HIV in transgender communities: syndemic dynamics and a need for multicomponent interventions.
HIV in transgender communities: syndemic dynamics and a need for multicomponent interventions.
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DOI：
10.1097/qai.0b013e3181fbc9ec
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发表时间：
2010-12
期刊：
影响因子：
--
通讯作者：
Nemoto T
中科院分区：
文献类型：
--
作者：
Operario D;Nemoto T
变性人社区是美国艾滋病毒感染风险最高的群体之一。使用流行病学理论，我们研究了跨性别社区的艾滋病毒风险如何嵌入多种共同发生的公共卫生问题，包括精神健康状况不佳，药物使用，暴力和受害，歧视和经济困难。虽然安全性行为咨询和检测项目是艾滋病毒干预的重要平台，但单靠这些方式可能不足以减少新感染。多成分干预措施是必要的，以应对复杂的，相互作用的综合因素，累积决定艾滋病毒在变性人的脆弱性。
Transgender communities are among the groups at highest risk for HIV infection in the United States. Using syndemic theory, we examine how HIV risk in transgender communities is embedded in multiple co-occurring public health problems, including poor mental health, substance use, violence and victimization, discrimination, and economic hardship. Although safer sex counseling and testing programs are essential platforms for HIV intervention, these modalities alone may be insufficient in reducing new infections. Multicomponent interventions are necessary to respond to the complex, interacting syndemic factors that cumulatively determine HIV vulnerability in transgender individuals.