HIV prevalence, substance use, and sexual risk behaviors among transgender women recruited through outreach.
HIV prevalence, substance use, and sexual risk behaviors among transgender women recruited through outreach.
复制标题
DOI：
10.1007/s10461-013-0657-z
复制
发表时间：
2014-07
影响因子：
4.4
通讯作者：
Fletcher, Jesse B.
中科院分区：
文献类型：
--
作者：
Reback, Cathy J.;Fletcher, Jesse B.
变性人妇女(“变性人”)面临着不成比例的艾滋病毒疾病负担；据估计，变性人妇女艾滋病毒阳性的几率是美国成年人口的34.2倍。从2005年1月1日到2011年12月31日，在洛杉矶县街头和高危场所与2136名独特的跨性别妇女进行了艾滋病毒预防外展接触。外展接触包括低强度的健康教育和减少风险干预，其中包括转诊到所需服务。这些接触的目标是评估参与者的药物使用水平和性风险行为，以提供适当的减少风险的策略和用品。样本显示，最近酗酒(57.7%)、大麻(25.6%)和甲基苯丙胺(21.5%)、终身注射毒品或非法使用激素(66.3%)和最近从事性工作(73.3%)的比率很高。多因素Logistic回归分析显示，最近使用甲基苯丙胺(AOR=2.09p<；.001)和/或强效可卡因(AOR=2.19；p=0.010)、注射毒品/激素(AOR=1.65p≤0.001)、性工作中无保护的肛交(AOR=2.24p=0.029)和任何非西班牙裔少数族裔身份都与报告艾滋病毒阳性状态的几率增加有关。通过外展接触到的跨性别妇女显示出艾滋病毒感染和传播的许多危险共同因素。
Transgender women (“transwomen”) face a disproportionate HIV disease burden; the odds of being HIV-positive are estimated to be 34.2 times higher for transwomen than the United States adult population. From January 1, 2005 through December 31, 2011, HIV prevention outreach encounters were conducted with 2,136 unique transwomen on the streets and at high-risk venues in Los Angeles County. The outreach encounters were comprised of a low-intensity health education and risk reduction intervention, which included referrals to needed services. The goal of the encounters was to assess the participant's level of substance use and sexual risk behaviors to provide appropriate risk reduction strategies and supplies. The sample evidenced high rates of recent alcohol (57.7%), marijuana (25.6%), and methamphetamine (21.5%) use, lifetime injection drug or illegal hormone use (66.3%), and recent engagement in sex work (73.3%). Multivariate logistic regression analysis revealed that recent methamphetamine (AOR=2.09; p<.001) and/or crack cocaine (AOR=2.19; p=0.010) use, injection drug/hormone use (AOR=1.65; p≤0.001), unprotected anal intercourse during sex work (AOR=2.24; p=0.029), and any non-Hispanic minority racial status were all associated with increased odds of reporting a HIV-positive status. The transwomen encountered via outreach exhibited many risk co-factors for HIV infection and transmission.
登录
查看更多内容
影响因子：
12.7
作者：
Nuttbrock, Larry;Bockting, Walter;Becker, Jeffrey
通讯作者：
Becker, Jeffrey
DOI：
10.1097/qai.0b013e3181fbc9ec
发表时间：
2010-12
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Operario D;Nemoto T
通讯作者：
Nemoto T
影响因子：
4.4
作者：
Halkitis PN;Mukherjee PP;Palamar JJ
通讯作者：
Palamar JJ
影响因子：
12.7
作者：
Nemoto, T;Operario, D;Soma, T
通讯作者：
Soma, T
DOI：
10.1080/09540120413331269567
发表时间：
2004-08-01
影响因子：
1.7
作者：
Nemoto, T;Operario, D;Villegas, D
通讯作者：
Villegas, D