Restar Arjee J, Surace Anthony, Ogunbajo Adedotun, Edeza Alberto, Kahler Christopher
Brown University School of Public Health, Providence, Rhode Island.
AIDS Educ Prev. 2019 Oct;31(5):463-478. doi: 10.1521/aeap.2019.31.5.463.
Cisgender male sexual partners of transgender women (MSTW) may be at risk for HIV infection. We performed a review of HIV risk factors among MSTW. We searched PubMed database for empirical quantitative U.S.-based studies that included MSTW and were published in English up to November 2018. Of the 4,680 total papers identified, 6 unique studies were included. MSTW displayed heterogeneity in HIV risk factors (e.g., condom use, sexual partners, sexual positions, substance use). In our exploratory meta-analyses, estimated prevalence of self-reported HIV positive status among MSTW was 30.6%, HIV unknown status was 8.8%, and self-reported condomless anal sex with transgender women was 46.1%. Reports of sexual health communication with transgender women was low. More research on MSTW populations is needed to better understand this population's unique needs in the context of recent advancements in HIV prevention.
跨性别女性的异性恋男性性伴侣（MSTW）可能面临感染艾滋病毒的风险。我们对MSTW中的艾滋病毒风险因素进行了综述。我们在PubMed数据库中搜索了以美国为基础的实证定量研究，这些研究纳入了MSTW且截至2018年11月以英文发表。在总共识别出的4680篇论文中，纳入了6项独特的研究。MSTW在艾滋病毒风险因素（如使用避孕套、性伴侣、性行为姿势、药物使用）方面表现出异质性。在我们的探索性荟萃分析中，MSTW中自我报告的艾滋病毒阳性状态估计患病率为30.6%，艾滋病毒状态未知为8.8%，与跨性别女性进行无保护肛交的自我报告率为46.1%。与跨性别女性进行性健康交流的报告率较低。需要对MSTW人群进行更多研究，以在艾滋病毒预防的最新进展背景下更好地了解该人群的独特需求。
