Top

Published in:

01-08-2017 | Original Paper

Partner-Level Factors Associated with Insertive and Receptive Condomless Anal Intercourse Among Transgender Women in Lima, Peru

Authors: Milan F. Satcher, Eddy R. Segura, Alfonso Silva-Santisteban, Jorge Sanchez, Javier R. Lama, Jesse L. Clark

Published in: AIDS and Behavior | Issue 8/2017

Abstract

Condomless anal intercourse among transgender women (TW) in Peru has been shown to vary by the type of partner involved (e.g. primary vs. casual vs. transactional sex partner), but no previous studies have explored variations in partner-level patterns of condom use according to type of anal intercourse. We evaluated the relationship between partnership characteristics and condom use during insertive (IAI) versus receptive anal intercourse (RAI) among TW with recent, non-female partners. Condomless IAI was more common with transactional and casual sex partners and by TW who self-reported HIV-uninfected serostatus (p < 0.05), alcohol use disorders, or substance use before sex. Condomless RAI was more common with primary partners and by TW who described their HIV serostatus as unknown (p < 0.05). Examining partner-level differences between condomless IAI and RAI reveals distinct patterns of HIV/STI risk among TW, suggesting a need for HIV prevention strategies tailored to the specific contexts of partners, practices, and networks.

Silva-Santisteban A, Raymond H, Salazar X, et al. Understanding the HIV/AIDS epidemic in transgender women of Lima, Peru: results from a sero-epidemiologic study using respondent driven sampling. AIDS Behav. 2012;16:872–81.CrossRefPubMed

Lipsitz MC, Segura ER, Castro JL, et al. Bringing testing to the people—benefits of mobile unit HIV/syphilis testing in Lima, Peru, 2007–2009. Int J STD AIDS. 2014;25(5):325–31.CrossRefPubMed

Sanchez J, Lama JR, Kusunoki L, et al. HIV-1, sexually transmitted infections, and sexual behavior trends among men who have sex with men in Lima Peru. J Acquir Immune Defic Syndr. 2007;44(5):578–85.CrossRefPubMed

MINSA. National report on progress achieved in the country Peru. Lima: Ministry of Health, Joint United Nations Program on HIV/AIDS; 2012.

UNAIDS. Global report: UNAIDS report on the global AIDS epidemic. 2013. http://www.unaids.org/en/resources/campaigns/globalreport2013/globalreport.

Perez-Brumer AG, Konda KA, Salvatierra HJ, et al. Prevalence of HIV, STIs, and risk behaviors in a cross-sectional community- and clinic-based sample of men who have sex with men (MSM) in Lima, Peru. PLoS One. 2013;8(4):e59072.CrossRefPubMedPubMedCentral

Goodreau SM, Carnegie NB, Vittinghoff E, et al. What drives the US and Peruvian HIV epidemics in men who have sex with men (MSM)? PLoS One. 2012;7(11):e50522.CrossRefPubMedPubMedCentral

Nureña CR, Zúñiga M, Zunt J, Mejía C, Montano S, Sánchez JL. Diversity of commercial sex among men and male-born trans people in three Peruvian cities. Cult Health Sex. 2011;13(10):1207–21.CrossRefPubMedPubMedCentral

Lama JR, Lucchetti A, Suarez L, et al. Association of herpes simplex virus type 2 infection and syphilis with human immunodeficiency virus infection among men who have sex with men in Peru. J Infect Dis. 2006;194(10):1459–66.CrossRefPubMed

10.

Goodreau SM, Goicochea LP, Sanchez J. Sexual role and transmission of HIV type 1 among men who have sex with men, in Peru. J Infect Dis. 2005;1(191 Suppl 1):S147–58.CrossRef

11.

Clark J, Salvatierra J, Segura E, et al. Moderno love: sexual role-based identities and HIV/STI prevention among men who have sex with men in Lima, Peru. AIDS Behav. 2013;17(4):1313–28.CrossRefPubMedPubMedCentral

12.

Deiss RG, Clark JL, Konda KA, et al. Problem drinking is associated with increased prevalence of sexual risk behaviors among men who have sex with men (MSM) in Lima, Peru. Drug Alcohol Depend. 2013;132(1–2):134–9.CrossRefPubMedPubMedCentral

13.

