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High Rates of Sexualized Drug Use or Chemsex among Brazilian Transgender Women and Young Sexual and Gender Minorities
Content Provider | MDPI |
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Author | Jalil, Emilia M. Torres, Thiago S. Pereira, Claudia C. De A. Farias, Alessandro Brito, Jose D. U. Lacerda, Marcus Silva, Daila A. R. da Wallys, Nickols Ribeiro, Gabriela Gomes, Joyce Odara, Thiffany Santiago, Ludymilla Nouveau, Sophie Benedetti, Marcos Pimenta, Cristina Hoagland, Brenda Grinsztejn, Beatriz Veloso, Valdilea G. |
Copyright Year | 2022 |
Description | (1) Background: We aimed to estimate sexualized drug use (SDU) prevalence and its predictors among sexual and gender minorities. (2) Methods: We used an online and on-site survey to enroll sexual/gender minorities people between October–December/2020, and multivariate logistic regression to obtain SDU correlates. (3) Results: We enrolled 3924 individuals (280 transgender women [TGW], 3553 men who have sex with men [MSM], and 91 non-binary), 29.0% currently on pre-exposure prophylaxis (PrEP). SDU prevalence was 28.8% (95% confidence interval [CI] 27.4–30.2). TGW had 2.44-times increased odds (95%CI 1.75–3.39) of engaging in SDU compared to MSM, regardless of PrEP use. PrEP use (aOR 1.19, 95%CI 1.00–1.41), South/Southeast region (aOR 1.26, 95%CI 1.04–1.53), younger age (18–24 years: aOR 1.41, 95%CI 1.10–1.81; 25–35 years: aOR 1.24, 95%CI 1.04–1.53), white race/color (aOR 1.21, 95%CI 1.02–1.42), high income (aOR 1.32, 95%CI 1.05–1.67), binge drinking (aOR 2.66, 95%CI 2.25–3.14), >5 sexual partners (aOR 1.88, 95%CI 1.61–2.21), condomless anal sex (aOR 1.49, 95%CI 1.25–1.79), self-reported sexually transmitted infection (aOR 1.40, 95%CI 1.14–1.71), and higher perceived HIV-risk (aOR 1.37, 95%CI 1.14–1.64) were associated with SDU. (4) Conclusions: TGW had the highest SDU odds. SDU may impact HIV vulnerability among key populations and should be addressed in HIV prevention approaches. |
Starting Page | 1704 |
e-ISSN | 16604601 |
DOI | 10.3390/ijerph19031704 |
Journal | International Journal of Environmental Research and Public Health |
Issue Number | 3 |
Volume Number | 19 |
Language | English |
Publisher | MDPI |
Publisher Date | 2022-02-02 |
Access Restriction | Open |
Subject Keyword | International Journal of Environmental Research and Public Health Womens Studies Sexual and Gender Minorities Chemsex Transgender Women Men Who Have Sex with Men Latin America Brazil |
Content Type | Text |
Resource Type | Article |