Racial HIV Testing Inequalities in Adolescent Men who have Sex with Men and Transgender Women in Three Brazilian Cities.

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dc.contributor.authorFrança, Marcus
dc.contributor.authorDourado, Inês
dc.contributor.authorGrangeiro, Alexandre
dc.contributor.authorGreco, Dirceu
dc.contributor.authorMagno, Laio
dc.date.accessioned2024-05-14T14:29:41Z
dc.date.available2024-05-14T14:29:41Z
dc.date.issued2024-03-25T03:00:00Z
dc.description.abstract2Many barriers to human immunodeficiency virus (HIV) testing among Black people exist. This study analysed the association between race/skin colour and lifetime HIV testing among adolescent men who have sex with men (AMSM) and transgender women (ATGW) in three Brazilian cities. This cross-sectional study was nested within the PrEP1519 cohort, a multicentre study of AMSM and ATGW aged 15–19 years in Belo Horizonte, Salvador, and São Paulo, Brazil. The outcome variable was the lifetime HIV testing (no or yes). The main exposure variable was self-reported race/skin colour as White and a unique Black group (composed of Pardo–mixed colour and Black, according to the Brazilian classification). Descriptive statistics and bivariate and multiple logistic regression analyses were conducted to estimate the adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) to determine the association between the main exposure and outcome, adjusted for covariates. White adolescents were tested more frequently than the unique Black group (64.0% vs. 53.7%, respectively; Ρ = 0.001). Multiple logistic regression analysis showed that the unique Black group of AMSM and ATGW had 26% (adjusted OR [aOR], 0.74; 95% CI, 0.55–0.98) and 38% (aOR, 0.62; 95% CI, 0.45–0.87) lower odds of being tested for HIV in a lifetime than Whites in model 1 and 2, respectively. Our findings highlight the role of racism in lifetime HIV testing among AMSM and ATGW. Therefore, an urgent need for advances exists in public policies to combat racism in Brazil.
dc.format.mimetypeapplication/pdf
dc.identifier.citationFRANÇA, Marcus et al. Racial HIV Testing Inequalities in Adolescent Men who have Sex with Men and Transgender Women in Three Brazilian Cities. AIDS and Behavior, [s. l.], 25 mar. 2024. DOI https://doi.org/10.1007/s10461-024-04297-z. Disponível em: https://link.springer.com/article/10.1007/s10461-024-04297-z.pt_BR
dc.identifier.doi10.1007/s10461-024-04297-z
dc.identifier.urihttps://saberaberto.uneb.br/handle/20.500.11896/5409
dc.language.isoeng
dc.relation.ispartofAIDS and Behavior
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/br/
dc.rights2Attribution-NonCommercial-NoDerivs 3.0 Brazilen
dc.subjectAdolescent
dc.subjectBrazil
dc.subjectHIV Testing
dc.subjectHealthcare Disparities
dc.subjectRacism
dc.subjectSexual and Gender Minorities
dc.subject.keywordsAdolescent
dc.subject.keywordsHealthcare
dc.subject.keywordsDisparities
dc.subject.keywordsHIV Testing
dc.subject.keywordsRacism
dc.subject.keywordsSexual and Gender Minorities
dc.subject.keywordsBrazil
dc.titleRacial HIV Testing Inequalities in Adolescent Men who have Sex with Men and Transgender Women in Three Brazilian Cities.
dc.typeinfo:eu-repo/semantics/article
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