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Erschienen in: AIDS and Behavior 3/2020

12.07.2019 | Original Paper

Characterizing Men Who Have Sex with Transgender Women in Lima, Peru: Sexual Behavior and Partnership Profiles

verfasst von: Jessica E. Long, Angela Ulrich, Edward White, Sayan Dasgupta, Robinson Cabello, Hugo Sanchez, Javier R. Lama, Ann Duerr

Erschienen in: AIDS and Behavior | Ausgabe 3/2020

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Abstract

HIV prevalence is high among transgender women (TW), but how HIV is transmitted to this population is not well understood. This analysis aims to characterize sexual partners of TW (PTW) to understand how their behavior contributes to HIV risk among TW. We examined baseline data from TW, PTW, and men who have sex with men (MSM) from a treatment-as-prevention study in Lima, Peru. Individual and partnership characteristics were compared across groups, and Poisson regression was used to calculate prevalence ratios for associations between sexual concurrency and potential correlates. We found that 81% of PTW had no cisgender male partners. Prevalence of alcohol dependency, concurrency, and condomless anal intercourse was high and HIV testing was low compared to the other groups. Our results suggest that PTW are a distinct population from MSM and TW, engage in behavior associated with HIV transmission, and are likely not well reached by HIV prevention interventions.
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Literatur
1.
Zurück zum Zitat Baral SD, Poteat T, Strömdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis. 2013;13(3):214–22.PubMed Baral SD, Poteat T, Strömdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis. 2013;13(3):214–22.PubMed
2.
Zurück zum Zitat Silva-Santisteban A, Raymond HF, Salazar X, Villayzan J, Leon S, McFarland W, 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(4):872–81.PubMed Silva-Santisteban A, Raymond HF, Salazar X, Villayzan J, Leon S, McFarland W, 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(4):872–81.PubMed
3.
Zurück zum Zitat Pollock L, Silva-Santisteban A, Sevelius J, Salazar X. “You should build yourself up as a whole product”: transgender female identity in Lima, Peru. Global Public Health. 2016;15:1–13. Pollock L, Silva-Santisteban A, Sevelius J, Salazar X. “You should build yourself up as a whole product”: transgender female identity in Lima, Peru. Global Public Health. 2016;15:1–13.
5.
Zurück zum Zitat Poteat T, Scheim A, Xavier J, Reisner S, Baral S. Global epidemiology of HIV infection and related syndemics affecting transgender people. J Acquir Immune Defic Syndr. 2016;15(72 Suppl 3):S210–9. Poteat T, Scheim A, Xavier J, Reisner S, Baral S. Global epidemiology of HIV infection and related syndemics affecting transgender people. J Acquir Immune Defic Syndr. 2016;15(72 Suppl 3):S210–9.
6.
Zurück zum Zitat Clements-Nolle K, Marx R, Guzman R, Katz M. HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: implications for public health intervention. Am J Public Health. 2001;91(6):915–21.PubMedPubMedCentral Clements-Nolle K, Marx R, Guzman R, Katz M. HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: implications for public health intervention. Am J Public Health. 2001;91(6):915–21.PubMedPubMedCentral
7.
Zurück zum Zitat Mayer KH, Grinsztejn B, El-Sadr WM. Transgender people and HIV prevention: what we know and what we need to know, a call to action. J Acquir Immune Defic Syndr. 2016;15(72 Suppl 3):S207–9. Mayer KH, Grinsztejn B, El-Sadr WM. Transgender people and HIV prevention: what we know and what we need to know, a call to action. J Acquir Immune Defic Syndr. 2016;15(72 Suppl 3):S207–9.
8.
9.
Zurück zum Zitat Brennan J, Kuhns LM, Johnson AK, Belzer M, Wilson EC, Garofalo R. Syndemic theory and HIV-related risk among young transgender women: the role of multiple, co-occurring health problems and social marginalization. Am J Public Health. 2012;102(9):1751–7.PubMedPubMedCentral Brennan J, Kuhns LM, Johnson AK, Belzer M, Wilson EC, Garofalo R. Syndemic theory and HIV-related risk among young transgender women: the role of multiple, co-occurring health problems and social marginalization. Am J Public Health. 2012;102(9):1751–7.PubMedPubMedCentral
10.
