White Hughto Jaclyn M, Reisner Sari L, Mimiaga Matthew J
The authors are with The Fenway Institute, Boston, MA. Jaclyn M. White Hughto is also with the Yale School of Public Health, New Haven, CT. Sari L. Reisner and Matthew J. Mimiaga are also with the Harvard T. H. Chan School of Public Health, Boston.
Am J Public Health. 2015 Dec;105(12):e14-8. doi: 10.2105/AJPH.2015.302877. Epub 2015 Oct 15.
Geographic context can influence individual risk in populations disproportionately susceptible to HIV infection, such as transgender people. We examined factors associated with residing in Massachusetts cities with the highest HIV prevalence (geographic "hotspots") in a 2013 sample of 433 transgender adults who were not infected with HIV. Residing in hotspots was associated with older age, non-White race/ethnicity, low income, incarceration history, polydrug use, smoking, binge drinking, and condomless receptive anal sex during one's most recent sexual encounter with a partner who was assigned male sex at birth. Future research to understand the interpersonal and socio-structural factors that drive localized epidemics among transgender people is warranted.
地理环境会对艾滋病病毒（HIV）感染易感性较高的人群（如跨性别者）的个体风险产生不成比例的影响。我们在2013年对433名未感染HIV的跨性别成年人进行了抽样调查，研究了与居住在马萨诸塞州HIV感染率最高的城市（地理“热点地区”）相关的因素。居住在热点地区与年龄较大、非白人种族/族裔、低收入、有监禁史、使用多种药物、吸烟、酗酒以及在最近一次与出生时被认定为男性的伴侣发生性行为时有无保护措施的被动肛交有关。有必要开展进一步研究，以了解导致跨性别者中局部流行的人际因素和社会结构因素。
