Chen Wukang, Zhang Xiaofei, Lyu Cuixia, Dong Lei, Du Yihui, Fu Jihua
Department of Epidemiology and Biostatistics, School of Public Health, Shandong University, Jinan 250012, China.
Shandong Association for AIDS Prevention and Control, Shandong Provincial Center for Disease Control and Prevention, Jinan 250014, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Jan;37(1):76-9. doi: 10.3760/cma.j.issn.0254-6450.2016.01.016.
To understand the gender characteristics, HIV/AIDS related knowledge awareness and behaviors of transgender women.
A questionnaire survey was conducted among the transgender women recruited through snowball sampling in Jinan in 2014, and descriptive epidemiologic analysis was conducted on the survey results.
A total of 55 transgender women were surveyed, all of them were male physically and female psychologically. Serious gender conflict occurred in 27 subjects (49.1%), and very serious gender conflict occurred in 8 subjects (14.5%). Thirty subjects dressed up as a man in social life, accounting for 54.5%; 25 subjects dressed up as a women in social life, accounting for 45.5%. The average awareness rate of HIV/AIDS related knowledge was 57.9%(22/38). The awareness of knowledge about AIDS associated behaviors, such as multi sex partner and anal sex, was poor. For the lovers or sexual partners, 58.2% of the subjects (32/55) would choose males and 50.9% of the subjects (28/55) had chosen males, and for the sex partner at latest sex, 63.6%(35/55) of the subjects had chosen males. Up to 56.3% of the subjects had sex with casual sexual partners (net friends and partners of one-night stand) at latest sex behavior. Among the subjects surveyed, 18(32.7%) never used condoms; 29(52.7%) used condoms occasionally; 4(7.3%) used condoms frequently and 4(7.3%) used condoms at each sex.
AIDS associated high risk behaviors were common among the transgender women, such as unprotected anal sex, multiple sexual partners, frequent sex and poor condom use. It is necessary to conduct the study of the HIV infection prevention in transgender women.
了解变性女性的性别特征、艾滋病相关知识知晓情况及行为状况。
2014年在济南通过滚雪球抽样招募变性女性进行问卷调查，并对调查结果进行描述性流行病学分析。
共调查55名变性女性，其生理性别均为男性，心理性别均为女性。27名对象（49.1%）存在严重的性别冲突，8名对象（14.5%）存在非常严重的性别冲突。30名对象在社会生活中着男装，占54.5%；25名对象在社会生活中着女装，占45.5%。艾滋病相关知识平均知晓率为57.9%（22/38）。对多性伴、肛交等艾滋病相关行为知识知晓较差。对于恋人或性伴，58.2%的对象（32/55）选择男性，50.9%的对象（28/55）有过男性性伴；对于最近一次性行为的性伴，63.6%（35/55）的对象选择男性。最近一次性行为中高达56.3%的对象与临时性伴（网友、一夜情对象）发生性行为。在被调查对象中，18人（32.7%）从未使用过避孕套；29人（52.7%）偶尔使用避孕套；4人（7.3%）经常使用避孕套；4人（7.3%）每次性行为都使用避孕套。
变性女性中存在艾滋病相关高危行为，如无保护肛交、多性伴、频繁性行为及避孕套使用率低等情况较为普遍。有必要开展针对变性女性预防艾滋病感染的研究。
