Risk factors associated with resistance to HIV testing among transwomen in Brazil

F. M.L. Pinheiro Júnior, C. Kendall, T. A. Martins, R. M.S. Mota, R. H.M. Macena, J. Glick, F. Kerr-Correa, L. Kerr

Research output: Contribution to journalArticlepeer-review

Abstract

Transwomen are a high-risk population for HIV/AIDS worldwide. However, many transwomen do not test for HIV. This study aimed to identify factors associated with resistance to HIV testing among transwomen in Fortaleza/CE. A cross-sectional study was conducted between August and December 2008 with a sample of 304 transwomen recruited through respondent-driven sampling. Data analysis utilized Respondent-Driven Sampling Analysis Tool and SPSS 11.0. Univariate, bivariate, and multivariate analyses examined risk factors associated with resistance to HIV testing. Less than 18 years of age (OR = 4.221; CI = 2.419-7.364), sexual debut before 10 years of age (OR = 6.760; CI = 2.996-15.256), using illegal drugs during sex (OR = 2.384; CI = 1.310-4.339), experience of discrimination (OR = 3.962; CI = 1.540-10.195) and a belief that the test results were not confidential (OR = 3.763; CI = 2.118-6.688) are independently associated with resistance to testing. Intersectoral and targeted strategies aimed at encouraging the adoption of safer sexual behaviors and testing for HIV among transwomen are required.

Original languageEnglish (US)
Pages (from-to)92-97
Number of pages6
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume28
Issue number1
DOIs
StatePublished - Jan 2 2016
Externally publishedYes

Keywords

  • Brazil
  • HIV testing
  • HIV/AIDS
  • RDS
  • resistance to test
  • transwomen

ASJC Scopus subject areas

  • Social Psychology
  • Health(social science)
  • Public Health, Environmental and Occupational Health

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