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Erschienen in: AIDS and Behavior 12/2017

14.10.2017 | Original Paper

HIV Prevalence and Risk Behaviors in Male to Female (MTF) Transgender Persons in Tijuana, Mexico

verfasst von: Kristian Jesús Salas-Espinoza, Rufino Menchaca-Diaz, Thomas L. Patterson, Lianne A. Urada, Davey Smith, Steffanie A. Strathdee, Eileen V. Pitpitan

Erschienen in: AIDS and Behavior | Ausgabe 12/2017

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Abstract

Compared to HIV research on men who have sex with men, less is known about the risks and vulnerabilities for HIV among Male to Female (MTF) transgender persons, particularly in different geographic regions like Mexico. In Tijuana, Mexico, a border city experiencing a dynamic HIV epidemic, no precedent data exists on the MTF transgender population. Our aims were to estimate HIV prevalence and examine the behaviors and characteristics of the population. We conducted a cross-sectional study of 100 MTF transgender persons recruited through time location sampling in 2012. Participants underwent interviewer-administered (paper and pen) surveys and rapid tests for HIV. Descriptive univariate analyses were conducted on various factors, including sociodemographics, substance use, accessing social services (requested vs. received), stigma, and sex behaviors. A total of 22% tested positive for HIV, a prevalence higher than other key populations at risk for HIV in Tijuana.
Literatur
1.
Zurück zum Zitat Simon PA, Reback CJ, Bemis CC. HIV prevalence and incidence among male-to-female transsexuals receiving HIV prevention services in Los Angeles County. AIDS Lond Engl. 2000;14(18):2953–5.CrossRef Simon PA, Reback CJ, Bemis CC. HIV prevalence and incidence among male-to-female transsexuals receiving HIV prevention services in Los Angeles County. AIDS Lond Engl. 2000;14(18):2953–5.CrossRef
2.
3.
Zurück zum Zitat Infante C, Sosa-Rubi SG, Cuadra SM. Sex work in Mexico: vulnerability of male, travesti, transgender and transsexual sex workers. Cult Health Sex. 2009;11(2):125–37.CrossRefPubMed Infante C, Sosa-Rubi SG, Cuadra SM. Sex work in Mexico: vulnerability of male, travesti, transgender and transsexual sex workers. Cult Health Sex. 2009;11(2):125–37.CrossRefPubMed
5.
Zurück zum Zitat Bockting WO, Robinson BE, Forberg J, Scheltema K. Evaluation of a sexual health approach to reducing HIV/STD risk in the transgender community. AIDS Care. 2005;17(3):289–303.CrossRefPubMed Bockting WO, Robinson BE, Forberg J, Scheltema K. Evaluation of a sexual health approach to reducing HIV/STD risk in the transgender community. AIDS Care. 2005;17(3):289–303.CrossRefPubMed
6.
Zurück zum Zitat Ryan C, Russell ST, Huebner D, Diaz R, Sanchez J. Family acceptance in adolescence and the health of LGBT young adults. J Child Adolesc Psychiatr Nurs Off Publ Assoc Child Adolesc Psychiatr Nurses Inc. 2010;23(4):205–13.CrossRef Ryan C, Russell ST, Huebner D, Diaz R, Sanchez J. Family acceptance in adolescence and the health of LGBT young adults. J Child Adolesc Psychiatr Nurs Off Publ Assoc Child Adolesc Psychiatr Nurses Inc. 2010;23(4):205–13.CrossRef
7.
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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Colchero MA, Cortés-Ortiz MA, Romero-Martínez M, Vega H, González A, Román R, et al. HIV prevalence, sociodemographic characteristics, and sexual behaviors among transwomen in Mexico City. Salud Pública México. 2015;57:s99–106.CrossRef Colchero MA, Cortés-Ortiz MA, Romero-Martínez M, Vega H, González A, Román R, et al. HIV prevalence, sociodemographic characteristics, and sexual behaviors among transwomen in Mexico City. Salud Pública México. 2015;57:s99–106.CrossRef
