Lourenção Tauyr Thaisa Fernanda, Garcia Lourenção Luciano, Zanon Ponce Maria Amélia, Guimarães Ximenes Neto Francisco Rosemiro, Sperli Geraldes Santos Maria de Lourdes, Sperli Geraldes Marin Dos Santos Sasaki Natália, Figueiredo Vendramini Silvia Helena
Faculty of Medicine of São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil.
School of Nursing, Federal University of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil.
J Infect Dev Ctries. 2021 Oct 31;15(10):1481-1488. doi: 10.3855/jidc.13707.
Human immunodeficiency virus (HIV) infection affects the lesbian, gay, bisexual, transvestite, and transsexual (LGBT) population. We aimed to identify the indidual vulnerability profile of the LGBT population ling with H/acquired immunodeficiency syndrome (AIDS) and correlate it with the treatment situation.
This cross-sectional study included 510 LGBT people living with HIV (PLHIV)/AIDS who attended the Complex of Chronic Communicable Diseases of the municipality of São José do Rio Preto, São Paulo, Brazil, between 2008 and 2015.
There was a predominance of indiduals who were white (70.2%), male (98.4%), single (87.1%), aged 25-44 years (70.0%), educated up to high school (47.7%), economically acte (91.2%), under treatment (80.8%), having CD4 > 350 cells/mm3 (77.1%), and having undetectable viral load (53.3%). HIV transmission was mainly sexual (97.0%) and most people used drugs (76.5%). There was a weak correlation between the variables 'in treatment' and acte occupation (r = 0.148, p = 0.001), single marital status (r = 0.128, p = 0.004), white race/colour (r = 0.117, p = 0.008), high school education (r = 0.111, p = 0.012), sexual transmission (r = 0.222, p = 0.000), drug use (r = 0.087, p = 0.049), and CD4 > 350 cells/mm3 (r = 0.118, p = 0.008); and strong correlation between the variables 'in treatment' and undetectable viral load (r = -0.937, p = 0.113).
The characteristics of the indidual vulnerability of LGBT people involve, among other aspects, issues of gender and social exclusion, a situation that is part of the daily life of PLHIV/AIDS in many scenarios and territories. This can be alleviated with a network of social and health support and effecte and efficient, protecte, attitudinal, and behavioural public policies.
人类免疫缺陷病毒（HIV）感染影响女同性恋、男同性恋、双性恋、异装癖者和变性者（LGBT）群体。我们旨在确定感染HIV/获得性免疫缺陷综合征（AIDS）的LGBT群体的个体脆弱性概况，并将其与治疗情况相关联。
这项横断面研究纳入了2008年至2015年间在巴西圣保罗州里奥普雷图市慢性传染病综合防治中心就诊的510名感染HIV/AIDS的LGBT人群。
以白人（70.2%）、男性（98.4%）、单身（87.1%）、年龄在25至44岁之间（70.0%）、接受高中教育（47.7%）、有经济活动（91.2%）、正在接受治疗（80.8%）、CD4>350个细胞/mm³（77.1%）以及病毒载量不可检测（53.3%）的个体为主。HIV传播主要为性传播（97.0%），大多数人使用毒品（76.5%）。“正在接受治疗”这一变量与有经济活动的职业（r = 0.148，p = 0.001）、单身婚姻状况（r = 0.128，p = 0.004）、白人种族/肤色（r = 0.117，p = 0.008）、高中教育程度（r = 0.111，p = 0.012）、性传播（r = 0.222，p = 0.000）、吸毒（r = 0.087，p = 0.049）以及CD4>350个细胞/mm³（r = 0.118，p = 0.008）之间存在弱相关性；而“正在接受治疗”这一变量与病毒载量不可检测之间存在强相关性（r = -0.937，p = 0.113）。
LGBT人群个体脆弱性的特征在其他方面还涉及性别和社会排斥问题，在许多情况和地区，这种情况是感染HIV/AIDS者日常生活的一部分。通过社会和健康支持网络以及有效、高效、保护性的态度和行为公共政策可以缓解这种情况。
