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Erschienen in: AIDS and Behavior 8/2017

17.09.2016 | Original Paper

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

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

Erschienen in: AIDS and Behavior | Ausgabe 8/2017

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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.
Literatur
1.
Zurück zum Zitat 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 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
2.
Zurück zum Zitat 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 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
3.
Zurück zum Zitat 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 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
4.
Zurück zum Zitat MINSA. National report on progress achieved in the country Peru. Lima: Ministry of Health, Joint United Nations Program on HIV/AIDS; 2012. MINSA. National report on progress achieved in the country Peru. Lima: Ministry of Health, Joint United Nations Program on HIV/AIDS; 2012.
6.
Zurück zum Zitat 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 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
7.
Zurück zum Zitat 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 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
8.
Zurück zum Zitat 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 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
9.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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. 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.
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
18.
Zurück zum Zitat 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 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.
Zurück zum Zitat Sevelius JM. Gender affirmation: a framework for conceptualizing risk behavior among transgender women of color. Sex Roles. 2013;68(11–12):675–89.CrossRefPubMed 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.
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.CrossRefPubMedPubMedCentral 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.
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.CrossRefPubMed 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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. 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.
Zurück zum Zitat Cui J. QIC program and model selection in GEE analyses. Stata J. 2007;7(2):209–20. Cui J. QIC program and model selection in GEE analyses. Stata J. 2007;7(2):209–20.
31.
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.CrossRef 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.
Zurück zum Zitat 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 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.
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.CrossRefPubMed Bockting W, Miner M, Rosser BRS. Latino men’s sexual behavior with transgender persons. Arch Sex Behav. 2007;36(6):778–86.CrossRefPubMed
34.
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 Off Publ Int Soc AIDS Educ. 2012;24(1):15–26.CrossRef 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.
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
36.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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.
Zurück zum Zitat 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 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
Metadaten
Titel
Partner-Level Factors Associated with Insertive and Receptive Condomless Anal Intercourse Among Transgender Women in Lima, Peru
verfasst von
Milan F. Satcher
Eddy R. Segura
Alfonso Silva-Santisteban
Jorge Sanchez
Javier R. Lama
Jesse L. Clark
Publikationsdatum
17.09.2016
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 8/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1503-x

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