Risk Behaviors and Perceptions Among Self-identified Men Who Have Sex with Men (MSM), Bisexuals, Transvestites, and Transgender Women in Western Guatemala.
Risk Behaviors and Perceptions Among Self-identified Men Who Have Sex with Men (MSM), Bisexuals, Transvestites, and Transgender Women in Western Guatemala.
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DOI：
10.1007/s10461-018-2190-6
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发表时间：
2018-07
影响因子：
4.4
通讯作者：
McFarland W
中科院分区：
文献类型：
--
作者：
Ikeda JM;Racancoj O;Welty S;Page K;Hearst N;McFarland W
危地马拉的艾滋病毒流行集中，对男男性行为者和变性妇女的影响尤为严重。我们招募了205自我认定的男男性接触者，双性恋者，异装癖者和跨性别妇女在危地马拉西部使用长链同行推荐，其中“种子”参与者被要求邀请多达三个熟人参加这项研究。自我报告的性或性别认同是MSM，46%;双性恋，28%;异装癖，21%，变性妇女，5%。参与者的中位年龄为23岁，36%的人自认为是土著人。土著人更可能自我认同为异装癖者（32.9%对13.8%，P = 0.04），强烈认为自己有感染艾滋病毒的风险（87.7% vs 51.5%，P = 0.001），在过去12个月内进行过HIV检测并知道结果（97.3%对85.4%，P = 0.008），并经历测试和治疗的障碍（86.3%对67.7%，P = 0.004）。针对土著男男性行为者的艾滋病毒预防服务应特别针对易装癖者，以及如何克服污名化和护理障碍。
Guatemala has a concentrated HIV epidemic disproportionately affecting men who have sex with men (MSM) and transgender women. We recruited 205 self-identified MSM, bisexuals, transvestites, and transgender women in western Guatemala using long-chain peer referral, wherein “seed” participants were asked to invite as many as three acquaintances to participate in the study. Self-reported sexual or gender identity was MSM, 46%; bisexual, 28%; transvestite, 21%, and transgender woman, 5%. Median age of the participants was 23 years, and 36% self-identified as being indigenous. Indigenous persons were more likely to self-identity as transvestite (32.9% vs 13.8%, P = 0.04), strongly perceive themselves at risk for HIV (87.7% vs 51.5%, P = 0.001), have had an HIV test in the last 12 months and know the result (97.3% vs 85.4%, P = 0.008), and experience barriers to testing and treatment (86.3% vs 67.7%, P = 0.004). HIV prevention services for indigenous MSM should especially target transvestites and how to overcome stigmatization and barriers to care.
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DOI：
10.1097/qai.0b013e318239c947
发表时间：
2012-02-01
影响因子：
3.6
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发表时间：
2007-04-01
影响因子：
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