AIDS related care for transgender people: a systematic review.
Vaitses Fontanari, AM1; Costa, AB2; Zanella, G2; Feijo, M2; Schwarz, K1; Soll, B1; Cardoso, D1; Schneider , M1; Real, A1; Lobato, MIR1
1: UFRGS, Brazil; 2: PUCRS, Brazil
Objective(s): this systematic review aims to provide a clear perspective of the current literature on AIDS related care for transgender men, transgender women and gender diverse people.
Material and Method(s): a systematic review was conducted on Scielo, Pubmed, Scopus, Global Health, Sociological Abstracts, PsycINFO, Web of Science, EBSCO, and POPLine. All articles published up to July 20, 2017, in English, Spanish, French or Portuguese were included. The included articles necessarily presented quantitative research data, peer-reviewed, on transgender women and men, as well as gender variant persons, and HIV/ AIDS related care.
Result(s): A total of 5681 references were obtained. After duplicates removed, the 1611 remaining articles have had their titles and abstracts screened by two independent reviewers. Only 75 articles fulfilled the inclusion criteria. Of them, 31 were qualitative studies; 14 have not been peer-reviewed (were mainly abstracts); 5 were not found; 3 did not presented any result concerning exclusively transgender women, transgender men or gender variant persons; and 2 have not presented results of a direct evaluation of transgender people. In order to present data more clearly, the articles were classified in two main categories and five subcategories: first access (HIV-Testing, PREP, and other prevention strategies) and access to continuum care (access to medical assistance and adherence to treatment).
Conclusion(s): most studies focused on first access, in special HIV-Testing and PREP, originated from US, offered participants money for completing the evaluation, and analyzed MSM and TW together. There were no articles involving transgender men and gender diverse people. In conclusion, it is not clear if there is a truly preoccupation with continuum of care, in analyzing adherence to treatment and quality of life, or a narrow analysis exclusively focused on HIV-testing.
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