Ludford KT, Vagenas P, Lama JR, et al. Screening for drug and alcohol use disorders and their association with HIV-related sexual risk behaviors among men who have sex with men in Peru. PLoS One. 2013;8(8):e69966.CrossRefPubMedPubMedCentral

14.

Nagaraj S, Segura ER, Peinado J, et al. A cross-sectional study of knowledge of sex partner serostatus among high-risk Peruvian men who have sex with men and transgender women: implications for HIV prevention. BMC Public Health. 2013;13:181.CrossRefPubMedPubMedCentral

15.

Verre M, Peinado J, Segura ER, et al. Socialization patterns and their associations with unprotected anal intercourse, HIV, and syphilis among high-risk men who have sex with men and transgender women in Peru. AIDS Behav. 2014;18(10):2030–9.CrossRefPubMedPubMedCentral

16.

Salazar X, Villayzán J, Silva-Santisteban A, Caceres C. Las personas trans y la epidemia del VIH/SIDA en el Perú. Lima: IESSDEH, UPCH, ONUSIDA, amfAR; 2010.

17.

Bockting WO, Robinson BE, Rosser BR. Transgender HIV prevention: a qualitative needs assessment. AIDS Care. 1998;10(4):505–25.CrossRefPubMed

18.

Bianchi FT, Reisen CA, Zea MC, et al. Sex work among men who have sex with men and transgender women in Bogotá. Arch Sex Behav. 2014;43(8):1637–50.CrossRefPubMedPubMedCentral

19.

Sevelius JM. Gender affirmation: a framework for conceptualizing risk behavior among transgender women of color. Sex Roles. 2013;68(11–12):675–89.CrossRefPubMed

20.

Melendez RM, Pinto R. “It”s really a hard life’: love, gender and HIV risk among male-to-female transgender persons. Cult Health Sex. 2007;9(3):233–45.CrossRefPubMedPubMedCentral

21.

Nemoto T, Operario D, Keatley J, Villegas D. Social context of HIV risk behaviours among male-to-female transgenders of colour. AIDS Care. 2004;16(6):724–35.CrossRefPubMed

22.

Wilson EC, Garofalo R, Harris DR, Belzer M. Sexual risk taking among transgender male-to-female youths with different partner types. Am J Public Health. 2010;100(8):1500–5.CrossRefPubMedPubMedCentral

23.

Bowers JR, Branson CM, Fletcher JB, Reback CJ. Predictors of HIV sexual risk behavior among men who have sex with men, men who have sex with men and women, and transgender women. Int J Sex Health Off J World Assoc Sex Health. 2012;24(4):290–302.CrossRef

24.

Martins TA, Kerr LRFS, Macena RHM, et al. Travestis, an unexplored population at risk of HIV in a large metropolis of northeast Brazil: a respondent-driven sampling survey. AIDS Care. 2013;25(5):606–12.CrossRefPubMed

25.

Nemoto T, Bödeker B, Iwamoto M, Sakata M. Practices of receptive and insertive anal sex among transgender women in relation to partner types, sociocultural factors, and background variables. AIDS Care. 2014;26(4):434–40.CrossRefPubMed

26.

Wilson EC, Santos G-M, Raymond HF. Sexual mixing and the risk environment of sexually active transgender women: data from a respondent-driven sampling study of HIV risk among transwomen in San Francisco, 2010. BMC Infect Dis. 2014;14:430.CrossRefPubMedPubMedCentral

27.

Cambou MC, Perez-Brumer AG, Segura ER, et al. The risk of stable partnerships: associations between partnership characteristics and unprotected anal intercourse among men who have sex with men and transgender women recently diagnosed with HIV and/or STI in Lima, Peru. PLoS One. 2014;9(7):e102894.CrossRefPubMedPubMedCentral

28.

Reisner SL, Vetters R, White JM, et al. Laboratory-confirmed HIV and sexually transmitted infection seropositivity and risk behavior among sexually active transgender patients at an adolescent and young adult urban community health center. AIDS Care. 2015;27(8):1031–6.CrossRefPubMedPubMedCentral

29.

Babor T, Higgins-Biddle JC, Saunders JB, Monteiro MG. The alcohol use disorders identification test (AUDIT): guidelines for use in primary care. Geneva: World Health Organization; 2001.

30.

Cui J. QIC program and model selection in GEE analyses. Stata J. 2007;7(2):209–20.

