在 MARI 研究中，与黑人顺性别男男性行为者相比，黑人跨性别女性的社会经济地位较低、边缘化和压力更高。
Higher Rates of Low Socioeconomic Status, Marginalization, and Stress in Black Transgender Women Compared to Black Cisgender MSM in The MARI Study.
机构信息
Department of Epidemiology and ICAP, Columbia University Mailman School of Public Health, New York, NY 10032, USA.
Us Helping Us, People Into Living Inc., Washington, DC 20010, USA.
出版信息
Int J Environ Res Public Health. 2021 Feb 23;18(4):2183. doi: 10.3390/ijerph18042183.
Abstract
Most HIV research combines transgender women who have sex with men (TWSM) with cisgender men who have sex with men (MSM), despite emerging evidence of important differences. Using data from The MARI Study, we compared Black TWSM and Black cisgender MSM on personal and ecological factors. Black TWSM reported more unemployment (71.4% versus 51.4%, = 0.015), incarceration (52.4% versus 36.0%, = 0.046), stressful life experiences (median score 135.5 versus 90, = 0.033), and HIV positivity (66.7% versus 22.9%, = 0.008). Further research into the causes and consequences of these differences, and regarding TWSM specifically, is needed.
摘要
大多数艾滋病毒研究将与男性发生性关系的跨性别女性（TWSM）与与男性发生性关系的顺性别男性（MSM）结合在一起，尽管有新出现的重要差异证据。利用 MARI 研究的数据，我们比较了黑人跨性别女性和黑人顺性别男性在个人和生态因素方面的差异。黑人跨性别女性报告了更多的失业（71.4%对 51.4%， = 0.015）、监禁（52.4%对 36.0%， = 0.046）、压力生活经历（中位数分数 135.5 对 90， = 0.033）和艾滋病毒阳性（66.7%对 22.9%， = 0.008）。需要进一步研究这些差异的原因和后果，特别是针对 TWSM。
相似文献
1
Higher Rates of Low Socioeconomic Status, Marginalization, and Stress in Black Transgender Women Compared to Black Cisgender MSM in The MARI Study.在 MARI 研究中，与黑人顺性别男男性行为者相比，黑人跨性别女性的社会经济地位较低、边缘化和压力更高。
Int J Environ Res Public Health. 2021 Feb 23;18(4):2183. doi: 10.3390/ijerph18042183.
2
Using PrEP to #STOPHIVATL: Findings from a Cross-Sectional Survey Among Gay Men and Transgender Women Participating in Gay Pride Events in Atlanta, Georgia, 2018.使用 PrEP 来#STOPHIVATL：2018 年在佐治亚州亚特兰大参加同性恋骄傲活动的男同性恋者和跨性别女性的横断面调查结果。
Arch Sex Behav. 2020 Aug;49(6):2193-2204. doi: 10.1007/s10508-020-01711-0. Epub 2020 May 14.
3
Differing Correlates of Incident Bacterial Sexually Transmitted Infections Among a Cohort of Black Cisgender Men Who Have Sex With Men and Transgender Women Recruited in 6 US Cities (HIV Prevention Trials Network 061).在美国 6 个城市招募的与男男性行为者和跨性别女性发生性行为的黑人顺性别男性队列中，新发细菌性性传播感染的不同相关因素（HIV 预防试验网络 061）。
Sex Transm Dis. 2022 Jul 1;49(7):e79-e84. doi: 10.1097/OLQ.0000000000001592.
4
Mortality rates by gender and sexual orientation reveal a disproportionally high mortality among cisgender men of unknown sexual orientation and men who have sex with women in a cohort of people living with HIV in Rio de Janeiro, Brazil.按性别和性取向划分的死亡率显示，在巴西里约热内卢的一个艾滋病毒感染者队列中，未说明性取向的顺性别男性和与女性发生性行为的男性的死亡率不成比例地高。
Braz J Infect Dis. 2023 Mar-Apr;27(2):102740. doi: 10.1016/j.bjid.2023.102740. Epub 2023 Jan 31.
5
HIV incidence and risk factors among transgender women and cisgender men who have sex with men in two cities of China: a prospective cohort study.中国两个城市的跨性别女性和与男性发生性关系的顺性别男性中的 HIV 发病率和危险因素：一项前瞻性队列研究。
Infect Dis Poverty. 2022 Mar 7;11(1):26. doi: 10.1186/s40249-022-00947-3.
