性传播感染状况、艾滋病毒传播风险行为与跨性别女性的交易性性行为。
Syndemic Conditions, HIV Transmission Risk Behavior, and Transactional Sex Among Transgender Women.
机构信息
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.
出版信息
AIDS Behav. 2018 Jul;22(7):2056-2067. doi: 10.1007/s10461-018-2100-y.
Abstract
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.
摘要
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。
相似文献
1
Syndemic Conditions, HIV Transmission Risk Behavior, and Transactional Sex Among Transgender Women.性传播感染状况、艾滋病毒传播风险行为与跨性别女性的交易性性行为。
AIDS Behav. 2018 Jul;22(7):2056-2067. doi: 10.1007/s10461-018-2100-y.
2
Longitudinal Analysis of Syndemic Psychosocial Problems Predicting HIV Risk Behavior Among a Multicity Prospective Cohort of Sexually Active Young Transgender Women in the United States.美国多城市性活跃年轻跨性别女性前瞻性队列中，预测 HIV 风险行为的综合征心理社会问题的纵向分析。
J Acquir Immune Defic Syndr. 2019 Jun 1;81(2):184-192. doi: 10.1097/QAI.0000000000002009.
3
Application of the "syndemics" theory to explain unprotected sex and transactional sex: A crosssectional study in men who have sex with men (MSM), transgender women, and non-MSM in Colombia.应用“综合征”理论解释无保护性行为和交易性行为：哥伦比亚男男性行为者、跨性别女性和非男男性行为者的横断面研究。
Biomedica. 2020 Jun 15;40(2):391-403. doi: 10.7705/biomedica.5082.
4
Importance of substance use and violence in psychosocial syndemics among women with and at-risk for HIV.物质使用和暴力在感染艾滋病毒及有感染风险的女性心理社会综合征中的重要性。
AIDS Care. 2016 Oct;28(10):1316-20. doi: 10.1080/09540121.2016.1173637. Epub 2016 Apr 25.
5
HIV-Related Sexual Risk Among Transgender Men Who Are Gay, Bisexual, or Have Sex With Men.男同性恋、双性恋或与男性发生性行为的跨性别男性中与艾滋病毒相关的性风险
J Acquir Immune Defic Syndr. 2017 Apr 1;74(4):e89-e96. doi: 10.1097/QAI.0000000000001222.
6
Syndemic and Synergistic Effects of Intimate Partner Violence, Crystal Methamphetamine, and Depression on HIV Sexual Risk Behaviors among Women Who Inject Drugs in Indonesia.印度尼西亚注射吸毒女性中亲密伴侣暴力、冰毒和抑郁对 HIV 性风险行为的综合和协同影响。
J Urban Health. 2019 Jun;96(3):477-496. doi: 10.1007/s11524-019-00352-6.
7
Linking Syndemic Stress and Behavioral Indicators of Main Partner HIV Transmission Risk in Gay Male Couples.关联男同性恋伴侣中的并发病症压力与主要伴侣HIV传播风险的行为指标
AIDS Behav. 2016 Feb;20(2):439-48. doi: 10.1007/s10461-015-1248-y.
8
Psychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals.性少数群体个体的身体健康状况所面临的社会心理综合征风险。
LGBT Health. 2019 Nov/Dec;6(8):377-385. doi: 10.1089/lgbt.2019.0025. Epub 2019 Oct 23.
9
Understanding HIV Risk Behaviors Among Young Men in South Africa: A Syndemic Approach.理解南非青年男性的艾滋病毒风险行为：一种综合征方法。
AIDS Behav. 2018 Dec;22(12):3962-3970. doi: 10.1007/s10461-018-2227-x.
10
Depression, injecting drug use, and risky sexual behavior syndemic among women who inject drugs in Kenya: a cross-sectional survey.肯尼亚注射吸毒女性中的抑郁、注射吸毒和危险性行为综合征：一项横断面调查。
Harm Reduct J. 2019 May 30;16(1):35. doi: 10.1186/s12954-019-0307-5.
引用本文的文献
1
Similarities and distinctions in the drug use and sexual behavior of transfeminine and nonbinary adults assigned male at birth in the United States.美国出生时被指定为男性的跨性别女性和非二元性别成年人在药物使用和性行为方面的异同。
Psychol Sex Orientat Gend Divers. 2025 Jan 20. doi: 10.1037/sgd0000813.
2
Characterizing the Role of Neighborhood Disadvantage in a Digital PrEP Intervention for Young Sexual and Gender Minority Men.描述社区劣势在针对年轻性少数和性别少数男性的数字预防艾滋病病毒暴露前用药干预中的作用。
AIDS Behav. 2025 Aug 29. doi: 10.1007/s10461-025-04860-2.
3
"You get HIV because there is no hope" a rapid qualitative assessment of the HIV vulnerabilities of transgender women in three South African metros.“你感染艾滋病毒是因为没有希望”：对南非三个大城市中跨性别女性艾滋病毒易感性的快速定性评估
Int J Transgend Health. 2024 Feb 5;26(3):709-724. doi: 10.1080/26895269.2024.2307348. eCollection 2025.
4
Implementation of Trauma-Informed Care into Clinical HIV Prevention and Care Settings: A Decade of Limited Progress.将创伤知情护理纳入临床艾滋病毒预防和护理环境：十年进展有限
Curr HIV/AIDS Rep. 2025 Jul 23;22(1):41. doi: 10.1007/s11904-025-00750-3.
