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Cartujano-Barrera F, Mejia RM, Radusky PD, Cardozo N, Duarte M, Fabian S, Caballero R, Zalazar V, Ramos-Pibernus A, Alpert AB, Cupertino AP, Frola C, Aristegui I. Prevalence and correlates of current cigarette smoking among transgender women in Argentina. Front Public Health 2023; 11:1279969. [PMID: 38115852 PMCID: PMC10728477 DOI: 10.3389/fpubh.2023.1279969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 11/20/2023] [Indexed: 12/21/2023] Open
Abstract
Objective To assess the prevalence of current cigarette smoking among transgender women in Argentina, and to examine the unique associations of current cigarette smoking with demographic and psychosocial factors. Methods This study is a secondary data analysis of the TransCITAR - a prospective cohort study of transgender individuals living in Buenos Aires, Argentina - baseline data. The baseline survey collected information on sociodemographic characteristics, perceived health status, depressive symptoms, suicide attempts, current cigarette smoking, alcohol use disorder, and substance use. Participants were also asked about lifetime experiences of physical and sexual violence perpetrated by partners, clients and/or the police, and experiences of gender identity stigma in the past year from healthcare workers and the police. Lastly, participants were asked if they had ever been arrested. Fisher's exact test was used to compare proportions in categorical variables and student t-test was used for continuous variables. Significant associations with current cigarette smoking were tested in a logistic regression model adjusted for all significant associations. Results A total of 41.7% of participants (n = 393) reported current cigarette smoking. Compared to their non-smoking counterparts, participants who reported current cigarette smoking (1) had completed less education, (2) were more likely to be born in Argentina, (3) more likely to had migrated to Buenos Aires from other parts of the country, (4) more likely to report a history of sex work, (5) more likely to perceive their health as excellent, (6) more likely to screen positive for hazardous alcohol drinking, (7) more likely to report any substance and cocaine use in the past year, (8) more likely to experience gender identity stigma from the police in the past year, and (9) more likely to being arrested in their lifetime (all p's < 0.05). After controlling for all significant associations, education level of less than high school (AOR = 1.79, 95% CI 1.02-2.12), hazardous drinking (AOR = 2.65, 95% CI 1.30-5.37), and any substance use in the last year (AOR = 2.14, 95% CI 1.16-3.94) were positively and independently associated with current cigarette smoking. Conclusion Among transgender women in Argentina, current cigarette smoking was more than double the rate for cisgender women. Current cigarette smoking was associated with education, hazardous drinking, and any drug use. These results will inform future smoking cessation interventions among transgender women in Argentina.
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Affiliation(s)
| | - Raul M. Mejia
- Division of Implementation Research, Fundación Huésped, Buenos Aires, Argentina
- Department of Ambulatory Care, Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Pablo D. Radusky
- Division of Implementation Research, Fundación Huésped, Buenos Aires, Argentina
| | - Nadir Cardozo
- Division of Implementation Research, Fundación Huésped, Buenos Aires, Argentina
- Asociación de Travestis, Transexuales y Transgéneros de Argentina, Buenos Aires, Argentina
| | - Mariana Duarte
- Division of Implementation Research, Fundación Huésped, Buenos Aires, Argentina
- Casa Trans, Buenos Aires, Argentina
| | - Solange Fabian
- Division of Implementation Research, Fundación Huésped, Buenos Aires, Argentina
- Hotel Gondolín, Buenos Aires, Argentina
| | - Romina Caballero
- Division of Implementation Research, Fundación Huésped, Buenos Aires, Argentina
| | - Virginia Zalazar
- Division of Implementation Research, Fundación Huésped, Buenos Aires, Argentina
| | - Alixida Ramos-Pibernus
- School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, PR, United States
| | - Ash B. Alpert
- Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, United States
- Division of Hematology, Department of Medicine, Yale School of Medicine, New Haven, CT, United States
| | - Ana Paula Cupertino
- Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, United States
