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

• Published in: AIDS and behavior Vol. 21; no. 8; pp. 2439 - 2451
• Main Authors: Satcher, Milan F., Segura, Eddy R., Silva-Santisteban, Alfonso, Sanchez, Jorge, Lama, Javier R., Clark, Jesse L.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.08.2017; Springer Nature B.V
• Subjects: Acquired immune deficiency syndrome; Adult; AIDS; Alcohol use; Alcoholism; Alcohols; Anal intercourse; Condoms; Disorders; Female; Females; Gays & lesbians; Health Psychology; HIV; HIV Infections - prevention & control; Human immunodeficiency virus; Humans; Infectious Diseases; Male; Medicine; Medicine & Public Health; Original Paper; Peru; Public Health; Safe Sex; Sex; Sexual behavior; Sexual Behavior - statistics & numerical data; Sexual intercourse; Sexual Partners; Sexually transmitted diseases; STD; Substance abuse; Substance use; Transgender Persons; Transsexuality; Unsafe Sex - statistics & numerical data; Women; Womens health; Young Adult; Lima Peru; Peru; Parejas sexuales; Mujeres trans; Transgender women; Sexual partnerships; HIV; VIH; Condomless anal intercourse; Perú; Peru; Sexo anal sin condón
• ISSN: 1090-7165; 1573-3254
• DOI: 10.1007/s10461-016-1503-x

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.