Factores contextuales, sociales e individuales como barreras y facilitadores para el acceso a la salud de mujeres trans: desde la perspectiva de la comunidad

Zalazar, Virginia; Arístegui, Inés; Cardozo, Nadir; Sued, Omar; Rodríguez, Allan; Frola, Claudia; Perez, Hector R.

doi:10.52226/revista.v26i98.22

Cited by 4 publications

(8 citation statements)

References 19 publications

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“…They also suggested having emotional support and guidance throughout a free phone line. 19 Moreover, problems with linkage to care after self-testing are also seen as a barrier. Although HIVST would increase testing uptake, implementation should be approached with caution and promotion of linkage are critical for optimizing HIVST interventions and preventing individuals from falling through the cracks of the health system.…”

Section: Discussionmentioning

confidence: 99%

“…This emphasizes once more the critical importance of peers and leaders within the transgender community through the HIV cascade of care. 19,21 Additionally, particularly in middle-and low-income countries, the cost of purchasing HIVST was seen as a barrier. 5,10,13,17 Both free and paid options should be provided, according to the participants.…”

Section: Discussionmentioning

confidence: 99%

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“If I’m at home, I do it at home”: Qualitative study on HIV self-testing among transgender women in Argentina

et al. 2022

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Background Evidence among key populations supports acceptability of HIV self-testing (HIVST) due to its privacy and convenience. However, insufficient research has been done among transgender women (TGW), especially in Latin America. Consequently, the aim of this study was to explore the acceptability, perceptions and recommendations for HIVST implementation among TGW in Buenos Aires. Methods A focus group was conducted in July 2019. Particpants were invited to touch and learn about a displayed HIVST kit. The following main topics were explored: acceptability, reasons for seeking self-testing, preferences for training, distribution, periodicity and recommendations for HIVST implementation. Results The sample consisted of 12 TGWs; mean age of 26 years (IQR = 22–28); 66% had history of sex-work. The main motivations for seeking HIVST were convenience, privacy, and usage to reduce stigma and discrimination by health-care providers. Recommendations for HIVST were: distribution from primary health centers and trans-sensitive centers; affordable price; assistance by peer health promoters; and the provision of clear written and video instructions. Conclusions Tailored implementation of HIVST can increase HIV testing rates, early detection, and linkage to HIV-care in this high-prevalence group. This study provided community-driven suggestions to inform and adapt an HIVST feasibility pilot study and future implementation in Argentina.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“If I’m at home, I do it at home”: Qualitative study on HIV self-testing among transgender women in Argentina

et al. 2022

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“…Concerning effective referrals and treatment completion, although gender identity-based barriers 6,7 were addressed by follow-up calls by peer health promoters and treatment provided in a trans-competent health service, 17,37 the percentages of TGW who attended to confirm positive results and started and completed treatment were low. Only 37.5% started ART, and only 39.1% of TGW who started penicillin treatment, completed it.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Social exclusion due to stigma and discrimination leads TGW to survive sex work, alcohol and drug abuse, and high-risk sexual practices, making this group more vulnerable to STIs. 5 However, as a result of discrimination by healthcare providers, 6,7 TGW are often diagnosed late and lost to follow-up in STIs services. 8,9 Thus, expanding new testing strategies, such as rapid testing, is needed in order to facilitate early diagnosis and linkage to trans-competent health services.…”

Section: Introductionmentioning

confidence: 99%

Acceptability of dual HIV/syphilis rapid test in community- and home-based testing strategy among transgender women in Buenos Aires, Argentina

