HIV Prevalence and Factors Related to HIV Infection Among Transgender Women in Vietnam: A Respondent Driven Sampling Approach

Tuong, Vu Thi; Khuong, Quynh Long; Hong, Le Huynh Thi Cam; Anh, Hoang Thi Ngoc; Ngoc, Nguyen Viet; Tam, Vo Van; Lai, Nguyen Ly; Hanh, Hoang Hong; Phuong, Tran Van Anh; Dung, Do Van

doi:10.1007/s10461-020-02867-5

Cited by 7 publications

(2 citation statements)

References 28 publications

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“…In Vietnam, stigma related to drug use has been shown to be negatively associated with access to care [38]. Likewise, men who have sex with men and transgender women in Vietnam have reported being stigmatized by the healthcare system and assert that a lack of KP-friendly care limits their access to HIV prevention services [39][40][41]. Even after the intervention, we found that women living with HIV were more likely to report selfstigma and unwanted disclosure of HIV status compared to their male counterparts after controlling for other factors.…”

Section: Table 6 Adjusted Associations Between the Intervention And F...mentioning

confidence: 99%

A pretest‐posttest design to assess the effectiveness of an intervention to reduce HIV‐related stigma and discrimination in healthcare settings in Vietnam

et al. 2022

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Introduction Stigma and discrimination are important barriers to HIV epidemic control. We implemented a multi‐pronged facility‐level intervention to reduce stigma and discrimination at health facilities across three high‐burden provinces. Key components of the intervention included measurement of stigma, data review and use, participatory training of healthcare workers (HCWs), and engagement of people living with HIV and key populations in all stigma reduction activities. Methods From July 2018 to July 2019, we assessed HIV‐related stigma and discrimination among patients and HCWs at 10 facilities at baseline and 9 months following an intervention. A repeated measures design was used to assess the change in stigma and discrimination among HCWs and a repeated cross‐sectional design assessed the change in stigma and discrimination experienced by PLHIV. HCWs at target facilities were invited at random and PLHIV were recruited when presenting for care during the two assessment periods. McNemar's test was used to compare paired proportions among HCWs, and chi‐square test was used to compare proportions among PLHIV. Mixed models were used to compare outcomes before and after the intervention. Results Semi‐structured interviews were conducted with 649 and 652 PLHIV prior to and following the intervention, respectively. At baseline, over the previous 12 months, 21% reported experiencing discrimination, 16% reported self‐stigma, 14% reported HIV disclosure without consent and 7% had received discriminatory reproductive health advice. Nine months after the intervention, there was a decrease in reported stigma and discrimination across all domains to 15%, 11%, 7% and 3.5%, respectively (all p‐values <0.05). Among HCWs, 672 completed the pre‐ and post‐intervention assessment. At baseline, 81% reported fear of HIV infection, 69% reported using unnecessary precautions when caring for PLHIV, 44% reported having observed other staff discriminate against PLHIV, 54% reported negative attitudes towards PLHIV and 41% felt uncomfortable working with colleagues living with HIV. The proportions decreased after the intervention to 52%, 34%, 32%, 35% and 24%, respectively (all p‐values <0.05). Conclusions A multi‐pronged facility‐level intervention was successful at reducing healthcare‐associated HIV‐related stigma in Vietnam. The findings support the scale‐up of this intervention in Vietnam and highlight key components potentially applicable in other settings.

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Section: Table 6 Adjusted Associations Between the Intervention And F...mentioning

confidence: 99%

A pretest‐posttest design to assess the effectiveness of an intervention to reduce HIV‐related stigma and discrimination in healthcare settings in Vietnam

et al. 2022

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“…Transgender women (TW) are de ned as individuals who were assigned to the male gender at birth, but identify as female (4). Globally, TW face one of the highest HIV burdens, thus experiencing an elevated risk of contracting HIV (5).…”

Section: Introductionmentioning

confidence: 99%

Drivers of Active Amphetamine-Type Stimulant Use among Transgender Women in Malaysia: A Cross-Sectional Study

JadKarim,

Galka,

Shrestha

et al. 2023

Preprint

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While ample evidence exists regarding the use of active amphetamine-type stimulants (ATS) among sex workers, the impact of ATS use has yet to be characterized among the transgender population in Malaysia. Our aim is to highlight and assess health-related factors associated with ATS use among transgender women in Malaysia. A total of 361 transgender women completed a cross-sectional survey regarding their attitude towards PrEP knowledge and use for HIV prevention. The original study explored a myriad of health-related topics including active ATS use. Data was analyzed using logistic regression analyses to determine factors associated with active ATS use. Most of the participants were between 25–40 years old (57.3%), ethnically identified as Malay (75%), and single (67.6%). We found that 10.2% of the participants were actively using ATS. On a multivariate level, hormone therapy use was associated with reduced odds of active ATS use (aOR = 0.364; 95% CI = 0.169, 0.784) and was positively associated with a history of drug related arrest (aOR = 4.604; 95%CI = 1.813, 11.691). Our findings show a high prevalence of active ATS use among transgender women in Malaysia, in addition to its correlation to other health-related factors. Interestingly, we found that trans women who were actively using hormone therapy, were less likely to engage in active ATS use. This relationship should be explored further along with the relationship between incarceration history. In addition, further prevention strategies and efforts are needed to decrease ATS use among transgender women in Malaysia.

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Asian LGBTQ+ Sexual Health: an Overview of the Literature from the Past 5 Years

Breen

Estrellado

Nakamura

et al. 2020

Curr Sex Health Rep

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HIV Prevalence and Factors Related to HIV Infection Among Transgender Women in Vietnam: A Respondent Driven Sampling Approach

Cited by 7 publications

References 28 publications

A pretest‐posttest design to assess the effectiveness of an intervention to reduce HIV‐related stigma and discrimination in healthcare settings in Vietnam

A pretest‐posttest design to assess the effectiveness of an intervention to reduce HIV‐related stigma and discrimination in healthcare settings in Vietnam

Drivers of Active Amphetamine-Type Stimulant Use among Transgender Women in Malaysia: A Cross-Sectional Study

Asian LGBTQ+ Sexual Health: an Overview of the Literature from the Past 5 Years

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