6
Social Determinants of Transactional Sex in a Sample of Young Black and Latinx Sexual Minority Cisgender Men and Transgender Women.社会决定因素对年轻黑人和拉丁裔性少数顺性别男性和跨性别女性中交易性行为的影响。
J Adolesc Health. 2022 Feb;70(2):275-281. doi: 10.1016/j.jadohealth.2021.08.002. Epub 2021 Sep 24.
7
HIV prevalence among men who have sex with men, transgender women and cisgender male sex workers in sub-Saharan Africa: a systematic review and meta-analysis.撒哈拉以南非洲地区男男性行为者、跨性别女性和 cisgender 男性性工作者中的艾滋病毒流行率：系统评价和荟萃分析。
J Int AIDS Soc. 2022 Nov;25(11):e26022. doi: 10.1002/jia2.26022.
8
Intersectional analysis of life stress, incarceration and sexual health risk practices among cisgender Black gay, bisexual and other men who have sex with men in the Deep South of the US: the MARI Study.美国南部腹地 cisgender 黑人男同性恋、双性恋和其他男男性行为者的生活压力、监禁和性健康风险行为的交叉分析：MARI 研究。
Sex Health. 2020 Feb;17(1):38-44. doi: 10.1071/SH19062.
9
A comparison of HIV-risk behaviors between young black cisgender men who have sex with men and young black transgender women who have sex with men.与男性发生性关系的年轻黑人顺性别男性和与男性发生性关系的年轻黑人跨性别女性之间的艾滋病毒风险行为比较。
Int J STD AIDS. 2018 Jun;29(7):665-672. doi: 10.1177/0956462417751811. Epub 2018 Jan 19.
10
Characterizing social cohesion and gender identity as risk determinants of HIV among cisgender men who have sex with men and transgender women in Côte d'Ivoire.描述社会凝聚力和性别认同作为科特迪瓦与男性发生性行为的顺性别男性和跨性别女性中 HIV 的风险决定因素。
Ann Epidemiol. 2020 Feb;42:25-32. doi: 10.1016/j.annepidem.2019.11.003. Epub 2019 Dec 16.
引用本文的文献
1
Neighborhood Safety and Neighborhood Police Violence Are Associated with Psychological Distress among English- and Spanish-Speaking Transgender Women of Color in New York City: Finding from the TURNNT Cohort Study.社区安全和社区警察暴力与纽约市讲英语和西班牙语的跨性别有色人种女性的心理困扰有关：来自 TURNNT 队列研究的发现。
J Urban Health. 2024 Jun;101(3):557-570. doi: 10.1007/s11524-024-00879-3. Epub 2024 Jun 3.
2
Examination of multidimensional geographic mobility and sexual behaviour among Black cisgender sexually minoritized men in Chicago.芝加哥黑人顺性别性少数男性的多维地理流动性和性行为研究。
Geospat Health. 2024 May 16;19(1). doi: 10.4081/gh.2024.1273.
3
HIV Prevention and Care Among Black Cisgender Sexual Minority Men and Transgender Women: Protocol for an HIV Status-Neutral Cohort Study Using an Observational-Implementation Hybrid Approach.黑人顺性别性少数男性和跨性别女性中的HIV预防与护理：一项采用观察性-实施性混合方法的HIV状态中性队列研究方案
JMIR Res Protoc. 2023 Dec 1;12:e48548. doi: 10.2196/48548.
4
Multilevel experiences of carceral violence in Los Angeles, California: first-hand accounts from a racially diverse sample of transgender women.加利福尼亚州洛杉矶的多层次监禁暴力体验：来自不同种族的跨性别女性的第一手资料。
Cult Health Sex. 2024 Feb;26(2):159-173. doi: 10.1080/13691058.2023.2194353. Epub 2023 Mar 30.
5
Characterizing Arrest and Incarceration in a Prospective Cohort of Transgender Women.描述前瞻性 transgender 女性队列中的逮捕和监禁特征。
J Correct Health Care. 2023 Feb;29(1):60-70. doi: 10.1089/jchc.21.10.0118. Epub 2022 Aug 29.
