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Genotypic Inference of HIV-1 Tropism Using Population-based Sequencing of V3
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Optimising HIV programming for transgender women in Brazil
Jae Sevelius1, Laura Rebecca Murray2, Nilo Martinez Fernandes3
1a Department of Medicine, Division of Prevention Sciences , University of California , San Francisco , CA , USA.
Culture, Health & Sexuality
|November 1, 2018
Summary
Transgender women in Brazil need integrated HIV prevention. Research shows gender discrimination and stigma hinder access, highlighting the need for gender-affirmative, socio-structural, and biomedical approaches like PrEP.
Area of Science:
- Public Health
- Social Sciences
- Gender Studies
Background:
- Limited data exists on HIV prevention for transgender (trans) women in Brazil.
- A growing social movement among trans individuals highlights the need for tailored health interventions.
Purpose of the Study:
- To explore trans women's perspectives on combination HIV prevention in Rio de Janeiro.
- To identify social and contextual barriers to HIV prevention and treatment access.
Main Methods:
- Formative research conducted in Rio de Janeiro.
- Analysis framed within the model of gender affirmation.
- Gathering perspectives on combination HIV prevention strategies.
Main Results:
- Gender-related discrimination and HIV stigma impede access to HIV testing, treatment, and disclosure.
- Participants recommended combining socio-structural (e.g., peer support) with biomedical interventions (e.g., PrEP).
- Preference for gender-affirmative programs promoting autonomy and reducing health service stigma.
Conclusions:
- Integrated HIV prevention programs are crucial for trans women in Brazil.
- Addressing stigma and discrimination is essential for effective HIV prevention.
- Gender-affirmative approaches enhance engagement with health services and HIV prevention methods.
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