Crosby Richard A, Pitts Nicole L
College of Public Health, 121 Washington Ave., Lexington, KY 40506-0003, USA.
J Sex Res. 2007 Feb;44(1):43-8. doi: 10.1080/00224490709336791.
We qualitatively explored reasons why transgendered women may engage in sexual risk that could lead to HIV infection. Specifically, we conducted this investigation with transgendered women identifying as Black/African American. Interviews from 17 participants were audio taped and analyzed. Four themes emerged. Women commonly reported they had a strong need/desire to be loved by men. Many stated they had and would engage in unprotected sex to obtain and preserve such a relationship. Nearly all were currently using female hormones. Nine obtained their hormones through non-medical means including the Internet, transgendered friends, and street vendors. For these women hormone injections often involved sharing needles/syringes. Selling sex was a common practice and many women did so without the benefit of condom use. Finally, women experienced multiple forms of societal discrimination. By being caught between worlds (straight, gay, male, and female) transgendered women may be placed into situations where avoiding HIV risk is extremely difficult.
我们定性地探究了跨性别女性可能会面临导致感染艾滋病毒的性风险的原因。具体而言，我们针对自认为是黑人/非裔美国人的跨性别女性展开了此项调查。对17名参与者的访谈进行了录音并分析。出现了四个主题。这些女性普遍表示，她们有被男性爱和渴望被男性爱的强烈需求。许多人表示，她们已经并会进行无保护性行为以获得并维持这样一种关系。几乎所有人目前都在使用女性荷尔蒙。其中9人通过包括互联网、跨性别朋友和街头小贩在内的非医疗途径获取荷尔蒙。对于这些女性来说，注射荷尔蒙常常涉及共用针头/注射器。卖淫是一种常见行为，许多女性在没有使用避孕套的情况下就进行了性行为。最后，这些女性遭受了多种形式的社会歧视。由于处于不同世界（异性恋、同性恋、男性和女性）之间，跨性别女性可能会陷入极其难以避免感染艾滋病毒风险的境地。