et al. 2021

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Background: Little is known of acceptability and feasibility of dual HIV and syphilis rapid tests in community- and home-based provider-initiated strategies among transgender women (TGW), in Latin America. Objectives were (1) to assess the acceptability of this strategy and, (2) to determine the percentage of positive results of HIV and syphilis, analyze the correlates of HIV or syphilis positive results, and measure the rates of effective referral and treatment completion among TGW. Methods: A multidisciplinary team tested 89 TGW in Buenos Aires. An acceptability survey was administered after the HIV/syphilis Duo test was used. All confirmed cases were referred for treatment initiation. Results: We found high levels of acceptability (98.8%) of this strategy among TGW. However, only 60.7% preferred simultaneous HIV and syphilis diagnosis test. Moreover, we found 9% of positive results of HIV, 51.7% of syphilis, and 3.4% of positive results for both infections. Only not being tested before was associated with an HIV positive result, and only low level of education was associated with a positive syphilis result. Among 8 TGW who tested positive for HIV, 37.5% ( n = 3) started antiretroviral therapy. Of 46 who tested positive for syphilis, only 73.9% ( n = 34) were effectively referred and from 23 who started treatment, only 39.1% completed it. Conclusions: Community- and home-based dual HIV and syphilis rapid test is a feasible and highly acceptable approach for this hard-to-reach population. Implementing similar strategies could improve screening uptake and accessibility. However, these results highlight the need to improve strategies for treatment uptake, in order to reduce morbidity and risk of onward transmission.

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“…A transfobia é uma faceta antidemocrática que finca limites para a compreensão das possibilidades de ser definido com base na patologização, na punição e na violência, os cursos de vida que não se estabelecem a partir da cisheteronormatividade. Desse modoZalazar et al (2018), identifica que a desigualdade no acesso à saúde aparece principalmente relacionados com o estigma e a discriminação com base na identidade de gênero que atua como uma barreira social e comunitária. E essas barreiras persistem mesmo com a promulgação da Lei de Identidade de Gênero.…”

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Pesquisa e Extensão: Abordagem Interdisciplinar

2022

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A pesquisa propõe apresentar quais os impactos que a cultura do cancelamento tem na vida do indivíduo cancelado, focando nos conteúdos explícitos de figuras públicas canceladas que interagem nas redes sociais. Para mais, também intenciona descrever os principais impactos financeiros e midiáticos gerados por esses cancelamentos. Método: Foi realizada uma pesquisa com abordagem qualitativa a partir do método da netnografia, que permite uma coleta de dados feita pelas mídias digitais. A análise dos impactos da cultura do cancelamento ocorreu com a seleção de cinco perfis da rede social instagram com a escolha de algumas mulheres famosas da faixa etária de 20 a 35 anos. Resultados e Discussão: Houve uma certificação de que os cancelamentos estão relacionados com lutas sociais e políticas, como questões ligadas à xenofobia, racismo, machismo e lgbtqfobia, além de aspectos referentes à saúde coletiva. Percebeu-se também que essa nova forma de debater os comportamentos das pessoas famosas trouxeram diversas repercussões, tanto no campo da saúde mental, como no marketing pessoal da figura pública. A reação do público, dependendo da pauta, tende a ser agressiva e intolerante. Conclusão: Muitos dos debates que giram em torno dos assuntos que causam o cancelamento levam inúmeras pessoas à reflexão, de modo a esclarecer o pensamento sobre determinados temas que até então poderiam ser desconhecidos para uma população leiga. É necessário que se avalie o modo e a intensidade que a cobrança é feita, evitando ataques e oportunizando que o sujeito cancelado possa se expressar acerca de seus erros, amenizando assim um possível adoecimento mental, sendo necessária a psicologia está atenta a essas demandas que emergem.

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Factores contextuales, sociales e individuales como barreras y facilitadores para el acceso a la salud de mujeres trans: desde la perspectiva de la comunidad

Cited by 4 publications

References 19 publications

“If I’m at home, I do it at home”: Qualitative study on HIV self-testing among transgender women in Argentina

“If I’m at home, I do it at home”: Qualitative study on HIV self-testing among transgender women in Argentina

Acceptability of dual HIV/syphilis rapid test in community- and home-based testing strategy among transgender women in Buenos Aires, Argentina

Pesquisa e Extensão: Abordagem Interdisciplinar

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