Sexually Transmitted Diseases and Associated Risk Factors Among Transgenders in Peshawar

Muhammad asif Zeb, Arsalan Waqas Ahmad Shah, Fawad Inayat, Aman Ullah, Amir Afzal Khan, Awal mir
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Abstract

Background:  Transgenders, male to female, are exceptionally predominant in India-Pakistan, dreaded to be alarming for sexually transmitted diseases. The objective of this study was to determine the frequency of sexually transmitted diseases and their associated risk factors among transgenders. Methodology: This cross-sectional study was conducted amongst transgenders at Institute of Paramedical Sciences (IPMS), Khyber Medical University Peshawar from January to July,2021. About two ml of venous blood was collected in a gel tube under aseptic conditions among 100 individuals to check for HBsAg, anti-HCV, HIV and syphilis by ICT rapid strip method. Positive samples of HBsAg and anti-HCV were confirmed by Polymerase Chain Reaction (PCR), while positive cases of syphilis were confirmed by Treponema Pallidum Hemagglutination (TPHA). Chi-square test was applied to determine the association between sexually transmitted disease and associated risk factors.  Results: Out of 100, seven (7%) samples were positive for HBsAg, five (5%) for anti-HCV and nine (9%) were positive for syphilis while there were no positive cases of HIV. HBV infection was significantly associated with blood transfusion, a drug injection history and some surgical procedure (p<0.05). For syphilis, the data were significantly associated with a history of blood transfusion and drug injection (p<0.05). Conclusion: Frequency of HBV, HCV and syphilis infections are high in transgenders with common associated risk factors to be sexual activities, drug injection, unsafe blood transfusion and surgical procedures. Keywords:  Chromatography,  Hepatitis B surface antigen, Hepatitis C Antibodies, HIV, Syphilis, Transgenders
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白沙瓦变性人中的性传播疾病和相关危险因素
背景:跨性别者,从男变女,在印度-巴基斯坦特别占主导地位,害怕成为性传播疾病的警报。本研究的目的是确定变性人中性传播疾病的频率及其相关危险因素。方法:这项横断面研究于2021年1月至7月在白沙瓦开伯尔医科大学辅助医学科学研究所(IPMS)对跨性别者进行。在无菌条件下取100例患者凝胶管静脉血约2 ml,采用ICT快速试纸法检测HBsAg、抗- hcv、HIV和梅毒。采用聚合酶链反应(PCR)检测乙肝表面抗原(HBsAg)和抗丙型肝炎病毒(anti-HCV)阳性,采用梅毒螺旋体血凝素(TPHA)检测梅毒阳性。采用卡方检验确定性传播疾病与相关危险因素之间的关系。结果:100份样本中HBsAg阳性7例(7%),抗- hcv阳性5例(5%),梅毒阳性9例(9%),HIV无阳性。HBV感染与输血、药物注射史和某些外科手术有显著相关性(p<0.05)。梅毒与输血、药物注射史相关(p<0.05)。结论:跨性别人群乙型肝炎病毒、丙型肝炎病毒和梅毒感染率较高,性行为、药物注射、不安全输血和外科手术是常见的相关危险因素。关键词:层析,乙型肝炎表面抗原,丙型肝炎抗体,HIV,梅毒,变性人
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审稿时长
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