Zurück zum Zitat Operario D, Soma T, Underhill K. Sex work and HIV status among transgender women: systematic review and meta-analysis. J Acquir Immune Defic Syndr. 2008;48(1):97–103.PubMed Operario D, Soma T, Underhill K. Sex work and HIV status among transgender women: systematic review and meta-analysis. J Acquir Immune Defic Syndr. 2008;48(1):97–103.PubMed
11.
Zurück zum Zitat Operario D, Nemoto T, Iwamoto M, Moore T. Risk for HIV and unprotected sexual behavior in male primary partners of transgender women. Arch Sex Behav. 2011;40(6):1255–61.PubMed Operario D, Nemoto T, Iwamoto M, Moore T. Risk for HIV and unprotected sexual behavior in male primary partners of transgender women. Arch Sex Behav. 2011;40(6):1255–61.PubMed
12.
Zurück zum Zitat Poteat T, German D, Flynn C. The conflation of gender and sex: gaps and opportunities in HIV data among transgender women and MSM. Global Public Health. 2016;20:1–14. Poteat T, German D, Flynn C. The conflation of gender and sex: gaps and opportunities in HIV data among transgender women and MSM. Global Public Health. 2016;20:1–14.
14.
Zurück zum Zitat Deutsch MB, Glidden DV, Sevelius J, Keatley J, McMahan V, Guanira J, et al. HIV pre-exposure prophylaxis in transgender women: a subgroup analysis of the iPrEx trial. Lancet HIV. 2015;2(12):e512–9.PubMedPubMedCentral Deutsch MB, Glidden DV, Sevelius J, Keatley J, McMahan V, Guanira J, et al. HIV pre-exposure prophylaxis in transgender women: a subgroup analysis of the iPrEx trial. Lancet HIV. 2015;2(12):e512–9.PubMedPubMedCentral
15.
Zurück zum Zitat Poteat T, Wirtz AL, Radix A, Borquez A, Silva-Santisteban A, Deutsch MB, et al. HIV risk and preventive interventions in transgender women sex workers. Lancet. 2015;385(9964):274–86.PubMed Poteat T, Wirtz AL, Radix A, Borquez A, Silva-Santisteban A, Deutsch MB, et al. HIV risk and preventive interventions in transgender women sex workers. Lancet. 2015;385(9964):274–86.PubMed
16.
Zurück zum Zitat Morris M, Kretzschmar M. Concurrent partnerships and the spread of HIV. AIDS. 1997;11(5):641–8.PubMed Morris M, Kretzschmar M. Concurrent partnerships and the spread of HIV. AIDS. 1997;11(5):641–8.PubMed
17.
Zurück zum Zitat Morris M, Epstein H, Wawer M. Timing is everything: international variations in historical sexual partnership concurrency and HIV prevalence. PLoS ONE. 2010;5(11):e14092.PubMedPubMedCentral Morris M, Epstein H, Wawer M. Timing is everything: international variations in historical sexual partnership concurrency and HIV prevalence. PLoS ONE. 2010;5(11):e14092.PubMedPubMedCentral
18.
Zurück zum Zitat Amirkhanian YA. Social networks, sexual networks and HIV risk in men who have sex with men. Curr HIV/AIDS Rep. 2014;11(1):81–92.PubMedPubMedCentral Amirkhanian YA. Social networks, sexual networks and HIV risk in men who have sex with men. Curr HIV/AIDS Rep. 2014;11(1):81–92.PubMedPubMedCentral
19.
Zurück zum Zitat Choi K-H, Ning Z, Gregorich SE, Pan Q-C. The influence of social and sexual networks in the spread of HIV and syphilis among men who have sex with men in Shanghai, China. J Acquir Immune Defic Syndr. 2007;45(1):77–84.PubMed Choi K-H, Ning Z, Gregorich SE, Pan Q-C. The influence of social and sexual networks in the spread of HIV and syphilis among men who have sex with men in Shanghai, China. J Acquir Immune Defic Syndr. 2007;45(1):77–84.PubMed
20.
