HIV prevalence, risk behavior, hormone use and surgical history among transgender persons in Thailand.
HIV prevalence, risk behavior, hormone use and surgical history among transgender persons in Thailand.
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DOI：
10.1007/s10461-010-9850-5
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发表时间：
2011-04
影响因子：
4.4
通讯作者：
van Griensven, Frits
中科院分区：
文献类型：
--
作者：
Guadamuz, Thomas E.;Wimonsate, Wipas;Varangrat, Anchalee;Phanuphak, Praphan;Jommaroeng, Rapeepun;McNicholl, Janet M.;Mock, Philip A.;Tappero, Jordan W.;van Griensven, Frits
虽然男性到女性的跨性别者（TG）被认为经常从事性工作，并有很高的艾滋病毒感染风险，但对人口统计学，手术和激素使用史，风险行为和艾滋病毒流行率知之甚少。2005年3月至10月，474 TG从曼谷，清迈和普吉岛进行了调查，使用场地，白天，时间抽样。在474名参与者中，总体艾滋病毒感染率为13.5%。大多数参与者至少完成了中等或职业教育（79.2%），性别自认为是女性（89.0%），接受过金钱，礼物或贵重物品进行性行为（60.8%），并报告使用激素（88.6%）。手术史取自325名参与者。其中，68.6%报告了某种形式的手术，11.1%接受了阴茎阴道重建手术。在多变量分析中，从公园/街道招募;年龄较大，肛交角色识别为“多才多艺”和13岁之前首次肛交与HIV感染率独立相关。制定，实施和评估文化上适当的性健康干预泰国TG是迫切需要的。
While Male-to-female transgender persons (TG) are believed to often engage in sex work and have high HIV infection risk, little is known about demographics, surgical and hormone use history, risk behaviors and HIV prevalence. Between March and October 2005, 474 TG from Bangkok, Chiangmai, and Phuket were surveyed using venue-day-time sampling. Of 474 participants, overall HIV prevalence was 13.5%. Most participants had completed at least secondary or vocational education (79.2%), gender self-identified as female (89.0%), had received money, gifts or valuables for sex (60.8%), and reported hormone use (88.6%). Surgical history was taken from 325 participants. Of these, 68.6% reported some form of surgery and 11.1% had undergone penile-vaginal reconstructive surgery. In multivariate analysis, being recruited from a park/street; older age, anal sex role identification as “versatile” and anal sex debut before age 13 were independently associated with HIV prevalence. The development, implementation and evaluation of culturally appropriate sexual health interventions for Thai TG is urgently needed.
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影响因子：
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作者：
Garofalo, R;Deleon, J;Harper, GW
通讯作者：
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影响因子：
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作者：
Mansergh, Gordon;Naorat, Sathapana;Van Griensven, Frits
通讯作者：
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作者：
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DOI：
10.1097/00126334-200112010-00012
发表时间：
2001-12-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
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作者：
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通讯作者：
McFarland, W