10.
Zurück zum Zitat Bockting WO, Robinson BE, Rosser BR. Transgender HIV prevention: a qualitative needs assessment. AIDS Care. 1998;10(4):505–25.CrossRefPubMed Bockting WO, Robinson BE, Rosser BR. Transgender HIV prevention: a qualitative needs assessment. AIDS Care. 1998;10(4):505–25.CrossRefPubMed
11.
Zurück zum Zitat Singer M. Introduction to syndemics: a critical systems approach to public and community health. San Francisco: Jossey-Bass Inc Pub; 2009. Singer M. Introduction to syndemics: a critical systems approach to public and community health. San Francisco: Jossey-Bass Inc Pub; 2009.
12.
Zurück zum Zitat Stall R, Mills TC, Williamson J, Hart T, Greenwood G, Paul J, et al. Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. Am J Public Health. 2003;93(6):939–42.CrossRefPubMedPubMedCentral Stall R, Mills TC, Williamson J, Hart T, Greenwood G, Paul J, et al. Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. Am J Public Health. 2003;93(6):939–42.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Pitpitan EV, Smith LR, Goodman-Meza D, Torres K, Semple SJ, Strathdee SA, et al. “‘Outness’”as a moderator of the association between syndemic conditions and HIV risk-taking behavior among men who have sex with men in Tijuana, Mexico. AIDS Behav. 2016;20(2):431–8.CrossRefPubMedPubMedCentral Pitpitan EV, Smith LR, Goodman-Meza D, Torres K, Semple SJ, Strathdee SA, et al. “‘Outness’”as a moderator of the association between syndemic conditions and HIV risk-taking behavior among men who have sex with men in Tijuana, Mexico. AIDS Behav. 2016;20(2):431–8.CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Golub SA, Gamarel KE. The impact of anticipated HIV stigma on delays in HIV testing behaviors: findings from a community-based sample of men who have sex with men and transgender women in New York City. AIDS Patient Care STDs. 2013;27(11):621–7.CrossRefPubMedPubMedCentral Golub SA, Gamarel KE. The impact of anticipated HIV stigma on delays in HIV testing behaviors: findings from a community-based sample of men who have sex with men and transgender women in New York City. AIDS Patient Care STDs. 2013;27(11):621–7.CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Ruiz J, Facer M, Ritieni A, Sheppard H. HIV prevalence and risk behaviors among young latino MSM in San Diego, California and Tijuana, Mexico. In: XIV International AIDS Conference; 2002. Ruiz J, Facer M, Ritieni A, Sheppard H. HIV prevalence and risk behaviors among young latino MSM in San Diego, California and Tijuana, Mexico. In: XIV International AIDS Conference; 2002.
16.
Zurück zum Zitat Magis-Rodríguez C, Brouwer KC, Morales S, Gayet C, Lozada R, Ortiz-Mondragón R, et al. HIV prevalence and correlates of receptive needle sharing among injection drug users in the Mexican-US border city of Tijuana. J Psychoact Drugs. 2005;37(3):333–9.CrossRef Magis-Rodríguez C, Brouwer KC, Morales S, Gayet C, Lozada R, Ortiz-Mondragón R, et al. HIV prevalence and correlates of receptive needle sharing among injection drug users in the Mexican-US border city of Tijuana. J Psychoact Drugs. 2005;37(3):333–9.CrossRef
17.
Zurück zum Zitat Brouwer KC, Strathdee SA, Magis-Rodríguez C, Bravo-García E, Gayet C, Patterson TL, et al. Estimated numbers of men and women infected with HIV/AIDS in Tijuana, Mexico. J Urban Health Bull N Y Acad Med. 2006;83(2):299–307.CrossRef Brouwer KC, Strathdee SA, Magis-Rodríguez C, Bravo-García E, Gayet C, Patterson TL, et al. Estimated numbers of men and women infected with HIV/AIDS in Tijuana, Mexico. J Urban Health Bull N Y Acad Med. 2006;83(2):299–307.CrossRef
18.
