{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:54:55Z","timestamp":1791521695823,"version":"4.3.4"},"reference-count":26,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objective Sexually transmitted infections (STIs) disproportionately affect transgender women and travestis (TGW), who often lack access to healthcare due to stigma and discrimination. We describe the approach and methodology of a study investigating the prevalence of syphilis, HIV, hepatitis A, B, and C, Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT), and human papillomavirus (HPV) among TGW, as well as their knowledge and perceptions regarding syphilis, to better inform policies to curb STIs among this vulnerable population.  Methods: TransOdara was a multicentric, cross-sectional study conducted among TGW in five capital cities from major Brazilian regions between December 2019 and July 2021. Self-identified transgender women and travestis aged &gt;18 years were recruited using respondent-driven sampling after a qualitative formative phase, completed an interviewer-led questionnaire, were offered a physical examination, and were also asked to provide samples from multiple sites to detect various STIs, starting vaccination and treatment when indicated.  Results: A total of 1,317 participants were recruited from the five study locations: Campo Grande (n=181, 13.7%), Manaus (n=340, 25.8%), Porto Alegre (n=192, 14.6%), Salvador (n=201, 15.3%), and S\u00e3o Paulo (n=403, 30.6%). The recruitment period varied at each study location due to logistic constraints imposed by the COVID-19 pandemic.  Conclusion: Despite the enormous challenges posed by the co-occurrence of the COVID-19 pandemic and field work targeting a vulnerable, elusive, and scattered population, the TransOdara project has been effectively implemented. Caveats did not preclude 1,300 TGW from being interviewed and tested, amid a significant epidemic that disrupted health services and research projects in Brazil and worldwide.<\/jats:p>","DOI":"10.1590\/1980-549720240002.supl.1","type":"journal-article","created":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T09:22:52Z","timestamp":1724059372000},"source":"Crossref","is-referenced-by-count":22,"title":["TransOdara study: the challenge of integrating methods, settings and procedures during the COVID-19 pandemic in Brazil"],"prefix":"10.1590","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1159-5762","authenticated-orcid":false,"given":"Maria Amelia de Sousa Mascena","family":"Veras","sequence":"first","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil; N\u00facleo de Pesquisa e Direitos Humanos em Sa\u00fade da Popula\u00e7\u00e3o LGBT+ (NUDHES),  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9086-9759","authenticated-orcid":false,"given":"Thiago Felix","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil; N\u00facleo de Pesquisa e Direitos Humanos em Sa\u00fade da Popula\u00e7\u00e3o LGBT+ (NUDHES),  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5316-3554","authenticated-orcid":false,"given":"Lenice","family":"Galan","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil; N\u00facleo de Pesquisa e Direitos Humanos em Sa\u00fade da Popula\u00e7\u00e3o LGBT+ (NUDHES),  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3752-0782","authenticated-orcid":false,"given":"Laio","family":"Magno","sequence":"additional","affiliation":[{"name":"Universidade do Estado da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1947-9579","authenticated-orcid":false,"given":"Andr\u00e9a Fachel","family":"Leal","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8641-0240","authenticated-orcid":false,"given":"Daniela Riva","family":"Knauth","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3070-1337","authenticated-orcid":false,"given":"Ana Rita Coimbra","family":"Motta-Castro","sequence":"additional","affiliation":[{"name":"Universidade Federal de Mato Grosso do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0680-1485","authenticated-orcid":false,"given":"Rita Suely Bacuri de","family":"Queiroz","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5730-947X","authenticated-orcid":false,"given":"Philippe","family":"Mayaud","sequence":"additional","affiliation":[{"name":"London School of Hygiene & Tropical Medicine,  United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4557-2358","authenticated-orcid":false,"given":"Daniel Jason","family":"McCartney","sequence":"additional","affiliation":[{"name":"London School of Hygiene & Tropical Medicine,  United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2090-7702","authenticated-orcid":false,"given":"Gwenda","family":"Hughes","sequence":"additional","affiliation":[{"name":"London School of Hygiene & Tropical Medicine,  United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8532-4332","authenticated-orcid":false,"given":"Camila Mattos dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1406-0122","authenticated-orcid":false,"given":"Leonardo","family":"Bastos","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3645-025X","authenticated-orcid":false,"given":"Katia Cristina","family":"Bassichetto","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo,  Brazil; N\u00facleo de Pesquisa e Direitos Humanos em Sa\u00fade da Popula\u00e7\u00e3o LGBT+ (NUDHES),  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5367-3397","authenticated-orcid":false,"given":"Sandro","family":"Sperandei","sequence":"additional","affiliation":[{"name":"Western Sydney University,  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1582-2010","authenticated-orcid":false,"given":"Claudia Renata dos Santos","family":"Barros","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6114-4751","authenticated-orcid":false,"given":"Rodrigo Calado da","family":"Silva","sequence":"additional","affiliation":[{"name":"Santa Casa Instituto de Pesquisa,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5970-8896","authenticated-orcid":false,"given":"Francisco In\u00e1cio","family":"Bastos","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1675-2146","authenticated-orcid":false,"given":"Maria In\u00eas Costa","family":"Dourado","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref1","series-title":"Global health sector strategies on, respectively, HIV, viral hepatitis and sexually transmitted infections for the period 2022-2030","year":"2022"},{"issue":"S4","key":"ref2","doi-asserted-by":"crossref","first-page":"S81","DOI":"10.1136\/sextrans-2016-053073","article-title":"Advancing point of care diagnostics for the control and prevention of STIs: the way forward","volume":"93","author":"Toskin I","year":"2017","journal-title":"Sex Transm Infect"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/978-1-4939-9496-0_3","article-title":"Antimicrobial resistance in neisseria gonorrhoeae and treatment of gonorrhea","volume":"1997","author":"Unemo M","year":"2019","journal-title":"Methods Mol Biol"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"dlac076","DOI":"10.1093\/jacamr\/dlac076","article-title":"National surveillance of Neisseria gonorrhoeae antimicrobial susceptibility and epidemiological data of gonorrhoea patients across Brazil, 2018-20","volume":"4","author":"Machado HM","year":"2022","journal-title":"JAC Antimicrob Resist"},{"issue":"1S Suppl 1","key":"ref5","doi-asserted-by":"crossref","first-page":"S62","DOI":"10.1097\/MD.0000000000009079","article-title":"Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016","volume":"97","author":"Guimar\u00e3es MDC","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"ref6","series-title":"Secretaria de Vigil\u00eancia em Sa\u00fade. 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longitudinal cohort study in S\u00e3o Paulo, Brazil","volume":"26","author":"McCartney DJ","year":"2022","journal-title":"Braz J Infect Dis"},{"issue":"2","key":"ref22","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris PA","year":"2009","journal-title":"J Biomed Inform"},{"key":"ref23","series-title":"R: A language and environment for statistical computing","year":"2009"},{"issue":"1","key":"ref24","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1186\/s12874-019-0842-5","article-title":"Unweighted regression models perform better than weighted regression techniques for respondent-driven sampling data: results from a simulation study","volume":"19","author":"Avery L","year":"2019","journal-title":"BMC Med Res 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