sexually transmitted infections (STIs) requires sampling from potential infection sites. This study aimed to assess the choice, satisfaction, and performance of self-collected samples (SCS) from potential infection sites for STI testing among transgender women in Brazil. Methods TransOdara was a multicentric, cross-sectional STI prevalence study conducted in 5 Brazilian cities. Using respondent-driven sampling, 1317 transgender women 18 years or older were recruited. Participants completed interviewer-led questionnaires and provided swab samples from multiple sites (anorectal, oropharyngeal, genital) for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and human papillomavirus (HPV) testing. Participants were given a choice of SCS or provider-collected samples (PCS) at each site. Results Most participants selected SCS for anorectal (74.9%; 95% confidence interval [CI], 72.4–77.3) and genital (72.7%; 95% CI, 70.2–75.1) sites, whereas fewer chose for oropharyngeal samples (49.8%; 95% CI, 47.0–52.6). For future testing, most participants expressed a preference for SCS for genital (72.2%; 95% CI, 69.5–74.7) and anorectal (70.2%; 95% CI, 67.6–72.7) sites. There was no significant difference in the positive test results for CT and NG between SCS and PCS at anorectal and oropharyngeal sites, or for HPV at anorectal and genital (penile or neovaginal) sites. Conclusions This study demonstrated a high level of acceptability and usability of self-sampling for STI testing among transgender women. A preference for SCS was evident at the anorectal and genital sites, and the results of SCS were comparable to those of PCS. The findings suggest that multisite STI testing utilizing self-collection methods as a provided option can be effectively integrated into sexual health services for transgender women.

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“…Entre as IST, a Sífilis é a principal infecção associada ao HIV. Por isso, avaliar a incidência e o perfil epidemiológico das pessoas que convivem com essa coinfecção, torna-se fundamental para orientar as estratégias de prevenção, enfrentamento e controle (BRISTOW et al, 2021;SANTOS et al, 2021;SERVIN et al, 2017).…”

Section: Introductionunclassified

Sífilis E Outras Infecções Sexualmente Transmissíveis Em Pessoas Soropositivas Em Região De Tríplice Fronteira Internacional Brasil-Paraguai-Argentina

Benitez¹,

Santos²,

Zilly³

et al. 2023

Arq. Ciênc. Saúde Unipar

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Este estudo objetivou identificar a prevalência de Sífilis e outras Infecções Sexualmente Transmissíveis, bem como o comportamento sexual de risco em indivíduos com vírus da imunodeficiência humana na região da tríplice fronteira, Brasil, Paraguai e Argentina. Estudo transversal, descritivo/quantitativo, realizado no Serviço de Atenção Especializada de Foz do Iguaçu, Brasil. A amostra populacional final consistiu-se de 307 pacientes e os dados foram coletados no Sistema de Informação de Exames Laboratoriais e por meio de um questionário estruturado. Foram incluídos pacientes que viviam com o vírus da imunodeficiência humana/síndrome da imunodeficiência adquirida. O estado infectado e as variáveis independentes foram verificados com o emprego das análises univariada e multivariada (p≤0,05). Entre os 307 participantes, a prevalência de Sífilis e outras Infecções Sexualmente Transmissíveis foi de 9,5% e 5,2%, respectivamente. Para o diagnóstico de Sífilis, houve prevalência da faixa etária de 18 a 44 anos, nacionalidade brasileira, residência em Foz do Iguaçu, estudantes de graduação em Cidade do Leste, ≥ 12 anos completos de estudo, estado civil solteiro, um a cinco parceiros sexuais masculinos, baixo uso de preservativo e declarado ter recebido orientações sobre infecções sexualmente transmissíveis (<0,05). A frequência de teste de carga viral do vírus da imunodeficiência humana foi de 25,7% e 12,1% detectaram carga viral no último exame realizado. Esses achados indicam que as infecções sexualmente transmissíveis, sobretudo a Sífilis, decorreu de comportamentos sexuais de risco entre pessoas que viviam com o vírus da imunodeficiência humana/síndrome da imunodeficiência adquirida na região da tríplice fronteira, Brasil-Paraguai-Argentina.

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Travestis and transsexual women: who are at higher risk for sexually transmitted infections?

Cited by 5 publications

References 5 publications

Herpes, Syphilis, and Human Immunodeficiency Virus Coinfection Among Transgender Women in Central Brazil

Herpes, Syphilis, and Human Immunodeficiency Virus Coinfection Among Transgender Women in Central Brazil

Acceptability and Usability of Self-Sampling for the Detection of Sexually Transmitted Infections Among Transgender Women: The TransOdara Multicentric Study in Brazil

Sífilis E Outras Infecções Sexualmente Transmissíveis Em Pessoas Soropositivas Em Região De Tríplice Fronteira Internacional Brasil-Paraguai-Argentina

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