Zurück zum Zitat Patterson TL, Goldenberg S, Gallardo M, Lozada R, Semple SJ, Orozovich P, et al. Correlates of HIV, sexually transmitted infections, and associated high-risk behaviors among male clients of female sex workers in Tijuana, Mexico. AIDS Lond Engl. 2009;23(13):1765–71.CrossRef Patterson TL, Goldenberg S, Gallardo M, Lozada R, Semple SJ, Orozovich P, et al. Correlates of HIV, sexually transmitted infections, and associated high-risk behaviors among male clients of female sex workers in Tijuana, Mexico. AIDS Lond Engl. 2009;23(13):1765–71.CrossRef
19.
Zurück zum Zitat Pitpitan EV, Goodman-Meza D, Burgos JL, Abramovitz D, Chavarin CV, Torres K, et al. Prevalence and correlates of HIV among men who have sex with men in Tijuana, Mexico. J Int AIDS Soc. 2015;18(1):19304.CrossRefPubMedPubMedCentral Pitpitan EV, Goodman-Meza D, Burgos JL, Abramovitz D, Chavarin CV, Torres K, et al. Prevalence and correlates of HIV among men who have sex with men in Tijuana, Mexico. J Int AIDS Soc. 2015;18(1):19304.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Kenagy GP, Hsieh C-M. The risk less known: female-to-male transgender persons’ vulnerability to HIV infection. AIDS Care. 2005;17(2):195–207.CrossRefPubMed Kenagy GP, Hsieh C-M. The risk less known: female-to-male transgender persons’ vulnerability to HIV infection. AIDS Care. 2005;17(2):195–207.CrossRefPubMed
22.
Zurück zum Zitat Nemoto T, Bödeker B, Iwamoto M. Social support, exposure to violence and transphobia, and correlates of depression among male-to-female transgender women with a history of sex work. Am J Public Health. 2011;101(10):1980–8.CrossRefPubMedPubMedCentral Nemoto T, Bödeker B, Iwamoto M. Social support, exposure to violence and transphobia, and correlates of depression among male-to-female transgender women with a history of sex work. Am J Public Health. 2011;101(10):1980–8.CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Neilands TB, Steward WT, Choi K-H. Assessment of stigma towards homosexuality in China: a study of men who have sex with men. Arch Sex Behav. 2008;37(5):838.CrossRefPubMed Neilands TB, Steward WT, Choi K-H. Assessment of stigma towards homosexuality in China: a study of men who have sex with men. Arch Sex Behav. 2008;37(5):838.CrossRefPubMed
24.
Zurück zum Zitat Herbst JH, Jacobs ED, Finlayson TJ, McKleroy VS, Neumann MS, Crepaz N, et al. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: a systematic review. AIDS Behav. 2008;12(1):1–17.CrossRefPubMed Herbst JH, Jacobs ED, Finlayson TJ, McKleroy VS, Neumann MS, Crepaz N, et al. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: a systematic review. AIDS Behav. 2008;12(1):1–17.CrossRefPubMed
25.
Zurück zum Zitat Link BG, Phelan JC. Conceptualizing Stigma. Annu Rev Sociol. 2001;1(27):363–85.CrossRef Link BG, Phelan JC. Conceptualizing Stigma. Annu Rev Sociol. 2001;1(27):363–85.CrossRef
26.
Zurück zum Zitat 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 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
27.
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.CrossRef 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.CrossRef
28.
Zurück zum Zitat Wiessing LG, van Roosmalen MS, Koedijk P, Bieleman B, Houweling H. Silicones, hormones and HIV in transgender street prostitutes. AIDS Lond Engl. 1999;13(16):2315–6.CrossRef Wiessing LG, van Roosmalen MS, Koedijk P, Bieleman B, Houweling H. Silicones, hormones and HIV in transgender street prostitutes. AIDS Lond Engl. 1999;13(16):2315–6.CrossRef
29.
Zurück zum Zitat Iñiguez-Stevens E, Brouwer KC, Hogg RS, Patterson TL, Lozada R, Magis-Rodriguez C, et al. Estimaciones de Prevalencia del VIH por Género y Grupo de Riesgo en Tijuana, México: 2006. Gac Med Mex. 2009;145(3):189–95.PubMedPubMedCentral Iñiguez-Stevens E, Brouwer KC, Hogg RS, Patterson TL, Lozada R, Magis-Rodriguez C, et al. Estimaciones de Prevalencia del VIH por Género y Grupo de Riesgo en Tijuana, México: 2006. Gac Med Mex. 2009;145(3):189–95.PubMedPubMedCentral
