{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:44:38Z","timestamp":1777877078055,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Transgender Health"],"published-print":{"date-parts":[[2022,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Transgender women (TW) in the Dominican Republic (DR) are at high risk for syphillis infection. Although treatable, infection rates remain at epidemic proportions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      In 2016, we conducted a national survey, with serological sampling of TW in the DR (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      =255).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In our sample, syphillis seropositivity was 47.45%. There was a statistically significant association between age (\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      =\u22122.93, df,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt;0.01), arrest history (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      =8.15,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt;0.01), exposure to violence (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      =3.73,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt;0.05), and syphilis seropositivity. Multivariate analyses show TW arrested in the past 6 months have higher odds of seropositivity (odds ratio=2.05, confidence interval: 1.04\u20134.06,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt;0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>There is a need for education and public health campaigns focused on TW specifically.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/trgh.2020.0173","type":"journal-article","created":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T15:40:17Z","timestamp":1625067617000},"page":"237-241","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Serological Confirmed Syphilis Among Transgender Women in Dominican Republic"],"prefix":"10.1177","volume":"7","author":[{"given":"Robert","family":"Paulino-Ram\u00edrez","sequence":"first","affiliation":[{"name":"Instituto de Medicina Tropical &amp; Salud Global, Universidad Iberoamericana (UNIBE), Santo Domingo, Dominican Republic."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristine R.","family":"Hearld","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyram A.","family":"Butane","sequence":"additional","affiliation":[{"name":"Center for Translational Behavioral Science (CTBScience), Florida State University College of Medicine (FSU), Tallahassee, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leandro","family":"Tapia","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Tropical &amp; Salud Global, Universidad Iberoamericana (UNIBE), Santo Domingo, Dominican Republic."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6716-9754","authenticated-orcid":false,"given":"Henna","family":"Budhwani","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvie","family":"Naar","sequence":"additional","affiliation":[{"name":"Center for Translational Behavioral Science (CTBScience), Florida State University College of Medicine (FSU), Tallahassee, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayra","family":"Rodriguez-Lauzurique","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Tropical &amp; Salud Global, Universidad Iberoamericana (UNIBE), Santo Domingo, Dominican Republic."},{"name":"Centro de Orientaci\u00f3n e Investigaci\u00f3n Integral (COIN), Santo Domingo, Dominican Republic."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,6,13]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-007747"},{"key":"e_1_3_4_3_2","unstructured":"Consejo Presidencial del SIDA (COPRESIDA). 1st Behavioural Surveillance Survey and seroprevalence markers in vulnerable populations gay trans and men who have sex with men and drug users [in Spanish]. Santo Domingo Rep\u00fablica Dominicana: COPRESIDA 2009."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2012.07.021"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-017-0595-3"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25281"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-008-9358-5"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40471-018-0138-z"},{"key":"e_1_3_4_9_2","unstructured":"Pan American Health Organization (PAHO). Plan of Action for the prevention and control of HIV and sexually transmitted infections 2016\u20132021. PAHO Washington DC 2017 p. 46. Available at: https:\/\/iris.paho.org\/handle\/10665.2\/34081 Accessed June4 2021."},{"key":"e_1_3_4_10_2","unstructured":"World Health Organization (WHO). WHO Guidelines for the Treatment of Treponema pallidum (Syphilis) [Internet]. 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