Prevalence of and factors mediating HIV infection among sex workers in Lisbon, Portugal: the 5-year experience of a community organisation

Almeida, André; Brasileiro, Ana; Costa, Joana; Eusébio, Mónica; Fernandes, Ricardo

doi:10.1136/sextrans-2014-051523

Cited by 6 publications

(3 citation statements)

References 3 publications

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“… 98 For example, data from Spain and Portugal indicate that HIV infection disproportionately impacts trans feminine sex workers who have migrated from Latin America. 70 , 73 , 76 , 85 Lower access to healthcare, increased levels of poverty and housing instabilities, treatable STIs, lower levels of health literacy, higher HIV prevalence in social networks, and higher network or community viral load are all potential explanatory factors producing and maintaining inequities in HIV infection for trans feminine people of color and migrants. The combination of high burden of HIV, systemic disadvantage, and unmet need for gender affirming services make trans feminine people of color an underserved and priority population for HIV testing, prevention, and treatment.…”

Section: Discussionmentioning

confidence: 99%

Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People

Poteat

Scheim

Xavier

et al. 2016

JAIDS Journal of Acquired Immune Deficiency Syndromes

317

264

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Introduction:Transgender populations have been underrepresented in HIV epidemiologic studies and consequently in HIV prevention, care, and treatment programs. Since 2012, there has been a dramatic increase in research focused on transgender people. Studies highlight the burden of HIV and risk determinants, including intersecting stigmas, as drivers of syndemics among transgender populations. This review synthesizes the most recent global epidemiology of HIV infection and describes current gaps in research and interventions to inform prioritization of HIV research for transgender populations.Methods:A systematic review was conducted of the medical literature published between January 1, 2012 and November 30, 2015. The data focused on HIV prevalence, determinants of risk, and syndemics among transgender populations.Results:Estimates varied dramatically by location and subpopulation. Transfeminine individuals have some of the highest concentrated HIV epidemics in the world with laboratory-confirmed prevalence up to 40%. Data were sparse among trans masculine individuals; however, they suggest potential increased risk for trans masculine men who have sex with men (MSM). No prevalence data were available for transgender people across Sub-Saharan Africa or Eastern Europe/Central Asia. Emerging data consistently support the association of syndemic conditions with HIV risk in transgender populations.Discussion:Addressing syndemic conditions and gender-specific challenges is critical to ensure engagement and retention in HIV prevention by transgender populations. Future research should prioritize: filling knowledge gaps in HIV epidemiology; elucidating how stigma shapes syndemic factors to produce HIV and other deleterious effects on transgender health; and understanding how to effectively implement HIV interventions for transgender people.

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Section: Discussionmentioning

confidence: 99%

Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People

Poteat

Scheim

Xavier

et al. 2016

JAIDS Journal of Acquired Immune Deficiency Syndromes

317

264

View full text Add to dashboard Cite

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“…Examining methods to assess alcohol-related outcomes, six papers provided no description of their alcohol measures (Almeida et al, 2014; Maticka-Tyndale et al, 2016; Rowe et al, 2015; Santos et al, 2014; Smalley et al, 2016; White Hughto et al, 2015); however, for three of those papers we inferred the measures based on reported results or tables accompanying the text. Over half (56%) of papers used multiple items to assess alcohol outcomes, often mixing items for frequency, quantity, and binge drinking episodes.…”

Section: Review Of Current Researchmentioning

confidence: 99%

Alcohol research with transgender populations: A systematic review and recommendations to strengthen future studies

Gilbert

Pass

Keuroghlian

et al. 2018

Drug and Alcohol Dependence

120

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Given findings that suggest high need for ongoing public health attention, we offer recommendations to improve future alcohol studies with transgender and other gender minority populations, such as being explicit as to whether and how sex and/or gender are operationalized and relevant for the research question, expanding the repertoire of alcohol measures to include those not contingent on sex or gender, testing the psychometric performance of established screening instruments with transgender populations, and shifting from descriptive to analytic study designs.

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“…Em Portugal, à exceção do estudo realizado no âmbito da Rede de Rastreio Comunitária (RRC) 8 os estudos das IST são parcelares dado centrarem-se no VIH ou numa amostra pouco expressiva de trabalhadores/as do sexo (TS). 3,[8][9][10] Os dados publicados no âmbito da RRC em 2016 resultam da colaboração de 16 organizações de base comunitária nacionais que, para além de realizarem o rastreio de IST [VIH, VHB, VHC e sífilis (SF)] em populações-chave entre agosto de 2015 e abril de 2016, administraram um questionário que permitiu extrair informação de relevo. Esta escassez de estudos é particularmente preocupante sabendo que as populações em maior risco de aquisição de IST se sobrepõem às de VIH, 1 sendo Portugal dos países da Europa com taxas mais elevadas de prevalência desse vírus.…”

Section: Introductionunclassified

Deteção da Infeção por Vírus da Imunodeficiência Humana e Outras Infeções Sexualmente Transmissíveis num Grupo de Trabalhadores/as do Sexo em Contexto Indoor na Área Metropolitana do Porto

et al. 2020

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Introduction: Early diagnosis is a crucial tool for containing the human immunodeficiency virus and other sexually transmitted infections, particularly in key populations such as sex workers. Despite its relevance, there is a gap considering epidemiological studies and interventions aimed at the monitoring and diagnosis of sexually transmitted infections in Portugal. The objectives of this study are: (i) to contribute to a better understanding of the epidemiology of sexually transmitted infections; and (ii) to evaluate the transfer of screening methods from clinical settings to the outreach context in hidden populations such as sex workers.Material and Methods: The screening of sexually transmitted infections (human immunodeficiency virus 1/2, hepatitis B virus, hepatitis C virus, syphilis, chlamydia and gonorrhea) were carried out in a sample of 100 sex workers during the Porto G outreach intervention in the Metropolitan area of Porto, from September 2015 to September 2016.Results: Six reactive cases for human immunodeficiency virus were identified, five of syphilis, eight of chlamydia and two of gonorrhea. No positive results were detected for hepatitis B virus and hepatitis C virus. The results were discussed considering the risk gradient and sexually transmitted infections vulnerability in the different sex workers’ subgroups.Discussion: The results of this study corroborate the need to promote comprehensive responses to populations most affected by the human immunodeficiency virus and other sexually transmitted infections, such as sex workers. Also, in this group, men who have sex with men and trans women have a higher prevalence than cis women. Intervention strategies should be informed by rigorous epidemiological studies.Conclusion: The adaptation of the screening methodology performed in a clinical setting to the proximity context has shown to be an innovative response in Portugal, especially in sentinel populations.

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Prevalence of and factors mediating HIV infection among sex workers in Lisbon, Portugal: the 5-year experience of a community organisation

Cited by 6 publications

References 3 publications

Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People

Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People

Alcohol research with transgender populations: A systematic review and recommendations to strengthen future studies

Deteção da Infeção por Vírus da Imunodeficiência Humana e Outras Infeções Sexualmente Transmissíveis num Grupo de Trabalhadores/as do Sexo em Contexto Indoor na Área Metropolitana do Porto

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