Disparities in HIV Testing, Condom Use, and HIV Education Between Transgender and Not Transgender High School-Aged Youth: Findings From the 2019 Youth Risk Behavior Survey.
Disparities in HIV Testing, Condom Use, and HIV Education Between Transgender and Not Transgender High School-Aged Youth: Findings From the 2019 Youth Risk Behavior Survey.
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DOI：
10.1177/10901981221142238
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发表时间：
2023-02
影响因子：
4.2
通讯作者：
Beach, Lauren B.
中科院分区：
文献类型：
--
作者：
Phillips, Gregory, II;Davoudpour, Shahin;Floresca, Ysabel Beatrice;Felt, Dylan;Curry, Caleb W.;Wang, Xinzi;Choi, Joseph;Kelsey, Scar Winter;Beach, Lauren B.
在美国，跨性别者受艾滋病病毒（HIV）的影响尤为严重。鉴于年轻人感染HIV的风险增加，有必要了解18岁及以下跨性别者的HIV风险及保护因素。一般来说，HIV检测模式、HIV教育以及安全套使用与年轻人的HIV感染结果存在已知关联，但在跨性别青年中相关研究不足。本研究通过综合使用青少年风险行为调查数据构建一系列按性别分层的多变量逻辑回归模型来评估这些结果。结果显示，与非跨性别同龄人相比，女性和男性跨性别青年以及不确定自己是否为跨性别者的男性更有可能进行过HIV检测。与非跨性别男性相比，男性跨性别青年接受HIV教育的可能性明显更低。不确定自己是否为跨性别者的女性以及男性跨性别青年使用安全套的可能性分别明显低于非跨性别女性和非跨性别男性。总之，与非跨性别同龄人相比，跨性别者使用安全套和接受HIV教育的比例都更低。这凸显了在跨性别青年中推广符合文化背景的HIV教育和HIV预防支持的必要性。
Transgender individuals are disproportionately affected by HIV in the United States. Given increased risk of HIV among youth, there is a need to understand HIV risk and protective factors among transgender individuals who are 18 years and younger. Patterns of HIV testing, HIV education, and condom use have known associations with HIV outcomes among youth in general, but are understudied among transgender youth. This study assessed these outcomes by developing a series of sex-stratified multivariable logistic regression models using pooled Youth Risk Behavior Survey data. Results indicate female and male transgender youth as well as males who were not sure they were transgender were more likely have tested for HIV compared with their not transgender peers. Male transgender youth were significantly less likely to have received HIV education compared with not transgender males. Females not sure if they were transgender and male transgender youth were significantly less likely to have used condoms compared with, respectively, not transgender female and not transgender male counterparts. In sum, condom use and HIV education both remain lower among transgender individuals relative to their not-transgender peers. This highlights the need for the promotion of culturally appropriate HIV education and HIV prevention supports among transgender youth.
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影响因子：
4.4
作者：
Eastwood, Elizabeth A.;Nace, Amanda J.;Birnbaum, Jeffrey M.
通讯作者：
Birnbaum, Jeffrey M.
影响因子：
1.7
作者：
Jin H;Restar A;Biello K;Kuhns L;Reisner S;Garofalo R;Mimiaga MJ
通讯作者：
Mimiaga MJ
DOI：
10.1007/s10935-018-0508-9
发表时间：
2018-06
期刊：
The journal of primary prevention
影响因子：
--
作者：
Johns MM;Beltran O;Armstrong HL;Jayne PE;Barrios LC
通讯作者：
Barrios LC
影响因子：
1.2
作者：
Bloom, Brittnie E.;Kieu, Talia K.;Reed, Elizabeth
通讯作者：
Reed, Elizabeth
影响因子：
4.8
作者：
Fisher, Celia B.;Fried, Adam L.;Mustanski, Brian
通讯作者：
Mustanski, Brian