| Unprotected sexual behavior and HIV risk in the context of primary partnerships for transgender women. | |
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MedLine Citation:
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PMID: 20740376 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Previous research has reported that transgender women are likely to be exposed to HIV through unprotected sex with a male primary partner. We examined prevalence and correlates of unprotected sex with a primary male partner in a sample of n = 174 transgender women. Participants completed surveys on demographic characteristics, relationship dynamics with their male primary partner, sexual behavior, substance use, and psychosocial factors. Overall, 41% reported HIV positive status, 13% had another sexually transmitted infection during the past year, and 34% had unprotected sex with a male primary partner during the past 3 months. Factors associated with unprotected sex with a primary partner included living with the partner, drug use, alcohol use, education level, low self-efficacy to use condoms, and perceived discrimination. Notably, 35% of transgender women in HIV-discordant primary partnerships had unprotected sex with their male primary partner during the past 3 months, and 18% of transgender women in HIV-positive concordant primary partnerships had unprotected sex with an outside partner during the past 3 months. HIV prevention interventions for transgender women must address risk behavior in the context of primary partnerships as well as sex with concurrent partners outside the relationship. Couples-focused interventions involving transgender women and their male primary partners can be particularly promising. |
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Authors:
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Don Operario; Tooru Nemoto; Mariko Iwamoto; Toni Moore |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: AIDS and behavior Volume: 15 ISSN: 1573-3254 ISO Abbreviation: AIDS Behav Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-03-28 Completed Date: 2011-07-11 Revised Date: 2012-04-04 |
Medline Journal Info:
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Nlm Unique ID: 9712133 Medline TA: AIDS Behav Country: United States |
Other Details:
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Languages: eng Pagination: 674-82 Citation Subset: IM |
Affiliation:
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Department of Community Health, Brown University, Providence, Rhode Island, USA. Don_Operario@brown.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Condoms / utilization Cross-Sectional Studies Female HIV Infections / epidemiology, prevention & control*, psychology HIV Seronegativity HIV Seropositivity Humans Male Middle Aged Prevalence Risk Factors Risk-Taking San Francisco / epidemiology Sexual Partners* Socioeconomic Factors Transsexualism* Unsafe Sex / psychology, statistics & numerical data* Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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R01 DA018621-05/DA/NIDA NIH HHS; R01-DA018621/DA/NIDA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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