Factors associats al coneixement i la intenció d’ús de la PrEP entre els homes cisgènere i les dones transgènere que exerceixen el treball sexual a Catalunya

Profilaxi PreExposició; VIH; Treball sexualProfilaxis PreExposición; VIH; Trabajo sexualPreexposure Prophylaxis; HIV; Sex workAquest estudi descriu el nivell de coneixement de la profilaxi preexposició (PrEP) ─el nou tractament per a la prevenció del VIH─ i la intenció d’utilitzar-la en homes cisgènere (HTS) i dones transgènere (TTS) que exerceixen el treball sexual a Catalunya (estudi SexCohort). Del total de 116 TTS i 79 HTS participants, el 49,1% i el 58,2% coneixien què era la PrEP, i el 40,3% i el 70,1%, respectivament, tenien intenció d’utilitzar-la. El nivell educatiu i haver tingut relacions sexuals sense preservatiu amb parelles estables estaven associats amb el coneixement de la PrEP. Pel que fa a la intenció d’utilitzar la PrEP, les TTS tenien menys probabilitats que els HTS d’informar de la intenció d’utilitzarla. A més, la intenció d’utilitzar la PrEP es va associar amb el fet de d’haver nascut a l’estranger, amb el consum sexualitzat de drogues i el fet d’haver visitat un servei sanitari en els darrers 12 mesos

Impact of the COVID-19 Health Crisis on Trans Women and Cis Men Sex Workers in Spain

Acord transformatiu CRUE-CSICThe objective of the study was to describe the impact of the COVID-19 pandemic on sex workers in accessing health and social services. A qualitative study was conducted using semi-structured interviews with 29 participants in Barcelona, Spain. Data were analyzed using thematic analysis. Four themes were identifed: (1) impact of COVID-19 on physical/mental health, (2) barriers and facilitators to health/social service access, (3) health decision-making, and (4) suggestions for future pandemic situations. Barriers to accessing health services were structural. Non-governmental organization support was the main facilitating factor. A person-centered, intersectional approach is suggested for future practice, considering co-occurring syndemic factors

Determinants of Depressive Symptoms in People Living with HIV : Findings from a Population-Based Study with a Gender Perspective

Altres ajuts: Fundació La Marató de TV3 (239/C/2018)Depressive symptoms are common among people living with HIV (PLWH). The aim of this study was to identify the determinants of depressive symptoms in PLWH in Spain. A total of 1060 PLWH participated in this cross-sectional study and completed the Patient Health Questionnaire-9. The odds ratios for the presence of depressive symptoms were analyzed in a multivariable logistic regression model, including sociodemographic data, comorbidities, health-related behaviors, and social-environment-related variables. We found an overall prevalence of depressive symptoms of 21.42%; by subgroup, namely men, women, and transgender persons, prevalence was 18.13%, 32.81%, and 37.14%, respectively. Moreover, social isolation (OR = 1.05 [CI, 1.02-1.08]) and poor physical and mental quality of life (OR = 1.06 [CI, 1.02-1.09] and OR = 1.13 [CI, 1.09-1.17], respectively) were associated with depressive symptoms. As protective factors, we identified serodisclosure to more people (vs. none; OR = 0.39 [CI, 0.17-0.87]), satisfaction with social roles (OR = 0.86 [CI, 0.79-0.94]), better cognitive function (OR = 0.92 [CI, 0.89-0.95]), and sexualized drug use once in a lifetime (OR = 0.52 [CI, 0.29-0.93]). This study showed a high prevalence of depressive symptoms in PLWH, especially among women and transgender people. The association between psychosocial variables and depressive symptoms highlights the multidimensionality of the problem and identifies areas for intervention. This study found that the management of mental health issues is an area that needs to be improved and tailored to specific groups, with the aim of enhancing the well-being of PLWH

Syndemic conditions and quality of life in the PISCIS Cohort of people living with HIV in Catalonia and the Balearic Islands: a cross sectional study

Abstract Background People living with HIV (PLWH) face structural and psychosocial factors that affect health-related quality of life (HRQoL). We aimed to evaluate how syndemic conditions affected HRQoL in PLWH. Methods A cross-sectional survey was conducted among 861 PLWH, to determine whether syndemic conditions (monthly income; sexual satisfaction; depressive symptoms; social role satisfaction; social isolation; cognitive function; nicotine dependence; perception of stigma) have an effect on HRQoL. A linear regression model and measures of Additive Interaction (AI) were used to determine the effects of syndemic conditions on HRQoL, controlling for other risk factors. Results Overall, the most frequently observed were stigma perception (56.9%), poor cognitive function (50.6%) and the perception of social isolation (51.6%). The presence of depressive symptoms was the risk factor most associated with worse Physical Health (PH) (B 3.93, 2.71–5.15) and Mental Health (MH) (B 5.08, 3.81–6.34) in linear regression model. Specifically, an interaction was observed between poor cognitive function and poor satisfaction with social role on worse PH and MH (AI 2.08, 0.14–4.02; AI 2.69, 0.15–5.22, respectively); and low income and perception of stigma (AI 2.98, 0.26–5.71), low income and perception of social isolation (AI 2.79, 0.27–5.32), and low income and poor satisfaction with social role (AI 3.45, 0.99–5.91) on MH. Conclusion These findings provide evidence that syndemic factors impact HRQoL. HIV prevention programs should screen and address co-occurring health problems to improve patient-centered health care and outcomes