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AIDS and Behavior
Published in: AIDS and Behavior 3/2011

01-04-2011 | Original Paper

HIV, Sexually Transmitted Infections, and Sexual Risk Behavior Among Transgenders in Indonesia

Authors: Ciptasari Prabawanti, Liesbeth Bollen, Rini Palupy, Guy Morineau, Philippe Girault, Dyah Erti Mustikawati, Nurholis Majid, Nurhayati, Erlian Rista Aditya, Atiek Sulistyarni Anartati, Robert Magnani

Published in: AIDS and Behavior | Issue 3/2011

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Abstract

Behavioral surveillance was undertaken among 1,150 male-to-female transgenders (waria) in Java, Indonesia, 2007; samples were collected for HIV and STI testing (n = 748). Almost all waria had ever sold sex (median duration 10 years). Prevalence of HIV was 24.4%, syphilis 26.8% and rectal gonorrhea and/or chlamydia 47.0%. Syphilis and rectal STIs were associated with HIV infection. Consistent condom use during receptive anal sex with clients was reported by 35.9% waria and was higher among those who visited an STI clinic and who knew their HIV status. Efforts should continue to strengthen behavior change and STI care in future HIV prevention programs.
Footnotes
1
Most waria have breast implants, use hormones such as oral contraception and some might have undergone surgery.
 
2
Waria often live in small groups, coordinated by a ring leader or ‘mami’. A mami usually is a senior waria who provides support for the 5–15 waria in her group, including violence protection and promotion of condom use, VCT and regular routine STI check-ups.
 
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Metadata
Title
HIV, Sexually Transmitted Infections, and Sexual Risk Behavior Among Transgenders in Indonesia
Authors
Ciptasari Prabawanti
Liesbeth Bollen
Rini Palupy
Guy Morineau
Philippe Girault
Dyah Erti Mustikawati
Nurholis Majid
Nurhayati
Erlian Rista Aditya
Atiek Sulistyarni Anartati
Robert Magnani
Publication date
01-04-2011
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2011
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-010-9790-0

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