Violence Victimization and Condomless Anal Intercourse Among Transgender Women in China: Mediating Role of Depression
Violence Victimization and Condomless Anal Intercourse Among Transgender Women in China: Mediating Role of Depression
复制标题
中国跨性别女性的暴力受害与无套肛交：抑郁的中介作用
DOI：
10.1007/s10461-020-03076-w
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发表时间：
2020-11
影响因子：
4.4
通讯作者：
Cai Yong
中科院分区：
文献类型：
--
作者：
Wang Huwen;Zeng Chengbo;Li Xiaoming;Chang Ruijie;Yu Xiaoyue;Xu Chen;Ma Tiecheng;Wang Ying;Qiao Shan;Cai Yong
Transgender women (TGW) worldwide report disproportionate violence victimization, depression and condomless anal intercourse (CAI), but the mechanism of the coexistence remains unclear. Using snowball sampling, we recruited 198 self-identified TGW in Shenyang, China between April 2017 and July 2017, and conducted confidential questionnaire survey among them. Positive HIV status was reported by 49 (24.7%) participants. 117 (59.1%) reported at least one type of lifetime violence victimization, with transactional sexual partners being the main violence perpetrators. 108 (54.5%) reported mild to severe depression. 105 (53.0%) reported having CAI with their sexual partners during the last 6 months. Path analysis showed that the association between participants’ violence victimization and CAI was fully mediated by their depression (indirect effect: 0.083, p = 0.014; direct effect: 0.137, p = 0.121). We suggest to incorporate violence screening and prevention and mental health services into intervention strategies to prevent CAI among Chinese TGW.
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