Elifson K W, Boles J, Posey E, Sweat M, Darrow W, Elsea W
Department of Sociology, Georgia State University, Atlanta 30303.
Am J Public Health. 1993 Feb;83(2):260-2. doi: 10.2105/ajph.83.2.260.
Human immunodeficiency virus (HIV)-1, syphilis, and hepatitis B prevalence and associated risk factors were assessed among male transvestite prostitutes. Structured street-level interviews were conducted with 53 respondents in Atlanta, Ga, from July 1990 through July 1991. Test results from serum samples revealed that 68% were seropositive for HIV-1, 81% had seromarkers for syphilis, and 80% had seromarkers for hepatitis B. Univariate logistic regression analysis indicated that seromarkers for syphilis and Black race were the primary factors associated with HIV-1 infection. The results show that transvestite prostitutes are a heterogenous population and distinct from nontransvestite prostitutes; specific outreach is thus needed. Targeted interventions should address the sexual and drug-use-related HIV risk behaviors of transvestite prostitutes.
在男异装癖妓女中评估了人类免疫缺陷病毒1型（HIV-1）、梅毒和乙肝的流行情况及相关危险因素。1990年7月至1991年7月期间，对佐治亚州亚特兰大市的53名受访者进行了街头结构化访谈。血清样本检测结果显示，68%的人HIV-1血清学呈阳性，81%的人有梅毒血清标志物，80%的人有乙肝血清标志物。单因素逻辑回归分析表明，梅毒血清标志物和黑人种族是与HIV-1感染相关的主要因素。结果表明，异装癖妓女是一个异质性群体，与非异装癖妓女不同；因此需要进行特定的外展服务。有针对性的干预措施应针对异装癖妓女与性和吸毒相关的HIV风险行为。
