Ethnicity, Sex Work, and Incident HIV/STI Among Transgender Women in New York City: A Three Year Prospective Study

In conjunction with a 3-year prospective study of 199 transgender women from the New York City Area, we attempted to better understand why non-Whites are much more likely than Whites to become HIV infected. We first assessed associations of ethnicity with sex work, sexual risk behavior for HIV, and...

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Published inAIDS and behavior Vol. 21; no. 12; pp. 3328 - 3335
Main Authors Nuttbrock, Larry A., Hwahng, Sel J.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.12.2017
Springer Nature B.V
Subjects
Anal intercourse
Black white differences
Economic factors
Ethnic factors
Ethnicity
Gays & lesbians
Hazards
Health Psychology
Health risk assessment
HIV
Human immunodeficiency virus
Immigration
Infectious Diseases
Job performance
Mathematical models
Medicine
Medicine & Public Health
Minority & ethnic groups
Original Paper
Public Health
Racial differences
Risk behavior
Risk taking
Sex
Sex industry
Sexual behavior
Sexual intercourse
Sexual orientation
Sexually transmitted diseases
Social factors
Socioeconomic factors
Socioeconomics
Statistical analysis
STD
Transgender persons
Women
Womens health
United States > US
New York City New York
Incident HIV/STI
Ethnicity
Transgender women
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Summary:In conjunction with a 3-year prospective study of 199 transgender women from the New York City Area, we attempted to better understand why non-Whites are much more likely than Whites to become HIV infected. We first assessed associations of ethnicity with sex work, sexual risk behavior for HIV, and biologically-determined HIV/STI, and then assessed the extent to which these ethnic differences are explained by socioeconomic factors, immigration status, and sexual orientation. Statistical techniques included generalized estimating equations and Cox proportional hazards. As expected, compared to Whites, Blacks and Hispanics were more involved in the sex trade, more likely to report unprotected receptive anal intercourse, and as a result, more likely to become HIV/STI infected. All of these associations were mediated by androphilia, and to a lesser extent androphilia/gynephilia. Sexual orientation is a significant but little recognized factors associated with new cases of HIV/STI among transgender women of color.
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ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-016-1509-4