Syndemic Conditions,HIV Transmission Risk Behavior,and Transactional Sex Among Transgender Women |
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Authors: | Jeffrey T. Parsons Nadav Antebi-Gruszka Brett M. Millar Demetria Cain Sitaji Gurung |
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Affiliation: | 1.Center for HIV/AIDS Educational Studies & Training,Hunter College of the City University of New York (CUNY),New York,USA;2.Department of Psychology,Hunter College of the City University of New York (CUNY),New York,USA;3.Health Psychology and Clinical Sciences Doctoral Program,The Graduate Center of the City University of New York (CUNY),New York,USA;4.Mental Health Counseling, Department of Psychology,City College of the City University of New York (CUNY),New York,USA;5.Community Health Sciences,University of Illinois-Chicago School of Public Health,Chicago,USA;6.CUNY School of Public Health and Health Policy,New York,USA |
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Abstract: | This study examined the effect of four syndemic conditions—namely, polydrug use, depression, childhood sexual abuse, and intimate partner violence—on rates of HIV transmission risk behavior (TRB) and separately, transactional sex among transgender women. TRB was defined as the number of condomless penetrative sex events with a casual or main partner of discordant or unknown HIV status. Using data from 212 transgender women in New York City, multivariable analyses revealed that, compared to those with no syndemic conditions, dramatically higher rates of recent HIV TRB events (ARR?=?8.84, p?0.001) and recent transactional sex events (ARR?=?8.32, p?0.001) were reported by participants with all four syndemic conditions. These findings highlight the importance of considering the role of syndemic conditions in HIV risk among transgender women, and the need for comprehensive psychosocial interventions to improve sexual health among this population. |
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