STIGMA AND THE SYNDEMIC OF HIV‐RELATED HEALTH RISK BEHAVIORS IN A DIVERSE SAMPLE OF TRANSGENDER WOMEN

Journal of Community Psychology - Tập 42 Số 5 - Trang 544-557 - 2014
Don Operario1, Mei‐Fen Yang1, Sari L. Reisner2, Mariko Iwamoto3, Tooru Nemoto3
1Brown University School of Public Health
2The Fenway Institute and Harvard University School of Public Health
3Public Health Institute Oakland

Tóm tắt

This study examined HIV‐related health risk behaviors–unprotected anal intercourse, alcohol intoxication, and drug use–and their association with stigma in a sample of transgender women. We conducted a cross‐sectional survey of 191 transgender women recruited through purposive sampling in San Francisco, CA. Unprotected anal intercourse, alcohol intoxication, and illicit drug use were significantly intercorrelated, suggesting the presence of a “syndemic” among these HIV‐related behavioral health risks. In multivariable analyses controlling for sociodemographic and individual health characteristics, stigma was independently associated with greater levels of unprotected anal intercourse, illicit drug use, and a composite index of the 3 risk behaviors. Findings highlight a need for interventions to address stigma and the social context of unprotected sex, alcohol intoxication, and drug use, which may contribute to HIV risk among transgender women.

Từ khóa


Tài liệu tham khảo

American Psychological Association, 2009, Report of the Task Force on Gender Identity and Gender Variance

10.1016/j.sexol.2008.08.001

10.1080/14681990903037660

10.2105/AJPH.2013.301241

10.1080/09540129850124028

10.2105/AJPH.2012.300796

10.2105/AJPH.2011.300433

10.2105/AJPH.91.6.915

10.2105/AJPH.91.6.897

10.2105/AJPH.2005.063511

10.1111/j.1525-1446.2010.00928.x

10.1300/J082v51n01_06

10.1037/0278-6133.27.4.455

10.1007/s10461-007-9299-3

10.2105/AJPH.2012.300810

10.1007/s11199-005-7140-x

Hosmer D. W., 1989, Applied logistic regression

Institute of Medicine, 2011, The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding

10.1037/a0017198

10.2105/AJPH.91.6.869

10.1080/00918360903275393

10.1037/0033-2909.129.5.674

10.1016/j.socscimed.2008.03.012

10.1007/BF02879919

10.1080/15538605.2012.648583

10.2105/AJPH.94.7.1193

10.1097/QAI.0b013e3181ab6ed8

10.1080/00224490903062258

Operario D., 2011, HIV in transgender communities: Syndemic dynamics and a need for multicomponent interventions, Journal of Acquired Immune Deficiency Syndrome, 55, S91

10.1007/s10461-010-9795-8

10.2105/AJPH.2011.300284

10.1177/014662167700100306

10.1097/QAI.0b013e3181fbc939

10.1016/j.whi.2011.08.001

10.1521/aeap.2009.21.2.113

Shadish W. R., 2004, Experimental and quasi‐experimental designs for generalized causal inference

10.1525/maq.2003.17.4.423

10.1016/j.socscimed.2006.05.012

10.1093/acprof:oso/9780195301533.003.0009

10.1007/s10461-005-9040-z

10.1007/s10508-012-9995-6

White House Office of National AIDS Policy, 2010, National HIV/AIDS Strategy for the United States

10.1177/135910539700200305

Thông tin
Thông tin xuất bản

Journal of Community Psychology

Tập 42 Số 5

544-557

Thông tin tác giả