6
Sleep Disturbance is Associated with Missing PrEP Doses Among Young Black Sexual Minority Men in The N2 study.睡眠障碍与 N2 研究中年轻的黑人性少数男性漏服 PrEP 药物有关。
AIDS Behav. 2022 Dec;26(12):3827-3833. doi: 10.1007/s10461-022-03711-8. Epub 2022 Jun 4.
7
The factors influencing the psychological distress of transgender women in Shandong, China: a cross-sectional study.中国山东 transgender 女性心理困扰的影响因素：一项横断面研究。
BMC Public Health. 2022 May 12;22(1):955. doi: 10.1186/s12889-022-13357-9.
8
Daily Marijuana Use Predicts HIV Seroconversion Among Black Men Who Have Sex with Men and Transgender Women in Atlanta, GA.在佐治亚州亚特兰大，每日吸食大麻可预测男男性行为者和跨性别女性中的黑人男性 HIV 血清转换。
AIDS Behav. 2022 Aug;26(8):2503-2515. doi: 10.1007/s10461-022-03598-5. Epub 2022 Jan 30.
本文引用的文献
1
Longitudinal cohort of HIV-negative transgender women of colour in New York City: protocol for the TURNNT ('Trying to Understand Relationships, Networks and Neighbourhoods among Transgender women of colour') study.纽约市的 HIV 阴性跨性别有色人种女性的纵向队列研究：TURNNT（“尝试理解跨性别有色人种女性之间的关系、网络和邻里关系”）研究方案。
BMJ Open. 2020 Apr 1;10(4):e032876. doi: 10.1136/bmjopen-2019-032876.
2
Associations Between Neighborhood Problems and Sexual Behaviors Among Black Men Who Have Sex with Men in the Deep South: The MARI Study.《深南地区与男男性行为黑人男性的邻里问题与性行为之间的关联：MARI 研究》
Arch Sex Behav. 2020 Jan;49(1):185-193. doi: 10.1007/s10508-019-01619-4. Epub 2020 Jan 16.
3
American Cohort to Study HIV Acquisition Among Transgender Women in High-Risk Areas (The LITE Study): Protocol for a Multisite Prospective Cohort Study in the Eastern and Southern United States.美国高危地区跨性别女性中HIV感染情况队列研究（LITE研究）：美国东部和南部多中心前瞻性队列研究方案
JMIR Res Protoc. 2019 Oct 3;8(10):e14704. doi: 10.2196/14704.
4
Mental Health in Sexual Minority and Transgender Women.性少数群体和跨性别女性的心理健康。
Med Clin North Am. 2019 Jul;103(4):723-733. doi: 10.1016/j.mcna.2019.02.005.
5
The Social and Sexual Networks of Black Transgender Women and Black Men Who Have Sex with Men: Results from a Representative Sample.黑人跨性别女性和与男性发生性关系的黑人男性的社交与性网络：来自代表性样本的结果。
Transgend Health. 2018 Dec 18;3(1):201-209. doi: 10.1089/trgh.2018.0039. eCollection 2018.
6
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.
7
Lifetime risk of a diagnosis of HIV infection in the United States.美国艾滋病毒感染诊断的终生风险。
Ann Epidemiol. 2017 Apr;27(4):238-243. doi: 10.1016/j.annepidem.2017.02.003. Epub 2017 Feb 21.
8
Rationale, Design and Methods of the Ecological Study of Sexual Behaviors and HIV/STI among African American Men Who Have Sex with Men in the Southeastern United States (The MARI Study).美国东南部与男性发生性关系的非裔美国男性性行为及艾滋病毒/性传播感染生态学研究的基本原理、设计与方法（MARI研究）
PLoS One. 2015 Dec 23;10(12):e0143823. doi: 10.1371/journal.pone.0143823. eCollection 2015.
9
HIV Diagnoses, Prevalence and Outcomes in Nine Southern States.美国南部九个州的艾滋病毒诊断、流行情况及结果
J Community Health. 2015 Aug;40(4):642-51. doi: 10.1007/s10900-014-9979-7.
10
Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: a meta-analysis.比较加拿大、英国和美国的黑人男同性恋者和其他男同性恋者中 HIV 感染的差异和风险：一项荟萃分析。
Lancet. 2012 Jul 28;380(9839):341-8. doi: 10.1016/S0140-6736(12)60899-X. Epub 2012 Jul 20.
Zotero 插件