Sexual Behaviors Associated with HIV Transmission Among Transgender and Gender Diverse Young Adults: The Intersectional Role of Racism and Transphobia
Sexual Behaviors Associated with HIV Transmission Among Transgender and Gender Diverse Young Adults: The Intersectional Role of Racism and Transphobia
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跨性别和性别多样化年轻人中与艾滋病毒传播相关的性行为：种族主义和跨性别恐惧症的交叉作用
DOI：
10.1007/s10461-022-03701-w
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发表时间：
2022
影响因子：
4.4
通讯作者：
Madina Agénor
中科院分区：
文献类型：
--
作者：
Elle Lett;E. Asabor;Nguyen K. Tran;Nadia L. Dowshen;Jaya Aysola;Allegra R. Gordon;Madina Agénor
在有色人种的跨性别者中，艾滋病毒感染率和与艾滋病毒传播相关的性行为参与率很高。根据交叉性，这种不成比例的负担可能与人际和结构性种族主义和变性恐惧症有关。这项研究的目的是评估跨性别和性别多样性（TGD）美国年轻人之间的人际和结构性歧视与性行为之间的关联。我们使用logit模型与强大的标准误估计个人和组合之间的人际和结构性种族主义和跨性别恐惧症和性行为之间的关联，在全国在线样本的TGD年轻人的颜色（TYAOC）年龄在18-30岁（N = 228）。分别使用日常歧视量表和国家种族主义指数在人际和结构层面对种族主义进行了衡量。跨性别恐惧症的测量在人际和结构层面上使用的性别少数压力量表和性别身份的Tally，分别。我们发现，人际间的种族主义与交易性行为，和人际transphobia与酒精/毒品消费之前的性行为和交易性TYAOC。我们还发现，在TYAOC中，人际和结构性种族主义和跨性别恐惧症与性行为前的酒精/药物消费（OR 3.85，95%CI 2.12，7.01）和交易性行为（OR 3.54，95%CI 0.99，12.59）有很强的联合关联。种族主义和跨性别恐惧症对TYAOC中的性行为产生了复合影响。在人际和结构层面减少歧视的有针对性的干预措施可能有助于减少这一边缘化人口的艾滋病毒负担。
HIV prevalence and engagement in sexual behaviors associated with HIV transmission are high among transgender people of color. Per intersectionality, this disproportionate burden may be related to both interpersonal and structural racism and transphobia. The goal of this study was to estimate the association between interpersonal and structural discrimination and sexual behaviors among transgender and gender diverse (TGD) U.S. young adults. We used logit models with robust standard errors to estimate the individual and combined association between interpersonal and structural racism and transphobia and sexual behaviors in a national online sample of TGD young adults of color (TYAOC) aged 18–30 years (N = 228). Racism was measured at the interpersonal and structural level using the Everyday Discrimination Scale and State Racism Index, respectively. Transphobia was measured at the interpersonal and structural level using the Gender Minority Stress Scale and the Gender Identity Tally, respectively. We found that interpersonal racism was associated with transactional sex, and interpersonal transphobia was associated with alcohol/drug consumption prior to sex and transactional sex among TYAOC. We also found evidence of a strong joint association of interpersonal and structural racism and transphobia with alcohol/drug consumption prior to sex (OR 3.85, 95% CI 2.12, 7.01) and transactional sex (OR 3.54, 95% CI 0.99, 12.59) among TYAOC. Racism and transphobia have a compounding impact on sexual behaviors among TYAOC. Targeted interventions that reduce discrimination at both the interpersonal and structural level may help reduce the HIV burden in this marginalized population.
DOI：
10.1016/j.socscimed.2015.11.010
发表时间：
2015-12
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
White Hughto JM;Reisner SL;Pachankis JE
通讯作者：
Pachankis JE
影响因子：
12.7
作者：
Bowleg, Lisa
通讯作者：
Bowleg, Lisa