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移民与秘鲁利马的年轻跨性别女性中艾滋病毒脆弱性的增加有关

Amaya Perez-Brumer^1,2, Dorothy Apedaile¹, Franceska León-Morris²

¹Dalla School of Public Health, University of Toronto, Toronto, ON, Canada.

Journal of acquired immune deficiency syndromes (1999)

|January 15, 2025

概括

拉丁美洲的移民跨性别女性 (TW) 面临着高的艾滋病毒和性传播感染率,在移民后,像没有避孕套的性行为这样的脆弱性增加了. 对于这些人群,迫切需要扩大艾滋病毒预防和护理.

科学领域:

公共卫生公共卫生
流行病学流行病学
移民研究移民研究

背景情况:

拉丁美洲正经历着最大规模的大规模移民,在制新的艾滋病毒感染方面取得的进展很小.
跨性别女性 (TW) 在该地区受到艾滋病毒的影响不成比例,但关于她们与移民有关的脆弱性的数据很少.

研究的目的:

在秘鲁利马的年轻跨性别女性 (TW) 中检查艾滋病毒和性传播感染 (STI) 的脆弱性.
为了比较移民和非移民TW之间的艾滋病毒和性传播感染的流行率和相关风险.
评估利马时间对艾滋病毒脆弱性的影响,包括避孕套的使用.

主要方法:

在2022年2月至7月期间,在利马与211名年轻的TW (16-24岁) 进行了一项横截面定量研究.
参与者接受了艾滋病毒,梅毒,克拉米迪亚,淋病和乙型肝炎的血清检测.
使用双变量分析和波桑回归建模来比较流行率,并评估移民状况,利马时间和艾滋病毒脆弱性之间的关联.

主要成果:

在204名TW中,54%是移民,45%是在过去五年内抵达利马的.
移民中艾滋病毒的发病率为44%,非移民中为39%.
与非移民相比,移民患梅毒,获得医疗保健不良,终身和最近的性工作以及客户暴力的患病率更高. 0-1年前到达利马的人更有可能报告没有避孕套的交.

结论:

年轻的TW经历了艾滋病毒和性传播疾病的高发病率,移民后的脆弱性仍然存在.
迫切需要加强针对移民的艾滋病毒预防和护理服务.
持续的卫生和社会服务对于在重新安置后在城市中心的移民至关重要.

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