Risk Behavior and Sexually Transmitted Infections Among Transgender Women and Men Undergoing Community-Based Screening for Acute and Early HIV Infection in San Diego
Risk Behavior and Sexually Transmitted Infections Among Transgender Women and Men Undergoing Community-Based Screening for Acute and Early HIV Infection in San Diego
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DOI：
10.1097/md.0000000000001830
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发表时间：
2015-10-01
期刊：
影响因子：
1.6
通讯作者：
Little, Susan J.
中科院分区：
文献类型：
--
作者：
Green, Nella;Hoenigl, Martin;Little, Susan J.
跨性别群体代表了文献中研究不足的人群。本研究的目的是比较风险行为，艾滋病毒和性传播感染（STI）率之间的跨性别妇女和跨性别男子接受社区为基础的艾滋病毒检测。通过回顾性分析的队列研究，我们的特点艾滋病毒感染率以及报告的风险行为和报告的STI在151个个体跨性别妇女和30个个体跨性别男子接受社区为基础的，2008年4月至2014年7月在加州圣地亚哥进行的急性和早期HIV感染（AEH）自愿筛查。接受AEH筛查的跨性别女性和跨性别男性的HIV阳性率均较低（分别为2%和3%），两人在之前12个月的自我报告STI率均为13%。虽然跨性别女性似乎总体上从事风险行为的比例较高，69%从事无安全套接受性肛交（CRAI），11%从事性工作，但重要的是要注意，91%的跨性别女性报告最近发生性行为，73%有1个以上的性伴侣，63%报告与男性发生性行为，37%与男性和女性发生性行为，我们的研究结果表明，在某些情况下，变性男性的艾滋病毒感染率，以及报告的性传播感染率和性风险行为可能与变性女性相似。我们的研究结果支持在跨性别女性和男性中进行全面艾滋病毒预防的必要性。
The transgender community represents an understudied population in the literature. The objective of this study was to compare risk behavior, and HIV and sexually transmitted infection (STI) rates between transgender women and transgender men undergoing community-based HIV testing.With this retrospective analysis of a cohort study, we characterize HIV infection rates as well as reported risk behaviors and reported STI in 151 individual transgender women and 30 individual transgender men undergoing community based, voluntary screening for acute and early HIV infection (AEH) in San Diego, California between April 2008 and July 2014.HIV positivity rate was low for both, transgender women and transgender men undergoing AEH screening (2% and 3%, respectively), and the self-reported STI rate for the prior 12 months was 13% for both. Although transgender women appeared to engage in higher rates of risk behavior overall, with 69% engaged in condomless receptive anal intercourse (CRAI) and 11% engaged in sex work, it is important to note that 91% of transgender women reported recent sexual intercourse, 73% had more than 1 sexual partner, 63% reported intercourse with males, 37% intercourse with males and females, and 30% had CRAI.Our results indicate that in some settings rates of HIV infection, as well as rates of reported STIs and sexual risk behavior in transgender men may resemble those found in transgender women. Our findings support the need for comprehensive HIV prevention in both, transgender women and men.