Bockting Walter, Miner Michael, Rosser B R Simon
Program in Human Sexuality, Department of Family Medicine and Community Health, University of Minnesota Medical School, 1300 South Second Street, Suite 180, Minneapolis, MN 55454, USA.
Arch Sex Behav. 2007 Dec;36(6):778-86. doi: 10.1007/s10508-006-9133-4.
Male-to-female transgender persons are thought to be "vectors" for HIV/STI transmission, yet little quantitative information exists about the risk behavior of their male sexual partners who may serve as a "bridge" for HIV transmission into the general population. As part of an online survey examining the sexual risk behavior of Latino men who have sex with men (N = 1,026), we identified 44 (4%) participants who reported having had sex with a transgender partner. Compared with a randomly selected sub-sample of 200 men who did not report sex with a transgender person, sexual partners of transgender persons were almost three times more likely to have had unprotected sexual intercourse in the last three months. In addition, men who had sex with transgender persons were more likely to be HIV-positive; married, separated, or divorced; identify as bisexual or straight; have sex with women; and live in rural or small town communities. Regression analysis revealed that community size, sexual compulsivity, and having had a transgender partner were independent predictors of unprotected sex. Among Latino men who have sex with men, men with a history of sex with a transgender person appear more likely to be sexually compulsive and at greater risk for HIV and other sexually transmitted infections. These men may, therefore, also serve as a "bridge" for HIV transmission to (as opposed to from) the transgender population.
男变女的跨性别者被认为是艾滋病毒/性传播感染传播的“载体”，然而，关于其男性性伴侣的风险行为的定量信息却很少，而这些男性性伴侣可能成为艾滋病毒传播到普通人群中的“桥梁”。作为一项在线调查的一部分，该调查研究了与男性发生性关系的拉丁裔男性（N = 1026）的性风险行为，我们确定了44名（4%）报告曾与跨性别伴侣发生过性关系的参与者。与随机抽取的200名未报告与跨性别者发生性关系的男性子样本相比，跨性别者的性伴侣在过去三个月内进行无保护性行为的可能性几乎是其三倍。此外，与跨性别者发生性关系的男性更有可能感染艾滋病毒；已婚、分居或离婚；自我认同为双性恋或异性恋；与女性发生性关系；并且生活在农村或小镇社区。回归分析显示，社区规模、性强迫行为以及有过跨性别伴侣是无保护性行为的独立预测因素。在与男性发生性关系的拉丁裔男性中，有与跨性别者发生性关系史的男性似乎更有可能存在性强迫行为，感染艾滋病毒和其他性传播感染的风险也更高。因此，这些男性也可能成为艾滋病毒传播到（而不是从）跨性别群体的“桥梁”。