5
Neighborhood Disadvantage, Syndemic Conditions, and PrEP Non-Adherence in Young Sexual and Gender Minority Men.社区劣势、综合征候群状况与年轻性少数和性别少数男性的暴露前预防药物非依从性
AIDS Behav. 2025 May 6. doi: 10.1007/s10461-025-04722-x.
6
Experiences of violence and abuse among transgender women in healthcare settings in Uganda: a community-engaged qualitative study.乌干达医疗环境中跨性别女性的暴力和虐待经历：一项社区参与的定性研究。
BMC Health Serv Res. 2025 Mar 26;25(1):431. doi: 10.1186/s12913-025-12591-2.
7
A Systematic Review and Meta-Analysis of HIV/AIDS Prevalence Among Transgender Populations Worldwide.全球跨性别群体中艾滋病毒/艾滋病患病率的系统评价与荟萃分析。
Health Sci Rep. 2025 Mar 2;8(3):e70500. doi: 10.1002/hsr2.70500. eCollection 2025 Mar.
8
Posttraumatic Stress Symptoms and HIV Risk-Related Behaviors among Young Sexual and Gender Minorities Assigned Male at Birth: the Moderating Effects of Teenage Childhood Sexual Abuse.出生时被指定为男性的年轻性少数和性别少数群体中的创伤后应激症状及与HIV风险相关的行为：青少年期儿童性虐待的调节作用
AIDS Behav. 2025 Jun;29(6):1944-1961. doi: 10.1007/s10461-025-04661-7. Epub 2025 Feb 25.
9
Intimate partner violence and its relation to sexual health outcomes across different adult populations: a systematic review.亲密伴侣暴力及其与不同成年人群性健康结果的关系：一项系统综述。
Front Sociol. 2024 Dec 13;9:1498969. doi: 10.3389/fsoc.2024.1498969. eCollection 2024.
10
The Utilization of Syndemic Theory in Transgender Literature: A Structured Literature Review.社会病理论在跨性别文学中的应用：一项结构化文献综述
Transgend Health. 2024 Dec 16;9(6):522-532. doi: 10.1089/trgh.2022.0190. eCollection 2024 Dec.
本文引用的文献
1
Access to Medical and Mental Health Services Across the HIV Care Continuum Among Young Transgender Women: A Qualitative Study.年轻跨性别女性在整个艾滋病护理连续过程中获得医疗和心理健康服务的情况：一项定性研究
Transgend Health. 2017 Jul 1;2(1):81-90. doi: 10.1089/trgh.2016.0046. eCollection 2017.
2
Psychosocial Disparities Among Racial/Ethnic Minority Transgender Young Adults and Young Men Who Have Sex with Men Living in Detroit.底特律地区少数族裔跨性别青年及男男性行为青年中的社会心理差异
Transgend Health. 2016 Dec 1;1(1):279-290. doi: 10.1089/trgh.2016.0027. eCollection 2016.
3
A Comparison of HIV-Related Risk Factors Between Black Transgender Women and Black Men Who Have Sex with Men.黑人跨性别女性与黑人男男性行为者之间与艾滋病病毒相关风险因素的比较
Transgend Health. 2016 Sep 1;1(1):172-180. doi: 10.1089/trgh.2016.0003. eCollection 2016.
4
Exploring Individual and Structural Factors Associated with Employment Among Young Transgender Women of Color Using a No-Cost Transgender Legal Resource Center.利用一个免费的跨性别法律资源中心，探索与有色人种年轻跨性别女性就业相关的个体因素和结构因素。
Transgend Health. 2017;2(1):29-34. doi: 10.1089/trgh.2016.0034. Epub 2017 Mar 1.
5
Syndemic conditions and HIV transmission risk behavior among HIV-negative gay and bisexual men in a U.S. national sample.美国全国样本中HIV阴性男同性恋者和双性恋者的综合征况与HIV传播风险行为
Health Psychol. 2017 Jul;36(7):695-703. doi: 10.1037/hea0000509. Epub 2017 May 25.
6
Factors associated with sex work involvement among transgender women in Jamaica: a cross-sectional study.牙买加跨性别女性从事性工作的相关因素：一项横断面研究。
J Int AIDS Soc. 2017 Apr 6;20(1):21422. doi: 10.7448/IAS.20.01/21422.
7
Contextual, experiential, and behavioral risk factors associated with HIV status: a descriptive analysis of transgender women residing in Atlanta, Georgia.与艾滋病毒感染状况相关的背景、经验和行为风险因素：对居住在佐治亚州亚特兰大的跨性别女性的描述性分析。
Int J STD AIDS. 2017 Oct;28(11):1059-1066. doi: 10.1177/0956462416686722. Epub 2017 Jan 12.
8
Comprehensive HIV Prevention for Transgender Persons.针对跨性别者的全面艾滋病毒预防
Am J Public Health. 2017 Feb;107(2):207-212. doi: 10.2105/AJPH.2016.303509. Epub 2016 Dec 20.
9
Sexual Risk-Taking in HIV-Negative Gay and Bisexual Men Increases with Depression: Results from a U.S. National Study.美国一项全国性研究结果显示：抑郁会导致未感染艾滋病毒的男同性恋和双性恋男性增加性冒险行为。
AIDS Behav. 2017 Jun;21(6):1665-1675. doi: 10.1007/s10461-016-1507-6.
10
Evidence for action: a call for the global HIV response to address the needs of transgender populations.行动证据：呼吁全球应对艾滋病的行动满足跨性别群体的需求。
J Int AIDS Soc. 2016 Jul 17;19(3 Suppl 2):21193. doi: 10.7448/IAS.19.3.21193. eCollection 2016.
Zotero 插件