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Profile
of a cohort of transgender sexual workers living with HIV/AIDS in Buenos Aires, Argentina
J.J. Toibaro1, G. Viloria2, M. Bullo2, M. Losso2
1Hospital General de Agudos José M Ramos Mejía, Inmunocomprometidos, Buenos Aires, Argentina, 2Hospital General de Agudos José M Ramos Mejía, Servicio de Inmunocomprometidos, Buenos Aires, Argentina
Background: Despite
their disproportionate high HIV prevalence, little information is available on characteristics
of transgender people infected with HIV.
Methods: Objectives:
To describe a cohort of transgender people living with HIV/AIDSt followed at
our clinic, including clinical, inmunological and virological outcomes at 48
weeks of follow-up. A prospective cohort
study was designed to capture data on socio-demographic status, illicit drugs use, STIs
diagnosis and clinical, virological and
inmunological profile of transgender people with HIV infection followed between
2001-2009.
Results: We included 103 cases. Mean age was 28.8 yrs. (17-
62), 42.9% (28/80) had < 10 yrs. of formal education and 47.3% (44/93).use illicit
drugs. The most common sexual identity interventions were silicones use 82% (57/69),
hormones 54.7% (29/53) and mammary prosthesis 27.9% (19/68). All the
individuals with criteria to start antiretroviral effectively initiate therapy
[45.6% (47/103)]. However, the lost to follow-up rate was 21%. The cohort
profile is shown in the table.
[tab_01]
Conclusions: In our
study transgender people has a very high lost to follow up rate. More
information is necessary to design strategies to improve retention and access
to the health care system.Tuberculosis was the more frequent opportunistic
infection and the main cause of death.
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