Vulnerabilidade da população LGBT em tratamento do HIV

Abstract

To identify sociodemographic, clinical and individual vulnerability profile of lesbian, gay, bisexual, transvestite and transsexual (LGBT) population living with HIV/AIDS in São José do Rio Preto, São Paulo, and to correlate it with situation of treatment. Methods: Descriptive and analytical cross-sectional study with 510 LGBT individuals attended at Complex of Chronic Communicable Diseases between 2008 and 2015. Descriptive statistics were used to analyze profile and Spearman's correlation test for inferential analysis, with 95% significance. Results: Prevalence of white people (70.20%), male (98.43%); singles (87.06%); age group between 25 and 44 years old (70.00%); incomplete and complete secondary education (47.65%); economically active (91.18%). In treatment (80.78%), with CD4> 350 cells/mm3 (77.06%) and undetectable viral load (53.33%). Sexually transmitted (97.06%) and had or had used drugs (76.47%). They were called 'man' (90.98%) and 'transvestite' (6.47%). Weak and negative correlation between Treatment Situation and CD4 (r=-0.118, p=0.008). Conclusions: Prevalence of men, whites, homosexuals, aged 25 to 44 years, high schooling, economically active, single, with high CD4 count, undetectable viral load and under treatment. The transmission of virus was sexual. The health of LGBT population requires more studies to overcome the Health Unic System heterosexual culture as universal standard. Health services are still marked by prejudice, ignorance of specificities of this population and institutional heteronormativity.