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Risk factors associated with resistance to HIV testing among transwomen in Brazil

2015; Taylor & Francis; Volume: 28; Issue: 1 Linguagem: Inglês

10.1080/09540121.2015.1066751

1360-0451

Francisco Marto Leal Pinheiro Júnior, Carl Kendall, Telma Alves Martins, Rosa Maria Salani Mota, Raimunda Hermelinda Maia Macena, Jennifer L. Glick, Florence Kerr-Corrêa, Lígia Regina Franco Sansigolo Kerr,

HIV, Drug Use, Sexual Risk

Transwomen are a high-risk population for HIV/AIDS worldwide. However, many transwomen do not test for HIV. This study aimed to identify factors associated with resistance to HIV testing among transwomen in Fortaleza/CE. A cross-sectional study was conducted between August and December 2008 with a sample of 304 transwomen recruited through respondent-driven sampling. Data analysis utilized Respondent-Driven Sampling Analysis Tool and SPSS 11.0. Univariate, bivariate, and multivariate analyses examined risk factors associated with resistance to HIV testing. Less than 18 years of age (OR = 4.221; CI = 2.419–7.364), sexual debut before 10 years of age (OR = 6.760; CI = 2.996–15.256), using illegal drugs during sex (OR = 2.384; CI = 1.310–4.339), experience of discrimination (OR = 3.962; CI = 1.540–10.195) and a belief that the test results were not confidential (OR = 3.763; CI = 2.118–6.688) are independently associated with resistance to testing. Intersectoral and targeted strategies aimed at encouraging the adoption of safer sexual behaviors and testing for HIV among transwomen are required.