Syndemic Classes, Stigma, and Sexual Risk Among Transgender Women in India
Syndemic Classes, Stigma, and Sexual Risk Among Transgender Women in India
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DOI：
10.1007/s10461-018-2373-1
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发表时间：
2019-06-01
影响因子：
4.4
通讯作者：
Kershaw, Trace S.
中科院分区：
文献类型：
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作者：
Chakrapani, Venkatesan;Willie, Tiara C.;Kershaw, Trace S.
Syndemic理论可以解释印度跨性别妇女（TGW）艾滋病毒风险升高的原因。使用300 TGW在印度的横截面数据，我们的目的是：确定潜在类的四个syndemic条件（抑郁症-D，酒精使用-A，暴力受害-V，艾滋病毒阳性状态），测试是否syndemic类介导的耻辱和性风险之间的关联，并测试是否社会支持和弹性应对温和的syndemic类和性风险之间的关联。出现了四种不同的类别：（1）DAV Syndemic，（2）AV Syndemic，（3）DV Syndemic和（4）无Syndemic。DAV综合征中的TGW（OR 9.80，95% CI 3.45，27.85，p
Syndemic theory could explain the elevated HIV risk among transgender women (TGW) in India. Using cross-sectional data of 300 TGW in India, we aimed to: identify latent classes of four syndemic conditions (Depression-D, Alcohol use-A, Violence victimization-V, HIV-positive status), test whether syndemic classes mediate the association between stigma and sexual risk, and test whether social support and resilient coping moderate the association between syndemic classes and sexual risk. Four distinct classes emerged: (1) DAV Syndemic, (2) AV Syndemic, (3) DV Syndemic, and (4) No Syndemic. TGW in the DAV Syndemic (OR9.80, 95% CI3.45, 27.85, p