Journal article
HIV-Related Sexual Risk Among Transgender Men Who Are Gay, Bisexual, or Have Sex With Men
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, v 74(4), pp E89-E96
01 Apr 2017
PMID: 27798432
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: This study is among the first to examine factors associated with HIV-related sexual risk among transgender men and other transmasculine persons who are gay, bisexual, or have sex with men (T-GBMSM).
Methods: In 2009-2010, 433 transgender people in Ontario, Canada, participated in a multimode respondent-driven sampling survey, including 158 T-GBMSM. Analyses were weighted using respondent-driven sampling II methods to adjust for differential recruitment probabilities; confidence intervals (CI) were adjusted for clustering by shared recruiter. Prevalence ratios (PR) for associations with past-year high sexual risk (condomless intercourse outside a seroconcordant monogamous relationship) were estimated using average marginal predictions from logistic regression.
Results: Of T-GBMSM (mean age = 29.8; 52% living full time in felt gender; 25% Aboriginal or persons of color; 0% self-reported HIV positive), 10% had high sexual risk activity in the past year. Among the 34% with a past-year cisgender (non-transgender) male sex partner, 29% had high sexual risk. In multivariable analyses, older age, childhood sexual abuse (adjusted PR, APR = 14.03, 95% CI: 2.32 to 84.70), living full time in one's felt gender (APR = 5.20, 95% CI: 1.11 to 24.33), and being primarily or exclusively attracted to men (APR = 5.54, 95% CI: 2.27 to 13.54) were each associated with sexual risk. Of psychosocial factors examined, past-year stimulant use (APR = 4.02, 95% CI: 1.31 to 12.30) and moderate depressive symptoms (APR = 5.77, 95% CI: 1.14 to 29.25) were associated with higher sexual risk.
Conclusions: T-GBMSM seem to share some HIV acquisition risk factors with their cisgender counterparts. HIV prevention interventions targeting T-GBMSM who are predominantly attracted to men and interventions addressing sequelae of childhood sexual abuse may be warranted.
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Details
- Title
- HIV-Related Sexual Risk Among Transgender Men Who Are Gay, Bisexual, or Have Sex With Men
- Creators
- Ayden I. Scheim - Western UniversityGreta R. Bauer - Wilfrid Laurier UniversityRobb Travers - Wilfrid Laurier University
- Publication Details
- JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, v 74(4), pp E89-E96
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 8
- Grant note
- MOP106478 / Canadian Institutes of Health Research, Institute of Gender and Health; Canadian Institutes of Health Research (CIHR) 167492 / HIV/AIDS Community-Based Research Vanier Canada Graduate Scholarships Trudeau Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000396010600001
- Scopus ID
- 2-s2.0-84992731468
- Other Identifier
- 991020100061004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Immunology
- Infectious Diseases