ArticleInternational journal for equity in health2021
Association between gender-based discrimination and medical visits and HIV testing in a large sample of transgender women in northeast Brazil.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- The case for a unified health system (SUS)-funded integrated transgender health clinic in a Brazilian urban center.International journal of transgender health · 2026Article
- Mental Health Outcomes AmongInternational journal of environmental research and public health · 2025Review
- HIV Testing and PrEP Use Among Trans and/or Non-binary Participants in the TASG Study, a Participatory Study in Germany.AIDS and behavior · 2025Article
- Intersectional discrimination, mental health, and health care access among transgender women in Brazil.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- HIV prevention among adolescents travestis and transgender women in three Brazilian capitals, 2019-2023.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Epidemiological dynamics and molecular characteristics of HIV-1 among transgender women in the Central-West region of Brazil.Frontiers in public health · 2025Article
- A scoping review examining measurement of anti-transgender stigma in low- and middle-income countries.PLOS global public health · 2025Article
- Barriers and facilitators for optimizing HIV screening target trans women in Taiwan: Convergent mixed-method design.International journal of transgender health · 2025Article
- Access to healthcare for Trans, Travestis, and Gender-Diverse people in Latin America: a scoping review.Frontiers in public health · 2025Article
- Social and programmatic vulnerability in the context of transgender people's health: a scoping review of scientific evidence from Brazil.International journal for equity in health · 2024Article
- Factors Associated with Transgender-Based Discrimination AmongTransgender health · 2024Article
- Discrimination based on gender identity and decision-making regarding HIV/STI-protected sex, a cross-sectional study among trans and non-binary people in Germany.BMC public health · 2024Article
- Discriminatory experiences among gay, bisexual, and other men who have sex with men, and transgender and non-binary individuals: a cross sectional analysis.Lancet regional health. Americas · 2024Article
- First report on human T-lymphotropic virus 1 infection in a group of transgender women.Frontiers in public health · 2024Article
- TransOdara study: the challenge of integrating methods, settings and procedures during the COVID-19 pandemic in Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024Article
- Factors associated with prior testing for HIV, Syphilis, and Hepatitis B and C among transgender women and travestis in Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024Article
- Prevalence of HIV infection among transgender women and travestis in Brazil: data from the TransOdara study.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024Article
- Societal stigma and mistreatment in healthcare among gender minority people: a cross-sectional study.International journal for equity in health · 2023Article
- Strategies to increase HIV testing among men who have sex with men and transgender women: an integrative review.BMC infectious diseases · 2023Review
- HIV prevalence among transgender women in Northeast Brazil - Findings from two Respondent Driven Sampling studies.BMC public health · 2022Article
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8 authors.
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Abstract
backgroundGender-based discrimination remains a substantial barrier to health care access and HIV prevention among transgender women in Brazil. The aim of this study was to investigate the association between gender-based discrimination and medical visits, as well as with HIV testing among transgender women in the last 12 months in northeast Brazil.
methodsThis is a cross-sectional study of 864 transgender women recruited using Respondent-Driven Sampling in three cities in northeastern Brazil in 2016. A socio-behavioral questionnaire was applied. Multivariate analyses were performed using logistic regression, with odds ratio and respective 95% confidence intervals estimation, to estimate the effect of gender-based discrimination on two outcomes: i) medical visits and ii) HIV testing in the last 12 months.
results547 transgender women (67·0%) had medical visits, and 385 (45·8%) underwent HIV testing in the last 12 months. In the multivariate analysis, gender-based discrimination was associated with a reduced likelihood of medical visits (OR: 0·29; 95%CI: 0·14-0·63) and HIV testing (OR: 0·41; 95%CI: 0·22-0·78) in the last 12 months.
conclusionGender-based discrimination played an essential role in reducing the access of TGW to medical visits and HIV testing services. Furthermore, by confirming the association between gender-based discrimination and medical visits and HIV testing in the multivariate analysis, we have demonstrated how this predictive variable can affect by reducing access to health services. The findings point to the need for non-discriminatory policies based on the defense and promotion of human rights that may foster the access of transgender women to Brazilian health services.
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