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Concrete steps are needed, such as training providers responsible for transgender-specific health care more broadly e. The estimated prevalence for Brazil is even higher: one-third of TGW are HIV-positive, with variations depending on geographical region and data source [ 2 — 5 ]. Elsevier Ltd ; ; 13 : — These variables were selected because they were associated with both the exposure and the outcome and were also emphasized in related peer-reviewed articles. Competing Interests: The authors have declared that no competing interests exist. I mess with him her husband without a condom. For example, the meaningful participation of TGW in the research process is critical to make sure that the right questions are asked, the appropriate methods are applied, and the interpretation of research findings are grounded. Studies have shown that discrimination can be harmful to the mental health of TGW [ 62 , 63 ] and the relationship between mental health and HIV risk has been clearly documented. All interviews were conducted individually and ranged from 44 minutes to 2 hours and 30 minutes.

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