Infecção pelo vírus da hepatite A em mulheres transgêneras: prevalência e fatores associados
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Data
2022-02-07
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Universidade Federal de Goiás
Resumo
Hepatitis A virus (HAV) infection is a serious public health problem, and transgender
women constitute a group that is still stigmatized and quite vulnerable to communicable
infections. This study aimed to investigate the epidemiological profile of hepatitis A
virus infection in transgender women in Goiás. Cross-sectional, analytical study,
carried out between March 2018 and August 2019, with 440 trans women being
recruited, in which the sampling technique was used Respondent Driven Samplin. All
women participated in data collection through a structured questionnaire and were
tested using serological markers for anti-HAV (IgG-IgM) by enzyme immunoassay
(ELISA). Bivariate and multivariate analyzes were performed using logistic regression
in order to identify factors associated with HAV. More than half self-declared
transsexual (66.3%), with a positive marker for anti HAV-IgG (75.6%), single (82.7%),
aged between 22 and 30 years, self-declared black/ brown (71.6%), educational level
between 10 and 12 years of study (61.3%) and monthly income between R$ 1,000.00
and R$ 3,000.00. Women aged between 20 and 30 years were 6.37 times more likely
to have had previous contact with the virus. Those who had less than 10 years of formal
education were 5.81 times more likely to be positive for anti-HAV IgG compared to
other ages. Although there was no statistically significant association for anti-HAV
positivity, some risky sexual and non-sexual behaviors deserve attention, such as sex
work, oral and oroanal sex, non-use of condoms, considerable number of weekly
sexual partners and group sex, in addition to the use of illicit drugs and prior arrest.
The results showed that very young people may be more likely to be exposed to the
infection and the shorter the time of schooling, the less knowledge and information
about protection and prevention measures for HAV. And there is a need for prevention
programs for communicable infections in this population, such as guaranteeing and
facilitating access to the hepatitis A vaccine and health education actions regarding
preventive and behavioral measures.
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ALMEIDA, M. M. S. Infecção pelo vírus da hepatite A em mulheres transgêneras: prevalência e fatores associados. 2022. 134 f. Tese (Doutorado em Enfermagem) - Faculdade de Enfermagem, Universidade Federal de Goiás, Goiânia, 2022.