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Hospital-based STIs prevalence and associated factors in transgender men from southern Brazil

Vaitses Fontanari, AM1; Lemos Vianna, L2; Schneider, M1; Machado Borba Soll, B1; Schwarz, K1; Cardoso da Silva, D1; Gonzales Real, A1Brandelli Costa, A2; Rodrigues Lobato, MI1

1: Universidade Federal do Rio Grande do Sul; 2: Pontifícia Universidade Católica do Rio Grande do Sul

Objectives: The present study assessed the prevalence of sexually transmitted infections (STIs) and associated factors in 94 transgender men from southern Brazil.

Material and Method:A retrospective review of the medical records of all transgender men who visited an outpatient clinic in Rio Grande do Sul from 1998 to 2017 was performed.

Results: Although the sample had a high prevalence of risk factors, such as drug use, one-third of the participants had never been tested for STIs and, when checked, it was mostly for HIV, but not for syphilis or other STIs. Based only on laboratory-tested transgender men, the prevalence of syphilis and hepatitis C was 3.4% and 1.6%, respectively. These are very significant percentages when compared to the general population, and could be used to justify required screening exams for all transgender men.

Conclusion: It is clear that health professionals need to broaden their understanding of transgender men and take into account the existence of transgender men who have sex with men (TMSM) and possible changes in sexual behavior after gender affirmation surgery (GAS).


Work supported by industry: no.

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