Miniatura

Fitxers

ofae410.pdf (510.49 KB)

Tipus de document

Article

Versió

Versió publicada

Data de publicació

2024-07-17

Llicència de publicació

cc by (c) Antuori, Adrián et al, 2024
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/215285

High Hepatitis B Prevalence and Vaccination Needs Among Transgender Women and Men Sex Workers in Barcelona, Spain

Títol de la revista

Autors

Director/Tutor

ISSN de la revista

Títol del volum

Recurs relacionat

https://doi.org/10.1093/ofid/ofae410

Resum

Background. Transgender women sex workers (TWSWs) and men sex workers (MSWs) are especially vulnerable to acquiring hepatitis B virus (HBV) infection. We aimed to describe HBV prevalence (hepatitis B surface antigen [HBsAg] and core antibody [HBcAb]) and associated risk factors for HBV exposure (HBcAb), to assess vaccination status and risk factors for no prior vaccination, and to compare HBV prevalence and vaccination status between TWSWs and MSWs. Methods. The SexCohort study was advertised to TWSWs and MSWs through several communication channels. At cohort entry through 2 community-based organizations in Barcelona, the study population was screened for HBV and other sexually transmitted infections, and an epidemiological questionnaire was administered (n = 271). Results. Overall, 93.0% of participants were migrants, mostly from South and Central American countries. HBsAg prevalence was 1.9% (TWSWs, 2.4%; vs MSWs, 0.9%; P = .42), and previous exposure to HBV was 31.8% (TWSWs, 38.5%; vs MSWs, 20.8%; P = .002). Over 5 years of sex work (adjusted odds ratio [aOR], 9.35), prior exposure to Treponema pallidum (aOR, 3.49), and treatment with anxiolytic drugs (aOR, 3.23) were associated with HBV exposure. Overall, 33.7% of participants exhibited immunity from vaccination (TWSWs, 30.8%; vs MSWs, 38.61%; P < .001), while 34.4% were candidates to HBV vaccination (TWSWs, 30.8%; vs MSWs, 40.6%; P < .001). Never having been on pre-exposure prophylaxis for HIV (odds ratio [OR], 4.23) and non-Spanish origin (OR, 5.00) were associated with no prior HBV vaccination. Conclusions. There is a need to reinforce screening and vaccination programs aimed at TWSWs and MSWs as integrated services offered at the community centers commonly accessed by these populations.

Matèries

Salut sexual, Hepatitis B, Vacunació

Matèries (anglès)

Sexual health, Hepatitis B, Vaccination

Citació

Col·leccions

Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

ANTUORI, Adrián, NOT, Anna, MESÍAS GAZMURI, Jocelyn, GONZÁLEZ, Victoria, MONTORO FERNÁNDEZ, Marcos, FOLCH, Cinta, SALUDES, Verónica, VILLAR, Marta, MEROÑO, Mercè, PAYTUBI CASABONA, Sònia, ALEMANY, Laia, CASABONA, Jordi, MARTRÓ, Elisa, Sexcohort Group, FERRER, L., MUÑOZ, R., EGEA, L., GONZÁLEZ GÓMEZ, S., PAVÓN RIBAS, Miquel àngel, ESTEBAN, A., VERGARA, M., RODRÍGUEZ, V., MOREY, F., TOUS, S., MONTOLIU, A., SANJOSÉ LLONGUERAS, Silvia de, VILLEGAS, L., ADELL, H., SANTANDER, K., CEBRIÁN, M., CARRASCAL, C., LONGARES, E., MARTÍNEZ, L., ALMIRALL, R., MANSILLA, R., LLETJÓS, P., DROU ROGET, G., ÁLVAREZ VARGAS, A.. High Hepatitis B Prevalence and Vaccination Needs Among Transgender Women and Men Sex Workers in Barcelona, Spain. _Open Forum Infectious Diseases_. 2024. Vol. 11, núm. 8. [consulta: 8 de abril de 2026]. ISSN: 2328-8957. [Disponible a: https://hdl.handle.net/2445/215285]

Exportar metadades

JSON - METS

Compartir registre