Overlooked, misunderstood and at-risk: Exploring the lives and HIV risk of ethnic minority male-to-female transgender youth
Overlooked, misunderstood and at-risk: Exploring the lives and HIV risk of ethnic minority male-to-female transgender youth
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DOI：
10.1016/j.jadohealth.2005.03.023
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发表时间：
2006-03-01
影响因子：
7.6
通讯作者：
Harper, GW
中科院分区：
文献类型：
--
作者：
Garofalo, R;Deleon, J;Harper, GW
目的：描述有色人种社区男女变性人(MTF)青年的现实生活挑战和HIV危险行为。方法：对16~25岁的少数民族MTF变性人青年(n=51)进行匿名问卷调查，内容包括人口学、心理社会测量、是否参与药物使用和性行为危险行为。结果：受试者年龄中位数为22岁，其中57%为非裔美国人。22%的人报告人类免疫缺陷病毒(HIV+)呈阳性。在样本中，生活压力的流行情况包括监禁史(37%)、无家可归(18%)、以性换取资源(59%)、强迫性行为(52%)、找工作困难(63%)和获得医疗保健困难(41%)。在过去的一年里，98%的人与男性发生过性关系，49%的人有过无保护的接受性肛交，53%的人在药物或酒精的影响下发生了性行为。过去一年内使用药物的情况很常见，最常见的报告是大麻(71%)和酒精(65%)。29%的参与者在他们的一生中使用过注射用液体硅胶。其他注射吸毒和共用针头的行为很少见。与其他种族/民族相比，非裔美国青年中HIV的感染率更高(P
Purpose: To describe the real life challenges and HIV-risk behaviors of male-to-female (MTF) transgender youth from communities of color.Methods: A convenience sample (n = 5 1) of ethnic-minority MTF transgender youth aged 16-25 years completed an anonymous questionnaire including demographics, psychosocial measures, and participation in substance use and sexual risk behaviors. Descriptive analyses and analyses of association were used to interpret the data.Results: The median age of participants was 22 years, and 57% were African-American. Twenty-two percent reported being human immunodeficiency virus positive (HIV+). Prevalence of life stressors among the sample included history of incarceration (37%), homelessness (18%), sex in exchange for resources (59%), forced sexual activity (52%), difficulty finding a job (63%), and difficulty accessing health care (41%). Within the past year, 98% had sex with men, 49% had unprotected receptive anal intercourse, and 53% had sex under the influence of drugs or alcohol. Substance use within the past year was common, with marijuana (71%) and alcohol (65%) most frequently reported. Twenty-nine percent of participants had used injection liquid silicone in their lifetime. Other injection drug use and needle-sharing behaviors were rare. Compared with other racial/ethnic groups, HIV was found in higher rates among African-American youth (P