Syndemic Conditions, HIV Transmission Risk Behavior, and Transactional Sex Among Transgender Women.
Jeffrey T ParsonsNadav Antebi-GruszkaBrett M MillarDemetria CainSitaji GurungPublished in: AIDS and behavior (2019)
This study examined the effect of four syndemic conditions-namely, polydrug use, depression, childhood sexual abuse, and intimate partner violence-on rates of HIV transmission risk behavior (TRB) and separately, transactional sex among transgender women. TRB was defined as the number of condomless penetrative sex events with a casual or main partner of discordant or unknown HIV status. Using data from 212 transgender women in New York City, multivariable analyses revealed that, compared to those with no syndemic conditions, dramatically higher rates of recent HIV TRB events (ARR = 8.84, p < 0.001) and recent transactional sex events (ARR = 8.32, p < 0.001) were reported by participants with all four syndemic conditions. These findings highlight the importance of considering the role of syndemic conditions in HIV risk among transgender women, and the need for comprehensive psychosocial interventions to improve sexual health among this population.
Keyphrases
- hiv testing
- men who have sex with men
- hiv positive
- antiretroviral therapy
- hiv infected
- human immunodeficiency virus
- polycystic ovary syndrome
- hepatitis c virus
- hiv aids
- breast cancer risk
- pregnancy outcomes
- south africa
- metabolic syndrome
- insulin resistance
- pregnant women
- adipose tissue
- machine learning
- deep learning
- young adults
- childhood cancer