Van Devanter Nancy, Duncan Alexandra, Raveis Victoria H, Birnbaum Jeffrey, Burrell-Piggott Tiphani, Siegel Karolynn
New York University,College of Nursing, 726 Broadway, Room 1049, New York.
J AIDS Clin Res. 2011 Dec 20(S1).
PURPOSE: This study examined the social and contextual factors associated with continued high risk sexual behaviors among male-to-female transgender (MTFTG) adolescents living with HIV/AIDS. The study is part of a larger qualitative study of 59 racial/ethnic minority adolescents living with HIV/AIDS. METHODS: In-depth focused interviews were conducted with five MTFTG adolescents (16-24 years) living with HIV. Content analysis was conducted to identify themes related to continued sexual risk behaviors. RESULTS: Four out of five of MTFTG adolescents reported inconsistent condom use since their HIV diagnosis. Transgender stigma contributed to financial vulnerability leading to the adoption of sex work to support themselves. Sex and drugs were used to manage transgender stigma and sexual risk-taking with sex work partners was influenced by financial vulnerability. CONCLUSIONS: MTFTG adolescents with HIV have unique psychosocial needs related to transgender stigma and structural needs to decrease financial vulnerability that contribute to risky sexual behavior.
目的:本研究调查了感染艾滋病毒/艾滋病的男变女跨性别(MTFTG)青少年持续存在高风险性行为的社会和背景因素。该研究是对59名感染艾滋病毒/艾滋病的少数族裔青少年进行的一项更大规模定性研究的一部分。方法:对五名感染艾滋病毒的MTFTG青少年(16 - 24岁)进行了深入的聚焦访谈。进行内容分析以确定与持续性风险行为相关的主题。结果:五分之四的MTFTG青少年报告称自确诊感染艾滋病毒以来避孕套使用情况不一致。跨性别歧视导致经济脆弱性,促使他们从事性工作以维持生计。性行为和毒品被用来应对跨性别歧视,与性工作伙伴发生性行为时的冒险行为受到经济脆弱性的影响。结论:感染艾滋病毒的MTFTG青少年有与跨性别歧视相关的独特心理社会需求,以及减少导致危险行为的经济脆弱性的结构性需求。
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