Unprotected Sexual Behavior and HIV Risk in the Context of Primary Partnerships for Transgender Women
Unprotected Sexual Behavior and HIV Risk in the Context of Primary Partnerships for Transgender Women
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DOI：
10.1007/s10461-010-9795-8
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发表时间：
2011-04-01
影响因子：
4.4
通讯作者：
Moore, Toni
中科院分区：
文献类型：
--
作者：
Operario, Don;Nemoto, Tooru;Moore, Toni
以前的研究报告说，变性妇女很可能通过与男性主要伴侣发生无保护措施的性行为而感染艾滋病毒。我们研究了在n = 174跨性别女性的样本中与主要男性伴侣发生无保护性行为的患病率和相关性。参与者完成了关于人口统计学特征、与男性主要伴侣的关系动态、性行为、物质使用和心理社会因素的调查。总体而言，41%的人报告艾滋病毒呈阳性状态，13%的人在过去一年中有过另一次性传播感染，34%的人在过去3个月内与男性主要伴侣发生过无保护措施的性行为。与主要伴侣发生无保护性行为相关的因素包括与伴侣生活在一起、吸毒、酗酒、教育水平、使用避孕套的自我效能感低以及感知到的歧视。值得注意的是，在艾滋病毒不一致的主要伙伴关系中，35%的变性妇女在过去3个月内与男性主要伙伴发生了无保护的性行为，而在艾滋病毒阳性的主要伙伴关系中，18%的变性妇女在过去3个月内与外部伙伴发生了无保护的性行为。针对变性妇女的艾滋病毒预防干预措施必须解决主要伙伴关系中的风险行为以及与关系之外的共同伙伴发生性关系。涉及变性妇女及其男性主要伴侣的以夫妇为重点的干预措施可能特别有希望。
Previous research has reported that transgender women are likely to be exposed to HIV through unprotected sex with a male primary partner. We examined prevalence and correlates of unprotected sex with a primary male partner in a sample of n = 174 transgender women. Participants completed surveys on demographic characteristics, relationship dynamics with their male primary partner, sexual behavior, substance use, and psychosocial factors. Overall, 41% reported HIV positive status, 13% had another sexually transmitted infection during the past year, and 34% had unprotected sex with a male primary partner during the past 3 months. Factors associated with unprotected sex with a primary partner included living with the partner, drug use, alcohol use, education level, low self-efficacy to use condoms, and perceived discrimination. Notably, 35% of transgender women in HIV-discordant primary partnerships had unprotected sex with their male primary partner during the past 3 months, and 18% of transgender women in HIV-positive concordant primary partnerships had unprotected sex with an outside partner during the past 3 months. HIV prevention interventions for transgender women must address risk behavior in the context of primary partnerships as well as sex with concurrent partners outside the relationship. Couples-focused interventions involving transgender women and their male primary partners can be particularly promising.