Zurück zum Zitat Degtyar A, George PE, Mallma P, Díaz DA, Cárcamo C, García PJ, et al. Sexual risk, behavior, and HIV testing and status among male and transgender women sex workers and their clients in Lima, Peru. Int J Sex Health. 2018;30(1):81–91.PubMedPubMedCentral Degtyar A, George PE, Mallma P, Díaz DA, Cárcamo C, García PJ, et al. Sexual risk, behavior, and HIV testing and status among male and transgender women sex workers and their clients in Lima, Peru. Int J Sex Health. 2018;30(1):81–91.PubMedPubMedCentral
21.
Zurück zum Zitat Satcher MF, Segura ER, Silva-Santisteban A, Sanchez J, Lama JR, Clark JL. Partner-level factors associated with insertive and receptive condomless anal intercourse among transgender women in Lima, Peru. AIDS Behav. 2017;21(8):2439–51.PubMedPubMedCentral Satcher MF, Segura ER, Silva-Santisteban A, Sanchez J, Lama JR, Clark JL. Partner-level factors associated with insertive and receptive condomless anal intercourse among transgender women in Lima, Peru. AIDS Behav. 2017;21(8):2439–51.PubMedPubMedCentral
22.
Zurück zum Zitat Reisner SL, Perez-Brumer A, Oldenburg CE, Gamarel KE, Malone J, Leung K, et al. Characterizing HIV risk among cisgender men in Latin America who report transgender women as sexual partners: HIV risk in Latin America men. Int J STD AIDS. 2018;11:956462418802687. Reisner SL, Perez-Brumer A, Oldenburg CE, Gamarel KE, Malone J, Leung K, et al. Characterizing HIV risk among cisgender men in Latin America who report transgender women as sexual partners: HIV risk in Latin America men. Int J STD AIDS. 2018;11:956462418802687.
23.
Zurück zum Zitat Bockting W, Miner M, Rosser BRS. Latino men’s sexual behavior with transgender persons. Arch Sex Behav. 2007;36(6):778–86.PubMed Bockting W, Miner M, Rosser BRS. Latino men’s sexual behavior with transgender persons. Arch Sex Behav. 2007;36(6):778–86.PubMed
24.
Zurück zum Zitat Wilson EC, Chen Y-H, Raad N, Raymond HF, Dowling T, McFarland W. Who are the sexual partners of transgender individuals? Differences in demographic characteristics and risk behaviours of San Francisco HIV testing clients with transgender sexual partners compared with overall testers. Sex Health. 2014;11(4):319–23.PubMed Wilson EC, Chen Y-H, Raad N, Raymond HF, Dowling T, McFarland W. Who are the sexual partners of transgender individuals? Differences in demographic characteristics and risk behaviours of San Francisco HIV testing clients with transgender sexual partners compared with overall testers. Sex Health. 2014;11(4):319–23.PubMed
25.
Zurück zum Zitat Cambou MC, Perez-Brumer AG, Segura ER, Salvatierra HJ, Lama JR, Sanchez J, 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.PubMedPubMedCentral Cambou MC, Perez-Brumer AG, Segura ER, Salvatierra HJ, Lama JR, Sanchez J, 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.PubMedPubMedCentral
26.
Zurück zum Zitat Delgado JR, Segura ER, Lake JE, Sanchez J, Lama JR, Clark JL. Event-level analysis of alcohol consumption and condom use in partnership contexts among men who have sex with men and transgender women in Lima, Peru. Drug Alcohol Depend. 2017;170:17–24.PubMed Delgado JR, Segura ER, Lake JE, Sanchez J, Lama JR, Clark JL. Event-level analysis of alcohol consumption and condom use in partnership contexts among men who have sex with men and transgender women in Lima, Peru. Drug Alcohol Depend. 2017;170:17–24.PubMed
27.
Zurück zum Zitat 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.PubMedPubMedCentral 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.PubMedPubMedCentral
28.
Zurück zum Zitat 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.PubMed 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.PubMed
30.
Zurück zum Zitat Eaton JW, Hallett TB, Garnett GP. Concurrent sexual partnerships and primary HIV infection: a critical interaction. AIDS Behav. 2011;15(4):687–92.PubMedPubMedCentral Eaton JW, Hallett TB, Garnett GP. Concurrent sexual partnerships and primary HIV infection: a critical interaction. AIDS Behav. 2011;15(4):687–92.PubMedPubMedCentral
32.
