Wilson Erin C, Garofalo Robert, Harris Robert D, Herrick Amy, Martinez Miguel, Martinez Jaime, Belzer Marvin
Center for AIDS Prevention Studies, AIDS Research Institute, University of California, San Francisco, CA 94105, USA.
AIDS Behav. 2009 Oct;13(5):902-13. doi: 10.1007/s10461-008-9508-8. Epub 2009 Feb 6.
This study examined the HIV risk behaviors and life experiences of 151 transgender female youth, ages 15-24, in Los Angeles and Chicago. Descriptive analyses and logistic regression modeling were used to identify life factors associated with ever having engaged in sex work. Sixty-seven percent of participants had ever engaged in sex work and 19% self-reported being HIV positive. Many factors were significantly associated with sex work for this sample population. A final multivariate logistic regression model found that lower education status, homelessness, use of street drugs, and perceived social support remained significantly associated with sex work when controlling for other factors. Findings highlight the complex HIV risk environment and suggest a need for sex work initiation research for transgender female youth. HIV prevention efforts for this population need to include broad-based approaches that take into account individual, social, and community-level factors relevant to the lives of transgender female youth.
本研究调查了洛杉矶和芝加哥151名年龄在15至24岁之间的跨性别女性青年的艾滋病毒风险行为和生活经历。采用描述性分析和逻辑回归模型来确定与曾从事性工作相关的生活因素。67%的参与者曾从事性工作，19%的人自我报告感染了艾滋病毒。对于这个样本群体，许多因素与性工作显著相关。最终的多变量逻辑回归模型发现，在控制其他因素后，较低的教育水平、无家可归、使用街头毒品以及感知到的社会支持仍然与性工作显著相关。研究结果突出了复杂的艾滋病毒风险环境，并表明需要对跨性别女性青年开展性工作起始情况的研究。针对这一人群的艾滋病毒预防工作需要包括广泛的方法，要考虑到与跨性别女性青年生活相关的个人、社会和社区层面的因素。
