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High Rates of Sexualized Drug Use or Chemsex among Brazilian Transgender Women and Young Sexual and Gender Minorities

Author

Listed:
  • Emilia M. Jalil

    (Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro 21040-360, Brazil)

  • Thiago S. Torres

    (Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro 21040-360, Brazil)

  • Claudia C. de A. Pereira

    (Escola Nacional de Saúde Pública Sérgio Arouca ENSP-Fiocruz, Rio de Janeiro 21041-210, Brazil)

  • Alessandro Farias

    (Centro Estadual Especializado em Diagnóstico, Assistência e Pesquisa (CEDAP), Salvador 40100-010, Brazil)

  • Jose D. U. Brito

    (Hospital Dia Asa Sul, Brasília 70351-580, Brazil)

  • Marcus Lacerda

    (Fundação de Medicina Tropical Doutor Heitor Vieira Dourado (FMT), Manaus 69040-000, Brazil)

  • Daila A. R. da Silva

    (Centro de Testagem Aconselhamento (CTA) Santa Marta, Secretaria Municipal de Saúde de Porto Alegre, Porto Alegre 90010-040, Brazil)

  • Nickols Wallys

    (Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro 21040-360, Brazil)

  • Gabriela Ribeiro

    (Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro 21040-360, Brazil)

  • Joyce Gomes

    (Fundação de Medicina Tropical Doutor Heitor Vieira Dourado (FMT), Manaus 69040-000, Brazil)

  • Thiffany Odara

    (Centro Estadual Especializado em Diagnóstico, Assistência e Pesquisa (CEDAP), Salvador 40100-010, Brazil)

  • Ludymilla Santiago

    (Hospital Dia Asa Sul, Brasília 70351-580, Brazil)

  • Sophie Nouveau

    (Centro de Testagem Aconselhamento (CTA) Santa Marta, Secretaria Municipal de Saúde de Porto Alegre, Porto Alegre 90010-040, Brazil)

  • Marcos Benedetti

    (Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro 21040-360, Brazil)

  • Cristina Pimenta

    (Departamento de Condições Crônicas e Infecções Sexualmente Transmissíveis, Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília 70719-040, Brazil)

  • Brenda Hoagland

    (Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro 21040-360, Brazil)

  • Beatriz Grinsztejn

    (Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro 21040-360, Brazil)

  • Valdilea G. Veloso

    (Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro 21040-360, Brazil
    Membership of the ImPrEP DCE Study Group is provided in the Acknowledgments.)

Abstract

(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.

Suggested Citation

  • Emilia M. Jalil & Thiago S. Torres & Claudia C. de A. Pereira & Alessandro Farias & Jose D. U. Brito & Marcus Lacerda & Daila A. R. da Silva & Nickols Wallys & Gabriela Ribeiro & Joyce Gomes & Thiffan, 2022. "High Rates of Sexualized Drug Use or Chemsex among Brazilian Transgender Women and Young Sexual and Gender Minorities," IJERPH, MDPI, vol. 19(3), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1704-:d:740661
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    References listed on IDEAS

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    1. Nemoto, T. & Operario, D. & Keatley, J. & Han, L. & Soma, T., 2004. "HIV risk behaviors among male-to-female transgender persons of color in San Francisco," American Journal of Public Health, American Public Health Association, vol. 94(7), pages 1193-1199.
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