Zurück zum Zitat Morris M, Kurth AE, Hamilton DT, Moody J, Wakefield S. Concurrent Partnerships and HIV Prevalence Disparities by Race: linking Science and Public Health Practice. Am J Public Health. 2009;99(6):1023–31.PubMedPubMedCentral Morris M, Kurth AE, Hamilton DT, Moody J, Wakefield S. Concurrent Partnerships and HIV Prevalence Disparities by Race: linking Science and Public Health Practice. Am J Public Health. 2009;99(6):1023–31.PubMedPubMedCentral
33.
Zurück zum Zitat Van Tieu H, Nandi V, Frye V, Stewart K, Oquendo H, Bush B, et al. Concurrent partnerships and HIV risk among men who have sex with men in New York City. Sex Transm Dis. 2014;41(3):200–8.PubMedPubMedCentral Van Tieu H, Nandi V, Frye V, Stewart K, Oquendo H, Bush B, et al. Concurrent partnerships and HIV risk among men who have sex with men in New York City. Sex Transm Dis. 2014;41(3):200–8.PubMedPubMedCentral
34.
Zurück zum Zitat Duerr A, Lama J, Sanchez H, Cabello R, Sanchez J. Treatment as prevention (TasP) in MSM and transgender women: successful detection of acute/recent infection and linkage to care in Lima, Peru. AIDS Res Hum Retroviruses. 2014;30(S1):A286–7. Duerr A, Lama J, Sanchez H, Cabello R, Sanchez J. Treatment as prevention (TasP) in MSM and transgender women: successful detection of acute/recent infection and linkage to care in Lima, Peru. AIDS Res Hum Retroviruses. 2014;30(S1):A286–7.
35.
Zurück zum Zitat Lama JR, Brezak A, Dobbins JG, Sanchez H, Cabello R, Rios J, et al. Design strategy of the sabes study: diagnosis and treatment of early HIV infection among men who have sex with men and transgender women in Lima, Peru, 2013–2017. Am J Epidemiol. 2018;187:1577–85.PubMedPubMedCentral Lama JR, Brezak A, Dobbins JG, Sanchez H, Cabello R, Rios J, et al. Design strategy of the sabes study: diagnosis and treatment of early HIV infection among men who have sex with men and transgender women in Lima, Peru, 2013–2017. Am J Epidemiol. 2018;187:1577–85.PubMedPubMedCentral
36.
Zurück zum Zitat Saunders J, Aasland O, de la Fuente J, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction. 1993;88(6):791–804.PubMed Saunders J, Aasland O, de la Fuente J, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction. 1993;88(6):791–804.PubMed
37.
Zurück zum Zitat 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. 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.
38.
Zurück zum Zitat Baliunas D, Rehm J, Irving H, Shuper P. Alcohol consumption and risk of incident human immunodeficiency virus infection: a meta-analysis. Int J Public Health. 2010;55(3):159–66.PubMed Baliunas D, Rehm J, Irving H, Shuper P. Alcohol consumption and risk of incident human immunodeficiency virus infection: a meta-analysis. Int J Public Health. 2010;55(3):159–66.PubMed
39.
Zurück zum Zitat Deiss RG, Clark JL, Konda KA, Leon SR, Klausner JD, Caceres CF, 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.PubMedPubMedCentral Deiss RG, Clark JL, Konda KA, Leon SR, Klausner JD, Caceres CF, 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.PubMedPubMedCentral
40.
Zurück zum Zitat Gerbi GB, Habtemariam T, Tameru B, Nganwa D, Robnett V. The correlation between alcohol consumption and risky sexual behaviors among people living with HIV/AIDS. J Subst Use. 2009;14(2):90–100.PubMedPubMedCentral Gerbi GB, Habtemariam T, Tameru B, Nganwa D, Robnett V. The correlation between alcohol consumption and risky sexual behaviors among people living with HIV/AIDS. J Subst Use. 2009;14(2):90–100.PubMedPubMedCentral
41.
Zurück zum Zitat Herrera MC, Konda KA, Leon SR, Deiss R, Brown B, Calvo GM, et al. Impact of alcohol use on sexual behavior among men who have sex with men and transgender women in Lima, Peru. Drug Alcohol Depend. 2016;161:147–54.PubMedPubMedCentral Herrera MC, Konda KA, Leon SR, Deiss R, Brown B, Calvo GM, et al. Impact of alcohol use on sexual behavior among men who have sex with men and transgender women in Lima, Peru. Drug Alcohol Depend. 2016;161:147–54.PubMedPubMedCentral
42.
