Department of Family Medicine and Public Health, University of Botswana, Gaborone, Botswana.
Department of Health Services Management, Ministry of Health and Wellness, Gaborone, Botswana.
Pan Afr Med J. 2022 Feb 14;41:128. doi: 10.11604/pamj.2022.41.128.32430. eCollection 2022.
key populations and transgender people in particular are at a high risk of HIV infection. However, very little is known about risk behaviors of transgender people in Botswana. The aim of this study was to determine the prevalence of high-risk behaviors for HIV and sexually transmitted infections (STIs) among transgender people in Botswana.
data from the Botswana 2017 Biological and Behavioral Surveillance Survey of HIV/STIs among select key populations (BBSS-2) was used. The cross sectional survey documented behavioral risk factors for these infections. This paper only focused on the analysis of the transgender data. Descriptive analysis was done with IBM Statistical Software for the Social Sciences (SPSS) version 24.
there were 56 transgender people identified of which 12 (21.4%) were transgender women. The median age was 24 (interquartile range (IQR) 22-28). Among transgender women, 2 (16.7%) reported concurrent sexual partners and 9 (75%) reported condom use at last intercourse. However, only 7 (58.3%) reported consistent lubricant use. About 45% of the respondents did not know the HIV status of their last male partner. Only one of the transgender women reported intercourse with at least 1 female in the last month. About a third reported that they had STI symptoms in the past year. Alcohol use was reported in 50% of respondents while 83% had disclosed gender identity and had been accepted by their families. However, 25% reported discrimination by a healthcare worker.
the high-risk behaviors were frequent among transgender women. This study underlines the need for sustained efforts to reach this key population.
重点人群，尤其是跨性别者，感染艾滋病毒的风险很高。然而，我们对博茨瓦纳跨性别者的风险行为知之甚少。本研究旨在确定博茨瓦纳跨性别者感染艾滋病毒和性传播感染（STI）的高危行为。
本研究使用了博茨瓦纳 2017 年艾滋病毒/性传播感染重点人群生物与行为监测调查（BBSS-2）的数据。这项横断面调查记录了这些感染的行为风险因素。本文仅重点分析跨性别者的数据。使用 IBM SPSS 统计软件（社会科学版）24 版进行描述性分析。
共确定了 56 名跨性别者，其中 12 名（21.4%）为跨性别女性。中位数年龄为 24 岁（四分位距（IQR）22-28）。在跨性别女性中，2 名（16.7%）报告同时有性伴侣，9 名（75%）报告上次性行为时使用了避孕套。然而，只有 7 名（58.3%）报告持续使用润滑剂。约 45%的受访者不知道其最后一名男性伴侣的艾滋病毒状况。只有一名跨性别女性报告在过去一个月内与至少一名女性发生过性行为。约三分之一的受访者报告在过去一年中出现过性传播感染症状。50%的受访者报告饮酒，83%的受访者向家人透露了自己的性别认同并得到了家人的认可。然而，25%的受访者报告曾受到医疗保健工作者的歧视。
高危行为在跨性别女性中较为常见。本研究强调需要持续努力以覆盖这一重点人群。
