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

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, Thiffany Odara, Ludymilla Santiago, Sophie Nouveau, Marcos Benedetti, Cristina Pimenta, Brenda Hoagland, Beatriz Grinsztejn and Valdilea G. Veloso
Additional contact information
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

IJERPH, 2022, vol. 19, issue 3, 1-11

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.

Keywords: sexual and gender minorities; chemsex; transgender women; men who have sex with men; Latin America; Brazil (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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