Depression, sexual behavior, and HIV treatment outcomes among transgender women, cisgender women and men who have sex with men living with HIV in Brazil and Thailand

A short report

Bibliographic Data

ID19439252
AuthorsTonia Poteat (0000-0001-6541-3787, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, corresponding author), David D Celentano (0000-0002-6061-8799, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA), Kenneth H Mayer (0000-0001-7460-733X, Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA), Chris Beyrer (0000-0003-0665-9124, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA), Matthew J Mimiaga (0000-0001-9256-2905, Departments of Behavioral & Social Health Sciences and Epidemiology, School of Public Health, Brown University, Providence, RI, USA), Ruth Khalili Friedman (0000-0002-3330-0830, Instituto Evandro Chagas), Kriengkrai Srithanaviboonchai (0000-0002-1683-4259, Chiang Mai University), Steven A Safren (0000-0002-0121-0806, University of Miami), for the HPTN Study Team
Year2020
Volume32
Issue3
Pages310-315
Publication date2020-03-03
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2019.1668526
PMID31530004
OpenAlexW2974480863
LanguageEN
Citations received5
References cited13

One in five transgender women (TW) are living with HIV, yet little has been published about their health outcomes. We analyzed data from TW (n = 37), cisgender women (CW, n = 165), and cisgender men who have sex with men (MSM, n = 151) in Thailand and Brazil. We hypothesized: (1) TW will have higher odds of depressive symptoms, lower odds of condom use and greater odds of a detectable viral load compared to MSM and CW; and (2) TW will have lower odds of condom use and higher odds of detectable viral load. We found that TW had higher odds of depression (OR 2.2, 95%CI: 1.0, 4.8, p = 0.04) and were less likely than MSM (22% v. 42%, p = 0.01) to use condoms with partners of unknown serostatus. In multivariable models, TW had lower odds than MSM of using condoms with partners with unknown serostatus (OR 0.38, 95%CI: 0.15, 0.90) and CW had lower odds than MSM of using condoms with HIV-negative partners (0.60 [0.38, 0.95], p = 0.029). We found no significant differences in detectable viral load. Disaggregating data by gender is important to understand factors that contribute to viral suppression and HIV transmission risk among people living with HIV

Condom · Logistic regression · Men who have sex with men · Odds · Odds ratio · Serostatus · Syphilis · Transgender · Transgender women · Viral load · Demography · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Sexuality, Behavior, and Technology · Gerontology · Immunology · Internal Medicine

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