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AIDS and Behavior
Published in: AIDS and Behavior 7/2018

01-07-2018 | Original Paper

Syndemic Conditions, HIV Transmission Risk Behavior, and Transactional Sex Among Transgender Women

Authors: Jeffrey T. Parsons, Nadav Antebi-Gruszka, Brett M. Millar, Demetria Cain, Sitaji Gurung

Published in: AIDS and Behavior | Issue 7/2018

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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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Metadata
Title
Syndemic Conditions, HIV Transmission Risk Behavior, and Transactional Sex Among Transgender Women
Authors
Jeffrey T. Parsons
Nadav Antebi-Gruszka
Brett M. Millar
Demetria Cain
Sitaji Gurung
Publication date
01-07-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 7/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2100-y

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