Zurück zum Zitat Operario D, Burton J, Underhill K, Sevelius J. Men who have sex with transgender women: challenges to category-based HIV prevention. AIDS Behav. 2008;12(1):18–26.PubMed Operario D, Burton J, Underhill K, Sevelius J. Men who have sex with transgender women: challenges to category-based HIV prevention. AIDS Behav. 2008;12(1):18–26.PubMed
43.
Zurück zum Zitat Coan DL, Schrager W, Packer T. The role of male sexual partners in HIV Infection among male-to-female transgendered individuals. Int J Transgenderism. 2005;8(2–3):21–30. Coan DL, Schrager W, Packer T. The role of male sexual partners in HIV Infection among male-to-female transgendered individuals. Int J Transgenderism. 2005;8(2–3):21–30.
44.
Zurück zum Zitat Gamarel KE, Reisner SL, Darbes LA, Hoff CC, Chakravarty D, Nemoto T, et al. Dyadic dynamics of HIV risk among transgender women and their primary male sexual partners: the role of sexual agreement types and motivations. AIDS Care. 2016;28(1):104–11.PubMed Gamarel KE, Reisner SL, Darbes LA, Hoff CC, Chakravarty D, Nemoto T, et al. Dyadic dynamics of HIV risk among transgender women and their primary male sexual partners: the role of sexual agreement types and motivations. AIDS Care. 2016;28(1):104–11.PubMed
45.
Zurück zum Zitat 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. 2012;24(1):15–26.PubMed 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. 2012;24(1):15–26.PubMed
46.
Zurück zum Zitat Sanchez J, Lama JR, Kusunoki L, Manrique H, Goicochea P, Lucchetti A, 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.PubMed Sanchez J, Lama JR, Kusunoki L, Manrique H, Goicochea P, Lucchetti A, 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.PubMed
47.
Zurück zum Zitat Tabet S, Sanchez J, Lama J, Goicochea P, Campos P, Rouillon M, et al. HIV, syphilis and heterosexual bridging among Peruvian men who have sex with men. AIDS (London, England). 2002;16(9):1271–7. Tabet S, Sanchez J, Lama J, Goicochea P, Campos P, Rouillon M, et al. HIV, syphilis and heterosexual bridging among Peruvian men who have sex with men. AIDS (London, England). 2002;16(9):1271–7.
48.
Zurück zum Zitat Konda KA, Lescano AG, Celentano DD, Hall E, Montano SM, Kochel TJ, et al. In Peru, reporting male sex partners imparts significant risk of incident HIV/sexually transmitted infection: all men engaging in same-sex behavior need prevention services. Sex Transm Dis. 2013;40(7):569–74.PubMedPubMedCentral Konda KA, Lescano AG, Celentano DD, Hall E, Montano SM, Kochel TJ, et al. In Peru, reporting male sex partners imparts significant risk of incident HIV/sexually transmitted infection: all men engaging in same-sex behavior need prevention services. Sex Transm Dis. 2013;40(7):569–74.PubMedPubMedCentral
50.
Zurück zum Zitat Reisner SL, Biello K, Rosenberger JG, Austin SB, Haneuse S, Perez-Brumer A, et al. Using a two-step method to measure transgender identity in Latin America/the Caribbean, Portugal, and Spain. Arch Sex Behav. 2014;43(8):1503–14.PubMedPubMedCentral Reisner SL, Biello K, Rosenberger JG, Austin SB, Haneuse S, Perez-Brumer A, et al. Using a two-step method to measure transgender identity in Latin America/the Caribbean, Portugal, and Spain. Arch Sex Behav. 2014;43(8):1503–14.PubMedPubMedCentral
Metadaten
Titel
Characterizing Men Who Have Sex with Transgender Women in Lima, Peru: Sexual Behavior and Partnership Profiles
verfasst von
Jessica E. Long
Angela Ulrich
Edward White
Sayan Dasgupta
Robinson Cabello
Hugo Sanchez
Javier R. Lama
Ann Duerr
Publikationsdatum
12.07.2019
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 3/2020
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02590-w

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