年龄与洛杉矶县跨性别女性中的艾滋病毒性行为风险相关。
Age Is Associated With HIV Sexual Risk Behaviors Among Trans Women in Los Angeles County.
机构信息
Friends Research Institute, Inc., Los Angeles, California.
Department of Public Health, Rongxiang Xu College of Health & Human Services, California State University, Los Angeles.
出版信息
AIDS Educ Prev. 2021 Dec;33(6):483-494. doi: 10.1521/aeap.2021.33.6.483.
Little is known about how HIV risk varies among trans women of different ages. From January 2010 to February 2021, 2,242 trans women were assessed via outreach encounters consisting of health education and risk reduction information, and queries of recent sexual behaviors. Generalized linear models provide adjusted rates of engagement in condomless anal intercourse (CAI), in exchange sex, and CAI with exchange partners in the past 30 days for each year from age 18 to 60. Most participants identified as Hispanic/Latina (52%) and most were HIV negative (80%). Engagement in exchange sex remained prevalent from participants' early 20s through their mid-40s, though CAI with such partners never exceeded an average estimated prevalence of 15%. Condomless behaviors with non-exchange partners was more common, with at least 20% reporting engagement in non-exchange CAI regardless of age. The need for trans-specific sexual risk reduction interventions that take age into account is underscored.
关于不同年龄的跨性别女性的 HIV 风险差异，人们知之甚少。从 2010 年 1 月至 2021 年 2 月，通过外展活动评估了 2242 名跨性别女性，这些活动包括健康教育和降低风险信息，以及最近性行为的查询。广义线性模型提供了过去 30 天内，每年从 18 岁到 60 岁之间发生无保护肛交（CAI）、交换性伴侣和 CAI 与交换性伴侣的调整后的发生率。大多数参与者自认为是西班牙裔/拉丁裔（52%），大多数是 HIV 阴性（80%）。从参与者 20 多岁到 40 多岁中期，交换性伴侣的性行为仍然很普遍，尽管与这些伴侣发生 CAI 的平均估计流行率从未超过 15%。与非交换性伴侣发生无保护性行为更为常见，无论年龄大小，至少有 20%的人报告发生非交换性 CAI。强调了需要针对跨性别者的特定的性风险降低干预措施，这些措施需要考虑到年龄因素。
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