Prevalence of chlamydia and gonorreheae among transgender women and travestis in five Brazilian capitals, 2019–2021 (Q30044)

abstract

To estimate the prevalence and factors associated with the detection of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) in transgender women and travestis in five Brazilian capitals. (English)

OBJECTIVE (English)

objective section

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Data were obtained from a cross-sectional study conducted between 2019 and 2021, with participants recruited through Respondent Driven Sampling in São Paulo, Campo Grande, Manaus, Porto Alegre and Salvador. (English)

METHODS (English)

methods section

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Detection of CT and NG was analyzed at three collection sites (anorectal, oropharyngeal and urethral). (English)

METHODS (English)

methods section

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Mixed logistic regression models were employed to identify associated factors. (English)

METHODS (English)

methods section

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A total of 1,297 recruited participants provided biological material to detect these infections. (English)

RESULTS (English)

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The prevalences of CT, NG and coinfection were 11.5%, 13.3% and 3.6%, respectively. (English)

RESULTS (English)

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Independent associations with CT infections included past (OR=1.73; 95%CI 1.02-2.95), current (OR=2.13; 95%CI 1.23-3.69), and part-time sex work (OR=2.75; 95%CI 1.60-4.75), as well as lifetime injectable drug use (OR=3.54; 95%CI 1.49-8.40). (English)

RESULTS (English)

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For NG, associations were observed with lifetime injectable drug use (OR=1.91; 95%CI 1.28-2.84) and sexual orientation, including heterosexual (OR=3.44; 95%CI 1.35-8.82), homosexual (OR=5.49; 95%CI 1.89-15.97), and bisexual (OR=3.21; 95%CI 1.06-9.68). (English)

RESULTS (English)

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Coinfection was associated with use of illicit drugs in the last 12 months (OR=2.34, 95%CI 1.10-5.00), and younger age was associated with all investigated outcomes. (English)

RESULTS (English)

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Estimated prevalences of CT, NG and co-infection were higher among transgender women and travestis compared to the general population, particularly among younger, individuals engaged in sex work and illicit drug use. (English)

CONCLUSION (English)

conclusion section

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other abstract

Estimar as prevalências e os fatores associados à detecção de Chlamydia trachomatis (CT) e Neisseria gonorrhoeae (NG) em mulheres trans e travestis em cinco capitais brasileiras. (Portuguese)

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Os dados vieram de um estudo transversal, realizado entre 2019 e 2021, com pessoas recrutadas por RDS (respondent driven sampling) em São Paulo, Campo Grande, Manaus, Porto Alegre e Salvador. (Portuguese)

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Analisou-se a detecção de CT e NG, em três sítios de coleta (anorretal, orofaríngeo e uretral). (Portuguese)

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Para identificação dos fatores associados empregaram-se modelos logísticos com efeitos mistos. (Portuguese)

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Forneceram material biológico para detecção dessas infecções 1.297 participantes recrutadas. (Portuguese)

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As prevalências de CT, NG e coinfecção foram, respectivamente, 11,5, 13,3 e 3,6%. (Portuguese)

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Foram independentemente associados à detecção para CT: trabalho sexual no passado (odds ratio — OR=1,73; intervalos de confiança para 95% — IC95% 1,02–2,95), no momento atual (OR=2,13; IC95% 1,23–3,69) e como atividade parcial (OR=2,75; IC95% 1,60–4,75) e uso de drogas injetáveis na vida (OR=3,54; IC95% 1,49–8,40). (Portuguese)

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Para NG: uso de drogas injetáveis na vida (OR=1,91; IC95% 1,28–2,84) e orientação sexual – heterossexuais (OR=3,44; IC95% 1,35–8,82), homossexuais (OR=5,49; IC95% 1,89–15,97) e bissexuais (OR=3,21; IC95% 1,06–9,68). (Portuguese)

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Para coinfecção: uso de drogas nos últimos 12 meses (OR=2,34; IC95% 1,10–5,00). (Portuguese)

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Ser mais jovem foi associada a todos os desfechos investigados. (Portuguese)

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As prevalências estimadas de CT, NG e de coinfecção foram desproporcionalmente mais elevadas entre as mulheres trans e travestis se comparadas à população geral, especialmente entre as mais jovens, que exerciam trabalho sexual e faziam uso de drogas. (Portuguese)

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2024

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