Department of Community Health, Brown University, 121 South Main Street, G-S121-5, Providence, RI 02906, USA.
Arch Sex Behav. 2011 Dec;40(6):1255-61. doi: 10.1007/s10508-011-9781-x. Epub 2011 May 21.
Men who have sex with transgender women are a potentially high-risk population for HIV and other sexually transmitted infections (STIs). We administered structured quantitative surveys to 174 men whose primary partner was a transgender woman. We assessed men's demographic characteristics, sexual behaviors, substance use, and social-psychological factors, including condom use self-efficacy and depression. Overall, 19% reported being HIV-positive (8% had been diagnosed with AIDS), 11% had at least one other STI during the past year, and 16% reported being in a HIV serodiscordant relationship with their primary partner. In the past 3 months, 40% had unprotected anal or vaginal sex with any partner. In multivariate analysis, significant correlates of having unprotected sex included younger age, concurrent partnerships, alcohol intoxication, and low condom use self-efficacy; depression was marginally associated with having unprotected sex. Interventions are needed to reduce risk for HIV and other STIs among men who have sex with transgender women. Prevention programs for these men should build condom use self-efficacy and address the contributions of alcohol intoxication, concurrent sex partnerships, and depression to sexual risk behavior.
与跨性别女性发生性关系的男性是 HIV 和其他性传播感染（STI）的高危人群。我们对 174 名主要伴侣为跨性别女性的男性进行了结构化定量调查。我们评估了男性的人口统计学特征、性行为、药物使用和社会心理因素，包括 condom use self-efficacy 和抑郁。总体而言，19%的人报告 HIV 阳性（8%被诊断为 AIDS），11%的人在过去一年中至少患有一种其他 STI，16%的人报告与主要伴侣处于 HIV 血清不一致的关系。在过去 3 个月中，40%的人与任何伴侣发生过无保护的肛交或阴道交。在多变量分析中，与发生无保护性行为相关的因素包括年龄较小、同时存在性伴侣、酒精中毒和 condom use self-efficacy 较低；抑郁与发生无保护性行为呈边缘相关。需要采取干预措施，降低与跨性别女性发生性关系的男性感染 HIV 和其他 STI 的风险。应针对这些男性制定预防计划，增强 condom use self-efficacy，并解决酒精中毒、同时存在性伴侣和抑郁对性行为风险的影响。
