Disparities in sexual transmitted infections amongst transgender populations in the Dominican Republic [abstract]

Abstract

Introduction: The Caribbean region still represents the higher incidence on HIV and other STIs infections in the western hemisphere [1]. HIV transmission in the Dominican Republic appears to be concentrated amongst key populations, especially transgender women [2,3]. The objective of this study was to evaluate the prevalence of HIV, syphilis, hepatitis B and hepatitis C infections amongst transgender women in the Dominican Republic. Methods: From the PEPFAR's prioritized provinces for the HIV response we selected six provinces in the Dominican Republic to conduct a survey and blood sampling in Transgender women population. We used a respondent‐driven sampling methodology to identify hard‐to‐reach populations [4]. After informed consent we collected peripheral blood samples for HIV, syphilis, hepatitis B and C. Results: A total of 311 samples and epidemiological data were collected. Compared with the general population (−1%) the HIV frequency in trans‐populations was 17.8–38.5%; syphilis was 23.5–55.5%; hepatitis B was 1.6–5.8%; and for hepatitis C was 0.03–3.8% (Figure 1) Early sexual intercourse, risk behaviours and violence were detected in higher levels. Conclusions: Despite many efforts in the fight against HIV, disparities in STIs frequencies are still observed amongst trans‐populations. This is influenced by a poor access to formal employment, illiteracy, lower access to health services and provision of population‐specific services. Integrated services and comprehensive care for trans‐populations will impact the reduction of HIV/STIs infections.