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首页> 外文期刊>AIDS care. >Practices of receptive and insertive anal sex among transgender women in relation to partner types, sociocultural factors, and background variables
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Practices of receptive and insertive anal sex among transgender women in relation to partner types, sociocultural factors, and background variables

机译：与伴侣类型，社会文化因素和背景变量相关的跨性别女性接受和插入性肛交的实践

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It is urgent to develop efficacious HIV prevention programs to curb the reported extremely high HIV prevalence and incidence among transgender women (male-to-female transgender persons) who reside in large cities in the USA. This study aimed to describe unprotected receptive anal sex (URAS) and unprotected insertive anal sex (UIAS) among high-risk transgender women in relation to partner types, psychosocial factors, and background variables. Based on purposive sampling from the targeted communities and AIDS service organizations in San Francisco and Oakland, a total of 573 transgender women who had a history of sex work were recruited and individually interviewed using a structured survey questionnaire. Significant correlates with URAS with primary, casual, and commercial sex partners were found (e.g., needs for social support, frequency of social support received, exposure to transphobia, self-esteem, economic pressure, norms toward practicing healthy behaviors, and self-efficacy toward practicing safe sex). Multiple logistic regression analyses revealed that transgender women who had engaged in URAS with commercial partners were more likely to have higher levels of transphobia or lower levels of the norms or self-efficacy to practice safe sex. Among the participants who did not have vaginoplasty (preoperative transgender women), 16.4% had engaged in insertive anal sex (IAS) with commercial partners in the past 30 days. The participants who were HIV positive and had engaged in IAS were more likely to be African-American or Caucasians, coinfected with sexually transmitted infections, or identified themselves as homosexual. Practices of IAS among transgender women have not been thoroughly investigated in relation to sexual and gender identity. UIAS with homosexual and bisexual men in addition to URAS may be a cause for high HIV incidence among transgender women. An HIV prevention intervention study must be developed and evaluated, which aims to reduce HIV-positive and -negative transgender women's URAS and UIAS.
机译：迫切需要制定有效的艾滋病毒预防计划，以遏制据报道居住在美国大城市的变性妇女（男女跨性别者）中极高的艾滋病患病率和发病率。这项研究旨在描述高风险跨性别女性中未保护的接受性肛交（URAS）和未保护的插入性肛交（UIAS）与伴侣类型，心理社会因素和背景变量的关系。根据来自旧金山和奥克兰的目标社区和艾滋病服务组织的有针对性的抽样，总共招募了573名具有性工作经历的变性妇女，并使用结构化调查问卷进行了单独访谈。发现与主要，休闲和商业性伴侣的URAS有显着相关性（例如，社会支持的需求，获得的社会支持的频率，恐惧感，自尊心，经济压力，健康行为规范和自我效能感）进行安全性行为）。多项逻辑回归分析显示，与商业伙伴一起从事URAS的变性女性更容易出现较高的恐惧感或较低水平的规范或自我效能感以进行安全性行为。在没有进行阴道成形术的患者（术前变性女性）中，有16.4％的患者在过去30天内与商业伙伴进行了肛交（IAS）。艾滋病毒呈阳性并参加过国际会计准则的参与者更有可能是非裔美国人或高加索人，合并感染了性传播感染，或自称是同性恋。关于性别和性别认同的跨性别女性中的IAS的实践尚未得到彻底调查。除了URAS之外，UIAS的同性恋者和双性恋者也可能是跨性别女性中HIV高发的原因。必须开展和评估艾滋病毒预防干预研究，其目的是减少艾滋病毒阳性和阴性的变性妇女的URAS和UIAS。

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