Prevalence of syphilis in transgender women and travestis in Brazil: results from a national cross-sectional study (Q30068)

abstract

The study aimed to estimate the prevalence of acquired syphilis and associated factors in a national survey. (English)

OBJECTIVE (English)

objective section

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TransOdara was a cross-sectional study comprising transgender women and travestis (TGW) in five major cities in Brazil during December of 2019 and July of 2021. (English)

METHODS (English)

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The sample was recruited using the respondent-driven sampling (RDS) method. (English)

METHODS (English)

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The outcome "active syphilis" was defined as a positive treponemal test and Venereal-Disease-Research-Laboratory (VDRL) title greater than∕ equal to ⅛. Sociodemographic variables were described. (English)

METHODS (English)

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Bivariate and multiple logistic regression were performed, and odds ratios (OR) and 95% confidence intervals (95%CI) were estimated. (English)

METHODS (English)

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All analyses were performed in R, 4.3.1. (English)

METHODS (English)

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A total of 1,317 TGW were recruited, with 1,291 being tested for syphilis, and 294 (22.8%) meeting the criteria for active syphilis. (English)

RESULTS (English)

results section

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In bivariate analysis, black/mixed race (OR=1.41, 95%CI 1.01-1.97), basic level of education (OR=2.44, 95%CI 1.17-5.06), no name change in documents (OR=1.39, 95%CI 1.00-1.91) and sex work (past only OR= 2.22, 95%CI 1.47-3.32; partial OR=2.75, 95%CI 1.78-4.25; full time OR=3.62, 95%CI 2.36-5.53) were associated with active syphilis. (English)

RESULTS (English)

results section

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In the multivariate analysis, sex work was the only associated factor, 2.07 (95%CI 1.37-3.13) past sex work, 2.59 (95%CI 1.66-4.05) part-time sex work and 3.16 (95%CI 2.04-4.92) sex work as the main source of income. (English)

RESULTS (English)

results section

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The prevalence of active syphilis in this study was elevated compared with other countries in Latin America. (English)

CONCLUSION (English)

conclusion section

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Sex work was an important associated factor with active syphilis, highlighting the impact that this condition of vulnerability may have in the health of TGW, as members of a key, marginalized population. (English)

CONCLUSION (English)

conclusion section

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other abstract

O estudo teve como objetivo estimar a prevalência de sífilis adquirida e fatores associados em uma pesquisa nacional. (Portuguese)

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"TransOdara" foi um estudo transversal compreendendo mulheres trans e travestis (MTT) em cinco grandes cidades do Brasil durante dezembro–2019 e julho–2021. (Portuguese)

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A amostra foi recrutada usando o método respondente-driven sampling (RDS). (Portuguese)

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O desfecho “sífilis ativa” foi definido como um teste treponêmico positivo e título do Venereal-Disease-Research-Laboratory (VDRL) maior ou igual a ⅛. (Portuguese)

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Variáveis sociodemográficas foram descritas. (Portuguese)

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Análises bi- e multivariadas foram realizadas, e odds ratio (OR) e IC95% foram estimados. (Portuguese)

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Todas as análises foram realizadas no R,4.3.1. (Portuguese)

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Um total de 1.317 MTT foram recrutadas, com 1.291 sendo testadas para sífilis, das quais 294 (22,8%) preencheram os critérios para sífilis ativa. (Portuguese)

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Na análise bivariada, raça negra/parda (OR=1,41; IC95% 1,01–1,97), nível básico de educação (OR=2,44; IC95% 1,17–5,06), não alteração do nome nos documentos (OR=1,39; IC95% 1,00–1,91) e trabalho sexual (pregresso OR=2,22; IC95% 1,47–3,32; parcial OR=2,75; IC95% 1,78–4,25; período integral OR=3,62; IC95%: 2,36-5,53) foram associados à sífilis ativa. (Portuguese)

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Na análise multivariada, o trabalho sexual foi o único fator associado, 2,07 (IC95%: 1,37-3,13) trabalho sexual passado, 2,59 (IC95% 1,66–4,05) trabalho sexual em tempo parcial e 3,16 (IC95% 2,04–4,92) trabalho sexual como principal fonte de renda. (Portuguese)

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A prevalência de sífilis ativa neste estudo foi elevada em comparação com outros países da América Latina. (Portuguese)

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O trabalho sexual foi um fator associado importante com sífilis ativa, destacando o impacto que essa condição de vulnerabilidade pode ter na saúde das MTT, como membros de uma população-chave marginalizada. (Portuguese)

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2024

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