- Department of Surgery, University of Rochester Medical Center, Rochester, NY, United States
| | - Claudia Frola
- Division of Implementation Research, Fundación Huésped, Buenos Aires, Argentina
| | - Ines Aristegui
- Division of Implementation Research, Fundación Huésped, Buenos Aires, Argentina
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Soares DC, Filho LCF, Souza dos Reis H, Rodrigues YC, Freitas FB, de Oliveira Souza C, Damacena GN, Véras NMC, Gaspar PC, Benzaken AS, da Felicidade Ribeiro Favacho J, Macedo O, Bazzo ML. Assessment of the Accuracy, Usability and Acceptability of a Rapid Test for the Simultaneous Diagnosis of Syphilis and HIV Infection in a Real-Life Scenario in the Amazon Region, Brazil. Diagnostics (Basel) 2023; 13:diagnostics13040810. [PMID: 36832298 PMCID: PMC9955085 DOI: 10.3390/diagnostics13040810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 01/18/2023] [Accepted: 01/20/2023] [Indexed: 02/23/2023] Open
Abstract
We field-assessed the accuracy, acceptability, and feasibility of the SD BIOLINE HIV/Syphilis Duo rapid diagnostic test in three groups: pregnant women, female sex workers (FSW), and men who have sex with men (MSM). Venous blood samples collected in the field were compared with the respective gold standard methods: SD BIOLINE HIV/Syphilis Duo Treponemal Test versus FTA-abs (Wama brand) treponemal laboratory test for syphilis, and SD BIOLINE HIV/Syphilis Duo Test versus the fourth generation Genscreen Ultra HIV Ag-Ag (Bio-Rad brand) laboratory test for HIV. From a total of 529 participants, 397 (75.1%) were pregnant women, 76 (14.3%) FSW and 56 (10.6%) MSM. Sensitivity and specificity parameters of HIV were 100.0% (95% CI: 82.35-100.0%) and 100.0% (95% CI: 99.28-100.0%), respectively. Sensitivity and specificity parameters found for TP antibody detection were 95.00% (95% CI: 87.69-98.62%) and 100.0% (95% CI: 98.18-100.0%), respectively. The SD BIOLINE HIV/Syphilis Duo Test showed high acceptability among participants (85.87%) and health professionals (85.51%), as well as easy usability by professionals (91.06%). The usability of the SD BIOLINE HIV/Syphilis Duo Test kit would not be a barrier to accessing rapid testing, if the product were incorporated into the list of health service supplies.
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Affiliation(s)
- Daniela Cristina Soares
- Laboratory of Sexually Transmitted Infections, Bacteriology and Mycology Section, Evandro Chagas Institute (IEC), Ananindeua 67030-000, Brazil
- Correspondence:
| | - Luciano Chaves Franco Filho
- Laboratory of Sexually Transmitted Infections, Bacteriology and Mycology Section, Evandro Chagas Institute (IEC), Ananindeua 67030-000, Brazil
| | - Herald Souza dos Reis
- Laboratory of Sexually Transmitted Infections, Bacteriology and Mycology Section, Evandro Chagas Institute (IEC), Ananindeua 67030-000, Brazil
| | - Yan Corrêa Rodrigues
- Laboratory of Sexually Transmitted Infections, Bacteriology and Mycology Section, Evandro Chagas Institute (IEC), Ananindeua 67030-000, Brazil
| | - Felipe Bonfim Freitas
- Retrovirus Laboratory, Virology Section, Evandro Chagas Institute (IEC), Ananindeua 67030-000, Brazil
| | - Cintya de Oliveira Souza
- Laboratory of Sexually Transmitted Infections, Bacteriology and Mycology Section, Evandro Chagas Institute (IEC), Ananindeua 67030-000, Brazil
| | - Giseli Nogueira Damacena
- Institute of Scientific and Technological Communication and Information in Health, Oswaldo Cruz Foundation, Rio de Janeiro 21045-360, Brazil
| | - Nazle Mendonça Collaço Véras
- Department of Diseases of Chronic Condition and Sexually Transmitted Infections, Ministry of Health, Brasilia 70723-040, Brazil
| | - Pamela Cristina Gaspar
- Department of Diseases of Chronic Condition and Sexually Transmitted Infections, Ministry of Health, Brasilia 70723-040, Brazil
| | - Adele Schwartz Benzaken
- Fiocruz Amazônia, Manaus 69057-070, Brazil
- AIDS Healthcare Foudation (AHF), Los Angeles, CA 90028, USA
| | - Joana da Felicidade Ribeiro Favacho
- Laboratory of Sexually Transmitted Infections, Bacteriology and Mycology Section, Evandro Chagas Institute (IEC), Ananindeua 67030-000, Brazil
| | - Olinda Macedo
- Retrovirus Laboratory, Virology Section, Evandro Chagas Institute (IEC), Ananindeua 67030-000, Brazil
| | - Maria Luiza Bazzo
- Graduate Program in Pharmacy, Center for Health Sciences, Federal University of Santa Catarina, Florianópolis 88040-900, Brazil
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