Center for HIV/AIDS Educational Studies & Training, Hunter College of the City University of New York (CUNY), New York, NY, USA.
Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave., New York, NY, 10065, USA.
AIDS Behav. 2018 Jul;22(7):2056-2067. doi: 10.1007/s10461-018-2100-y.
This study examined the effect of four syndemic conditions-namely, polydrug use, depression, childhood sexual abuse, and intimate partner violence-on rates of HIV transmission risk behavior (TRB) and separately, transactional sex among transgender women. TRB was defined as the number of condomless penetrative sex events with a casual or main partner of discordant or unknown HIV status. Using data from 212 transgender women in New York City, multivariable analyses revealed that, compared to those with no syndemic conditions, dramatically higher rates of recent HIV TRB events (ARR = 8.84, p < 0.001) and recent transactional sex events (ARR = 8.32, p < 0.001) were reported by participants with all four syndemic conditions. These findings highlight the importance of considering the role of syndemic conditions in HIV risk among transgender women, and the need for comprehensive psychosocial interventions to improve sexual health among this population.
本研究考察了四种综合征状况（即多药使用、抑郁、儿童期性虐待和亲密伴侣暴力）对 HIV 传播风险行为（TRB）的影响，以及分别对跨性别女性易发生商业性性行为的影响。TRB 的定义为与伴侣发生无保护的插入性性行为的次数，这些伴侣的 HIV 状态为不一致或未知。利用来自纽约市 212 名跨性别女性的数据，多变量分析显示，与没有综合征状况的参与者相比，报告最近发生 HIV TRB 事件的比例显著更高（ARR=8.84，p<0.001），且报告最近发生商业性性行为事件的比例也显著更高（ARR=8.32，p<0.001）。这些发现突出了考虑综合征状况在跨性别女性 HIV 风险中的作用的重要性，以及需要综合的心理社会干预措施来改善这一人群的性健康。
