Reisner Sari, Mimiaga Matthew, Bland Sean E, Driscoll Maura A, Cranston Kevin, Mayer Kenneth H
Fenway Institute, Fenway Health, Boston, MA 02215, USA.
AIDS Educ Prev. 2012 Feb;24(1):15-26. doi: 10.1521/aeap.2012.24.1.15.
A dearth of research to date has explored HIV risk among Black men who report sex with transgender partners. In 2008, 197 Black men residing in Massachusetts were recruited via modified respondent-driven sampling and completed an interviewer-administered survey. Overall, 8% reported sex with a transgender partner in the past 12 months. Over half (56%) reported unprotected sex during their last encounter with transgender partners. Factors significantly associated with having a transgender sex partner: history of substance abuse, incarceration, PTSD symptoms, lower levels of perceived social support, not having been exposed to HIV prevention services in the past 12 months, and endorsement of mobile van services as a comfortable location to access health care. These formative data suggest that Black men who partner with transgender individuals may be at elevated risk for an array of poorer health-related outcomes, including HIV sexual risk, substance abuse, incarceration, psychosocial vulnerability, and lack of access to health care. Theory-driven interventions that consider the broader context affecting the embodiment of HIV risk are warranted for men who have sex with transgender partners.
迄今为止，鲜有研究探讨与跨性别伴侣发生性行为的黑人男性中的艾滋病毒风险。2008年，通过改良的应答者驱动抽样方法招募了197名居住在马萨诸塞州的黑人男性，并完成了由访谈员进行的调查。总体而言，8%的人报告在过去12个月内与跨性别伴侣发生过性行为。超过一半（56%）的人报告在他们最近一次与跨性别伴侣的接触中有无保护性行为。与有跨性别性伴侣显著相关的因素包括：药物滥用史、监禁史、创伤后应激障碍症状、感知到的社会支持水平较低、在过去12个月内未接触过艾滋病毒预防服务，以及认可流动医疗车服务是一个方便获得医疗保健的场所。这些形成性数据表明，与跨性别个体建立伴侣关系的黑人男性可能面临一系列更差的健康相关后果的风险增加，包括艾滋病毒性风险、药物滥用、监禁、心理社会脆弱性以及缺乏获得医疗保健的机会。对于与跨性别伴侣发生性行为的男性，有必要开展考虑到影响艾滋病毒风险体现的更广泛背景的理论驱动干预措施。
