Department of Communication, North Carolina State University, Raleigh, NC 27695, USA.
J Sex Res. 2011 Mar;48(2-3):285-96. doi: 10.1080/00224491003721686.
High HIV prevalence and incidence rates and high-risk sexual activity have been documented in certain subgroups of the transgender community; however, less is known about the sexual experiences and risks shared by these subgroups. To identify contextual features influencing the sexual risk-taking of transgender adults, semi-structured interviews conducted with 41 self-identified transgender adults were analyzed via constant comparative analysis, a technique rooted in grounded theory. Seven aspects of the transgender experience, including stigma, financial hardship, sexual objectification, a lack of outreach, hormones, a second puberty, and gender role issues, created a unique context of risk. Findings indicate that traditional HIV prevention efforts might not be suited to the unique needs of transgender adults. Tailoring HIV prevention efforts to this community will warrant further attention to contextual influences on sexual risk and safety.
某些跨性别群体中已记录到艾滋病毒感染率和发病率高，以及高危性行为；然而，对于这些亚群的性经验和风险，人们了解得较少。为了确定影响跨性别成年人性行为风险的背景特征，我们对 41 名自我认同的跨性别成年人进行了半结构化访谈，通过扎根于扎根理论的恒定性比较分析方法对访谈进行了分析。跨性别经历的七个方面，包括耻辱感、经济困难、性客体化、缺乏宣传、激素、第二次青春期和性别角色问题，创造了一个独特的风险环境。研究结果表明，传统的艾滋病毒预防措施可能不适用于跨性别成年人的特殊需求。需要进一步关注影响性行为风险和安全的背景因素，以使艾滋病毒预防工作适应这一群体。