30.
Zurück zum Zitat Patterson TL, Semple SJ, Staines H, Lozada R, Orozovich P, Bucardo J, et al. Prevalence and correlates of HIV infection among female sex workers in two Mexico-U.S. border cities. J Infect Dis. 2008;197(5):728–32.CrossRefPubMedPubMedCentral Patterson TL, Semple SJ, Staines H, Lozada R, Orozovich P, Bucardo J, et al. Prevalence and correlates of HIV infection among female sex workers in two Mexico-U.S. border cities. J Infect Dis. 2008;197(5):728–32.CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Setia MS, Lindan C, Jerajani HR, Kumta S, Ekstrand M, Mathur M, et al. Men who have sex with men and transgenders in Mumbai, India: an emerging risk group for STIs and HIV. Indian J Dermatol Venereol Leprol. 2006;72(6):425–31.CrossRefPubMed Setia MS, Lindan C, Jerajani HR, Kumta S, Ekstrand M, Mathur M, et al. Men who have sex with men and transgenders in Mumbai, India: an emerging risk group for STIs and HIV. Indian J Dermatol Venereol Leprol. 2006;72(6):425–31.CrossRefPubMed
32.
Zurück zum Zitat Hughes TL, Eliason M. Substance use and abuse in Lesbian, Gay, bisexual and transgender populations. J Prim Prev. 2002;22(3):263–98.CrossRef Hughes TL, Eliason M. Substance use and abuse in Lesbian, Gay, bisexual and transgender populations. J Prim Prev. 2002;22(3):263–98.CrossRef
33.
Zurück zum Zitat Ramirez-Valles J, Garcia D, Campbell RT, Diaz RM, Heckathorn DD. HIV infection, sexual risk behavior, and substance use among Latino Gay and bisexual men and transgender persons. Am J Public Health. 2008;98(6):1036–42.CrossRefPubMedPubMedCentral Ramirez-Valles J, Garcia D, Campbell RT, Diaz RM, Heckathorn DD. HIV infection, sexual risk behavior, and substance use among Latino Gay and bisexual men and transgender persons. Am J Public Health. 2008;98(6):1036–42.CrossRefPubMedPubMedCentral
34.
Zurück zum Zitat Lombardi EL, van Servellen G. Building culturally sensitive substance use prevention and treatment programs for transgendered populations. J Subst Abuse Treat. 2000;19(3):291–6.CrossRefPubMed Lombardi EL, van Servellen G. Building culturally sensitive substance use prevention and treatment programs for transgendered populations. J Subst Abuse Treat. 2000;19(3):291–6.CrossRefPubMed
35.
Zurück zum Zitat Weatherby NL, Needle R, Cesari H, Booth R, McCoy CB, Watters JK, et al. Validity of self-reported drug use among injection drug users and crack cocaine users recruited through street outreach. Eval Program Plan. 1994;17(4):347–55.CrossRef Weatherby NL, Needle R, Cesari H, Booth R, McCoy CB, Watters JK, et al. Validity of self-reported drug use among injection drug users and crack cocaine users recruited through street outreach. Eval Program Plan. 1994;17(4):347–55.CrossRef
36.
Zurück zum Zitat James NJ, Bignell CJ, Gillies PA. The reliability of self-reported sexual behaviour. Aids. 1991;5(3):333–6.CrossRefPubMed James NJ, Bignell CJ, Gillies PA. The reliability of self-reported sexual behaviour. Aids. 1991;5(3):333–6.CrossRefPubMed
Metadaten
Titel
HIV Prevalence and Risk Behaviors in Male to Female (MTF) Transgender Persons in Tijuana, Mexico
verfasst von
Kristian Jesús Salas-Espinoza
Rufino Menchaca-Diaz
Thomas L. Patterson
Lianne A. Urada
Davey Smith
Steffanie A. Strathdee
Eileen V. Pitpitan
Publikationsdatum
14.10.2017
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 12/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-1931-2

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