Alarming patterns of moderate and high-risk alcohol use among transgender women in Goiás, Central Brazil

BackgroundScant studies have examined alcohol consumption among transgender women in Latin America. This cross-sectional study estimated the prevalence and associated factors of risky alcohol use among transgender women in Goiás, a state located in the center of Brazil.MethodsParticipants were 440 t...

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Main Authors: Larissa Silva Magalhães, Kamila Cardoso dos Santos, Bruno Vinícius Diniz e Silva, Gabriel Francisco Silva Filho, Krishna Vaddiparti, Roxana Isabel Cardozo Gonzalez, Sandra Cristina Pillon, Megmar Aparecida dos Santos Carneiro, Karlla Antonieta Amorim Caetano, Robert Lewis Cook, Sheila Araújo Teles
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1333767/full
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author Larissa Silva Magalhães
Kamila Cardoso dos Santos
Bruno Vinícius Diniz e Silva
Gabriel Francisco Silva Filho
Krishna Vaddiparti
Roxana Isabel Cardozo Gonzalez
Sandra Cristina Pillon
Megmar Aparecida dos Santos Carneiro
Karlla Antonieta Amorim Caetano
Robert Lewis Cook
Sheila Araújo Teles
author_facet Larissa Silva Magalhães
Kamila Cardoso dos Santos
Bruno Vinícius Diniz e Silva
Gabriel Francisco Silva Filho
Krishna Vaddiparti
Roxana Isabel Cardozo Gonzalez
Sandra Cristina Pillon
Megmar Aparecida dos Santos Carneiro
Karlla Antonieta Amorim Caetano
Robert Lewis Cook
Sheila Araújo Teles
author_sort Larissa Silva Magalhães
collection DOAJ
description BackgroundScant studies have examined alcohol consumption among transgender women in Latin America. This cross-sectional study estimated the prevalence and associated factors of risky alcohol use among transgender women in Goiás, a state located in the center of Brazil.MethodsParticipants were 440 transgender women (median age = 35 years, interquartile range = 9) recruited through respondent-driven sampling. All participants were interviewed about sociodemographic characteristics, violence, and risk behavior. Alcohol use was assessed using the alcohol use disorders identification test (AUDIT). An AUDIT score greater than or equal to eight was considered as risky alcohol consumption. Logistic regression analysis was used to examine predictors of risky alcohol use, and p-values <0.05 were considered significant.ResultsThe majority were young, single, sex workers. Most transgender women had used alcohol in the previous year (85.7%), and more than half (56.6%) reported binge drinking and risky alcohol consumption (60.2%). There was a high overlap between sexual behavior, drugs, and alcohol use. Using alcohol during sex (adjusted odds ratio [aOR]: 2.9; 95% confidence interval [CI]: 1.7–4.8), cocaine/crack use (aOR: 2.3; 95% CI: 1.5–3.7) and having a drug user as a sexual partner (aOR: 2.9; 95% CI: 1.5–5.9) were independently associated with risky alcohol consumption.ConclusionAlcohol consumption was highly prevalent, and drugs seem to play an important role in risky alcohol consumption among transgender women Goiás. These findings support stakeholders to promote intervention strategies to reduce this pattern of alcohol consumption and reduce the burden of substance use disorders among transgender women.
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spelling doaj.art-e01ade108804488e9571bf3e3bc0d6762024-02-14T04:47:12ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-02-011210.3389/fpubh.2024.13337671333767Alarming patterns of moderate and high-risk alcohol use among transgender women in Goiás, Central BrazilLarissa Silva Magalhães0Kamila Cardoso dos Santos1Bruno Vinícius Diniz e Silva2Gabriel Francisco Silva Filho3Krishna Vaddiparti4Roxana Isabel Cardozo Gonzalez5Sandra Cristina Pillon6Megmar Aparecida dos Santos Carneiro7Karlla Antonieta Amorim Caetano8Robert Lewis Cook9Sheila Araújo Teles10Faculty of Nursing, Federal University of Goiás, Goiânia, Goiás, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia, Goiás, BrazilInstitute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia, Goiás, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia, Goiás, BrazilDepartment of Epidemiology, University of Florida, Gainesville, FL, United StatesFaculty of Nursing, Federal University of Goiás, Goiânia, Goiás, BrazilFaculty of Nursing of Ribeirão Preto, University of São Paulo, São Paulo, BrazilInstitute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia, Goiás, BrazilFaculty of Nursing, Federal University of Goiás, Goiânia, Goiás, BrazilDepartment of Epidemiology, University of Florida, Gainesville, FL, United StatesFaculty of Nursing, Federal University of Goiás, Goiânia, Goiás, BrazilBackgroundScant studies have examined alcohol consumption among transgender women in Latin America. This cross-sectional study estimated the prevalence and associated factors of risky alcohol use among transgender women in Goiás, a state located in the center of Brazil.MethodsParticipants were 440 transgender women (median age = 35 years, interquartile range = 9) recruited through respondent-driven sampling. All participants were interviewed about sociodemographic characteristics, violence, and risk behavior. Alcohol use was assessed using the alcohol use disorders identification test (AUDIT). An AUDIT score greater than or equal to eight was considered as risky alcohol consumption. Logistic regression analysis was used to examine predictors of risky alcohol use, and p-values <0.05 were considered significant.ResultsThe majority were young, single, sex workers. Most transgender women had used alcohol in the previous year (85.7%), and more than half (56.6%) reported binge drinking and risky alcohol consumption (60.2%). There was a high overlap between sexual behavior, drugs, and alcohol use. Using alcohol during sex (adjusted odds ratio [aOR]: 2.9; 95% confidence interval [CI]: 1.7–4.8), cocaine/crack use (aOR: 2.3; 95% CI: 1.5–3.7) and having a drug user as a sexual partner (aOR: 2.9; 95% CI: 1.5–5.9) were independently associated with risky alcohol consumption.ConclusionAlcohol consumption was highly prevalent, and drugs seem to play an important role in risky alcohol consumption among transgender women Goiás. These findings support stakeholders to promote intervention strategies to reduce this pattern of alcohol consumption and reduce the burden of substance use disorders among transgender women.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1333767/fullat-risk populationhigh-risk alcohol usealcohol consumptionsubstance usetransgender women
spellingShingle Larissa Silva Magalhães
Kamila Cardoso dos Santos
Bruno Vinícius Diniz e Silva
Gabriel Francisco Silva Filho
Krishna Vaddiparti
Roxana Isabel Cardozo Gonzalez
Sandra Cristina Pillon
Megmar Aparecida dos Santos Carneiro
Karlla Antonieta Amorim Caetano
Robert Lewis Cook
Sheila Araújo Teles
Alarming patterns of moderate and high-risk alcohol use among transgender women in Goiás, Central Brazil
Frontiers in Public Health
at-risk population
high-risk alcohol use
alcohol consumption
substance use
transgender women
title Alarming patterns of moderate and high-risk alcohol use among transgender women in Goiás, Central Brazil
title_full Alarming patterns of moderate and high-risk alcohol use among transgender women in Goiás, Central Brazil
title_fullStr Alarming patterns of moderate and high-risk alcohol use among transgender women in Goiás, Central Brazil
title_full_unstemmed Alarming patterns of moderate and high-risk alcohol use among transgender women in Goiás, Central Brazil
title_short Alarming patterns of moderate and high-risk alcohol use among transgender women in Goiás, Central Brazil
title_sort alarming patterns of moderate and high risk alcohol use among transgender women in goias central brazil
topic at-risk population
high-risk alcohol use
alcohol consumption
substance use
transgender women
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1333767/full
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