An Educational Program on HIV Prevention for Male-to-Female Transgender Women in South Miami Beach, Florida

An Educational Program on HIV Prevention for Male-to-Female Transgender Women in South Miami Beach, Florida
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DOI:
10.1016/j.jana.2010.01.007
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发表时间:
2010-05-01
影响因子:
2
通讯作者:
Lester, Aryah
Lester, Aryah
中科院分区:
医学4区
文献类型:
--
作者:
De Santis, Joseph P.;Martin, Charles W.;Lester, Aryah

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男变女(MTF)变性妇女面临着一些健康差异的风险,包括艾滋病毒感染。虽然艾滋病毒感染是MTF变性人人口的一个主要健康问题,但艾滋病毒感染的确切流行率很难确定。一个主要原因是艾滋病毒监测系统可能无法准确捕捉变性人的数量,因为许多变性人被包括在与男性发生性关系的男性(MSM)数据中(Sausa,Sevelius,Keatley,Reyguez和Reyes,2008)。第一种方法是实验室测试。实验室检测通过检查特定时间内人口中阳性抗体检测的数量来估计艾滋病毒流行率。这些数据被用作一般人口中艾滋病毒感染率的替代指标(联合国艾滋病毒/艾滋病联合规划署/世界卫生组织[艾滋病规划署/世卫组织]全球艾滋病毒/艾滋病和性传播感染监测工作组,2006年)。Herbst等人(2008)对已发表的关于抗体阳性实验室检测的数据进行了荟萃分析,结果显示变性人的艾滋病毒流行率约为28%。
Male-to-female (MTF) transgender women are at risk for a number of health disparities, including HIV infection. Although HIV infection is a major health concern for the population of MTF transgender persons, the exact prevalence of HIV infection is difficult to ascertain. One major reason is that HIV surveillance systems may not accurately capture the number of transgender persons because many transgender persons are included in the men who have sex with men (MSM) data (Sausa, Sevelius, Keatley, Iniguez, & Reyes, 2008).Two methods have been used to estimate the number of MTF transgender women who are infected with HIV. The first method is laboratory testing. Laboratory testing is used to estimate HIV prevalence by examining the number of positive antibody tests in a population over a specified time. These data are used as a proxy measure of HIV rates in the general population (Joint United Nations Programme on HIV/AIDS/World Health Organization [UNAIDS/WHO] Working Group on Global HIV/AIDS and STI Surveillance, 2006). Herbst et al.(2008) conducted a meta-analysis of data published about antibody-positive laboratory tests that revealed an HIV prevalence rate of approximately 28% among transgender persons.