Heterogeneity in HIV/Sexually Transmitted Infection Prevalence and Prevention Among the Partners of Transgender and Nonbinary People.
Heterogeneity in HIV/Sexually Transmitted Infection Prevalence and Prevention Among the Partners of Transgender and Nonbinary People.
复制标题
跨性别者和非二元性别者伴侣中艾滋病毒/性传播感染患病率和预防的异质性。
DOI：
10.1097/olq.0000000000001796
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发表时间：
2023
影响因子：
3.1
通讯作者：
SeattleTransandNonbinarySexualHealth(STARS)AdvisoryBoard
中科院分区：
文献类型：
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作者：
Tordoff,DianaM;Minalga,Brian;Perry,NicoleLynn;Gross,Bennie;Khosropour,ChristineM;Glick,SaraN;Barbee,LindleyA;Duerr,Ann;SeattleTransandNonbinarySexualHealth(STARS)AdvisoryBoard
背景跨性别者和非二元性别者（TNB）在性取向和伴侣关系方面具有多样性。我们描述了艾滋病毒/性传播感染（STI）的流行病学和预防利用的合作伙伴之间的TNB人在华盛顿State.MethodsWe汇总数据从五个2017年至2021年的横断面艾滋病毒监测数据源，以产生一个大样本的TNB人和cisgender人谁有一个TNB的合作伙伴在过去的一年。我们描述了跨女性，跨男性，和nonbinary人最近的合作伙伴的特点，并使用泊松回归，以评估是否有一个TNB的合作伙伴与自我报告的HIV/STI的患病率，测试，和暴露前预防（PrEP）use.ResultsOur分析包括360跨女性，316跨男性，963 nonbinary人，2896顺式女性，和7540顺式男性。总体而言，9%的性少数顺式男性，13%的性少数顺式女性和36%的TNB参与者报告有任何TNB伴侣。有显着的异质性，艾滋病毒/性传播感染的患病率，测试，和使用之间的合作伙伴的TNB人的研究参与者的性别和他们的性伴侣的性别。在回归模型中，有一个TNB的合作伙伴与更高的可能性HIV/STI检测和PrEP的使用，但不与更高的HIV prevalence.ConclusionsWe观察到显着的异质性在HIV/STI的患病率和预防行为之间的合作伙伴的TNB的人。鉴于性传播感染者的性伙伴关系多种多样，有必要更好地了解在这些不同的性伙伴关系中促进艾滋病毒/性传播感染预防的个人、二元和结构层面的因素。
BackgroundTransgender and nonbinary (TNB) people are diverse in their sexual orientation and partnerships. We describe the epidemiology of HIV/sexually transmitted infection (STI) prevalence and prevention utilization among the partners of TNB people in Washington State.MethodsWe pooled data from five 2017 to 2021 cross-sectional HIV surveillance data sources to generate a large sample of TNB people and cisgender people who had a TNB partner in the past year. We described characteristics of recent partners of trans women, trans men, and nonbinary people and used Poisson regression to assess if having a TNB partner was associated with self-reported HIV/STIs prevalence, testing, and preexposure prophylaxis (PrEP) use.ResultsOur analysis included 360 trans women, 316 trans men, 963 nonbinary people, 2896 cis women, and 7540 cis men. Overall, 9% of sexual minority cis men, 13% of sexual minority cis women, and 36% of TNB participants reported having any TNB partners. There was significant heterogeneity in HIV/STI prevalence, testing, and PrEP use among the partners of TNB people by study participant gender and the gender of their sex partners. In regression models, having a TNB partner was associated with a higher likelihood of HIV/STI testing and PrEP use but was not associated with higher HIV prevalence.ConclusionsWe observed significant heterogeneity in HIV/STI prevalence and preventative behaviors among the partners of TNB people. Given that TNB people are diverse in their sexual partnerships, there is a need to better understand individual-, dyad-, and structural-level factors that facilitate HIV/STI prevention across these diverse partnerships.