31.

Barros AJD, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;20(3):21.CrossRef

32.

Hanley JA, Negassa A, deB Edwardes MD, Forrester JE. Statistical analysis of correlated data using generalized estimating equations: an orientation. Am J Epidemiol. 2003;157(4):364–75.CrossRefPubMed

33.

Bockting W, Miner M, Rosser BRS. Latino men’s sexual behavior with transgender persons. Arch Sex Behav. 2007;36(6):778–86.CrossRefPubMed

34.

Reisner S, Mimiaga M, Bland SE, Driscoll MA, Cranston K, Mayer KH. Pathways to embodiment of HIV risk: black men who have sex with transgender partners, Boston, Massachusetts. AIDS Educ Prev Off Publ Int Soc AIDS Educ. 2012;24(1):15–26.CrossRef

35.

Operario D, Nemoto T, Iwamoto M, Moore T. Unprotected sexual behavior and HIV risk in the context of primary partnerships for transgender women. AIDS Behav. 2011;15(3):674–82.CrossRefPubMedPubMedCentral

36.

Blas MM, Alva IE, Cabello R, Carcamo C, Kurth AE. Risk behaviors and reasons for not getting tested for HIV among men who have sex with men: an online survey in Peru. PLoS One. 2011;6(11):e27334.CrossRefPubMedPubMedCentral

37.

Silva-Santisteban A, Segura E, Sandoval C, Girón M, Petrera M, Caceres C. Determinants of unequal HIV care access among people living with HIV in Peru. Glob Health. 2013;17(9):22.CrossRef

38.

Ainsworth TA, Spiegel JH. Quality of life of individuals with and without facial feminization surgery or gender reassignment surgery. Qual Life Res Int J Qual Life Asp Treat Care Rehabil. 2010;19(7):1019–24.CrossRef

39.

Gerhardstein KR, Anderson VN. There’s more than meets the eye: facial appearance and evaluations of transsexual people. Sex Roles. 2010;62(5–6):361–73.CrossRef

40.

Poteat T, Wirtz AL, Radix A, et al. HIV risk and preventive interventions in transgender women sex workers. Lancet. 2015;385(9964):274–86.CrossRefPubMed

41.

Patel P, Borkowf CB, Brooks JT, Lasry A, Lansky A, Mermin J. Estimating per-act HIV transmission risk: a systematic review. AIDS Lond Engl. 2014;28(10):1509–19.CrossRef

42.

Nemoto T, Iwamoto M, Perngparn U, Areesantichai C, Kamitani E, Sakata M. HIV-related risk behaviors among kathoey (male-to-female transgender) sex workers in Bangkok, Thailand. AIDS Care. 2012;24(2):210–9.PubMed

43.

Jin F, Prestage GP, Mao L, et al. “Any condomless anal intercourse” is no longer an accurate measure of HIV sexual risk behavior in gay and other men who have sex with men. Front Immunol. 2015;6:86.CrossRefPubMedPubMedCentral

Title: Partner-Level Factors Associated with Insertive and Receptive Condomless Anal Intercourse Among Transgender Women in Lima, Peru
Authors: Milan F. Satcher
Eddy R. Segura
Alfonso Silva-Santisteban
Jorge Sanchez
Javier R. Lama
Jesse L. Clark
Publication date: 01-08-2017
Publisher: Springer US
Published in: AIDS and Behavior / Issue 8/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-016-1503-x

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Partner-Level Factors Associated with Insertive and Receptive Condomless Anal Intercourse Among Transgender Women in Lima, Peru

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 8/2017

Health Services Use and HIV Prevalence Among Migrant and National Female Sex Workers in Portugal: Are We Providing the Services Needed?

Intimate Partner Violence and PrEP Acceptability Among Low-Income, Young Black Women: Exploring the Mediating Role of Reproductive Coercion

Rates and Covariates of Recent Sexual and Physical Violence Against HIV-Infected Outpatient Drinkers in Western Kenya

Associations of HIV Testing, Sexual Risk and Access to Prevention Among Female Sex Workers in the Dominican Republic

Remaining Gap in HIV Testing Uptake Among Female Sex Workers in Iran

How Do We Get Partners to Test for HIV?: Predictors of Uptake of Partner HIV Testing Following Individual Outpatient Provider Initiated HIV Testing in Rural Uganda

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page