Social context of HIV risk behaviours among male-to-female transgenders of colour
Social context of HIV risk behaviours among male-to-female transgenders of colour
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DOI：
10.1080/09540120413331269567
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发表时间：
2004-08-01
影响因子：
1.7
通讯作者：
Villegas, D
中科院分区：
文献类型：
--
作者：
Nemoto, T;Operario, D;Villegas, D
为了探讨毒品使用和性行为使男女变性者面临艾滋病毒风险的社会背景，对居住或工作在加利福尼亚州旧金山的非洲裔美国人、拉丁裔和亚洲及太平洋岛民变性人(N=48)组成了焦点小组。参与者可能会报告说，他们与主要伴侣发生了无保护的性行为，以表示爱和情感联系，并从他们的伴侣那里获得性别确认。相比之下，将与顾客发生性关系视为一项业务，会鼓励故意使用避孕套。与顾客更安全的性行为意图经常受到紧急经济需求的破坏，这些需求源于跨性别恐惧症、就业歧视和与性别转变相关的昂贵程序。参与者报告说，使用毒品是应对或逃避与人际关系、性工作、跨性别恐惧症和经济困难相关的生活压力的一种方式。对高危MTF变性者的干预应解决不安全性行为和吸毒的人际关系和社会背景，特别是与男性伴侣的关系问题、耻辱、歧视和关于性工作和吸毒的社区规范的独特作用。
To explore the social context of drug use and sexual behaviours that put male-to-female (MTF) transgenders at risk for HIV, focus groups were conducted consisting of African American, Latina and Asian and Pacific Islander MTF transgenders (N = 48) who reside or work in San Francisco, California. Participants were likely to report having unprotected sex with primary partners to signify love and emotional connection, as well as to receive gender validation from their partners. In contrast, viewing sex work with customers as a business encouraged intentious to use condoms. Safer sex intentions with customers were frequently undermined by urgent financial needs, which stemmed from transphobia, employment discrimination and costly procedures associated with gender transition. Participants reported using drugs as a way to cope with or escape life stresses associated with relationships, sex work, transphobia and financial hardship. Interventions with at-risk MTF transgenders should address the interpersonal and social context of unsafe sex and drug use, particularly the unique roles of relationship issues with male partners, stigma, discrimination and community norms regarding sex work and drug use.