与最近与未知性传播感染和 HIV 状况的伴侣发生性行为的跨性别男性成年人相关的因素。
Factors associated with transmasculine adults recently engaging in sexual behavior with partners of unknown STI and HIV status.
机构信息
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, 02115, Boston, MA, USA.
The Fenway Institute, Fenway Health, Boston, MA, USA.
出版信息
AIDS Behav. 2022 Sep;26(9):3139-3145. doi: 10.1007/s10461-022-03651-3. Epub 2022 Apr 1.
The sexual partnerships of transmasculine (TM) adults-those assigned female at birth who identify as transgender men or a masculine spectrum gender identity-and characteristics associated with STI/HIV risk behavior remains understudied. Participants in the current study were TM adults (n = 141) receiving care at a community health center in Boston, Massachusetts between March 2015 and September 2016. Using generalized estimating equations, we examined individual- and partnership-level factors associated with TM adults' odds of engaging in sexual behavior with a sexual partner of unknown STI/HIV status in the past 12 months. TM adults with casual sexual partnerships (vs. monogamous partnerships) and those in partnerships with cisgender men, other TM individuals, or transfeminine partners (vs. cisgender women) had statistically significantly higher odds of engaging in sexual behavior with a partner of unknown STI/HIV status in the past 12 months. Findings may inform future efforts to improve sexual health communication and STI/HIV disclosure between TM adults and their sexual partners.
跨性别男性（TM）成年人的性伴侣关系——那些出生时被指定为女性但自认为是跨性别男性或处于男性化性别认同光谱中的人——以及与性传播感染/艾滋病病毒风险行为相关的特征仍然研究不足。本研究的参与者是 2015 年 3 月至 2016 年 9 月期间在马萨诸塞州波士顿的一家社区保健中心接受治疗的 TM 成年人（n=141）。使用广义估计方程，我们研究了与 TM 成年人在过去 12 个月中与性伴侣发生性行为且性伴侣的性传播感染/艾滋病病毒状况未知的可能性相关的个体和伴侣层面的因素。与一夫一妻制伴侣关系相比，具有偶然性关系的 TM 成年人（与一夫一妻制伴侣关系相比），以及与顺性别男性、其他 TM 个体或跨女性化伴侣（与顺性别女性相比）的伴侣关系的 TM 成年人，在过去 12 个月中与性伴侣发生性行为且性伴侣的性传播感染/艾滋病病毒状况未知的可能性统计学上显著更高。这些发现可能为未来改善 TM 成年人与其性伴侣之间的性健康沟通和性传播感染/艾滋病病毒披露提供信息。
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