Risk Behaviors and Psychosocial Stressors in the New York City House Ball Community: A Comparison of Men and Transgender Women Who Have Sex with Men
Risk Behaviors and Psychosocial Stressors in the New York City House Ball Community: A Comparison of Men and Transgender Women Who Have Sex with Men
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DOI：
10.1007/s10461-009-9610-6
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发表时间：
2010-04-01
影响因子：
4.4
通讯作者：
Dean, Laura
中科院分区：
文献类型：
--
作者：
Sanchez, Travis;Finlayson, Teresa;Dean, Laura
纽约市House Ball社区由种族/少数民族男同性恋、女同性恋或双性恋男女和变性人的社交网络组成。从社区成员样本中获得HIV血清阳性率和访谈数据，以确定男男性行为者（MSM）和跨性别女性之间在HIV患病率、风险行为和心理社会压力因素方面的统计差异。在301名男男性行为者和60名变性妇女中，20%的人感染了艾滋病毒，73%的人不知道自己感染了艾滋病毒，但性别之间的感染率没有差异。风险行为和压力源在两组中都很常见，但跨性别女性更容易报告交换性行为，污名化和压力生活事件。在这个特殊的社区，高风险行为和艾滋病毒的发生率需要相关的艾滋病毒检测和预防服务。社区中的跨性别妇女可能面临更大的艾滋病毒感染风险，因为她们的行为加上大量的心理社会压力。
The New York City House Ball community consists of social networks of racial/ethnic minority gay, lesbian or bisexual men and women, and transgender persons. HIV seroprevalence and interview data were obtained from a sample of community members to identify statistical differences in HIV prevalence, risk behavior, and psychosocial stressors between men who have sex with men (MSM) and transgender women. Of 301 MSM and 60 transgender women, 20% were HIV-infected and 73% were unaware of their infection, but rates did not differ by gender. Risk behavior and stressors were common in both groups, but transgender women were more likely to report exchange sex, stigmatization, and stressful life events. High rates of risk behavior and HIV in this special community warrant relevant HIV testing and prevention services. Transgender women in the community may be at even greater risk for HIV infection due to behaviors compounded by substantial psychosocial stressors.