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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Optimising HIV programming for transgender women in Brazil
Culture, Health and Sexuality, Volume 21, No. 5, Year 2019
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Description
In Brazil, little data is available to inform HIV prevention programming for travestis and transgender (‘trans’) women, despite the existence of a social movement that has gained strength in recent years. We conducted formative research in Rio de Janeiro to gather trans women’s perspectives on combination HIV prevention approaches. Framing the analysis within the model of gender affirmation, we found that several social and contextual factors inhibited participants’ access to HIV prevention and treatment. Experienced and anticipated gender-related discrimination and HIV stigma were linked to the avoidance of HIV testing, health services and HIV status disclosure. Participants recommended HIV prevention interventions which combined socio-structural interventions, such as peer-based empowerment and social support, with biomedical interventions such as pre-exposure prophylaxis (PrEP). Participants expressed a preference for programmes and interventions that emphasised a gender-affirmative approach, promoted autonomy and aimed to reduce stigma and discrimination in public health services. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.
Authors & Co-Authors
Martinez Fernandes, Nilo
Brazil, Rio de Janeiro
Instituto Nacional de Infectologia Evandro Chagas Ini
Veras, Maria Amélia De Sousa Mascena
Brazil, Sao Paulo
Faculdade de Ciencias Medicas da Santa Casa de Sao Paulo
Grinsztejn, Beatriz Gilda Jegerhorn
Brazil, Rio de Janeiro
Instituto Nacional de Infectologia Evandro Chagas Ini
Lippman, Sheri A.
United States, San Francisco
University of California, San Francisco
Statistics
Citations: 16
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1080/13691058.2018.1496277
ISSN:
13691058
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Exploratory Study
Participants Gender
Female