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Abstract:

Transgender populations in the United States have been impacted by the HIV/AIDS epidemic. This systematic review estimates the prevalence of HIV infection and risk behaviors of transgender persons. Comprehensive searches of the US-based HIV behavioral prevention literature identified 29 studies focusing on male-to-female (MTF) transgender women; five of these studies also reported data on female-to-male (FTM) transgender men. Using meta-analytic approaches, prevalence rates were estimated by synthesizing weighted means. Meta-analytic findings indicated that 27.7% (95% confidence interval [CI], 24.8–30.6%) of MTFs tested positive for HIV infection (four studies), while 11.8% (95% CI, 10.5–13.2%) of MTFs self-reported being HIVseropositive (18 studies). Higher HIV infection rates were found among African-American MTFs regardless of assessment method (56.3% test result; 30.8% self-report). Large percentages of MTFs (range, 27–48%) reported engaging in risky behaviors (e.g., unprotected receptive anal intercourse, multiple casual partners, sex work). Prevalence rates of HIV and risk behaviors were low among FTMs. Contextual factors potentially related to increased HIV risk include mental health concerns, physical abuse, social isolation, economic marginalization, and unmet transgender-specific healthcare needs. Additional research is needed to explain the causes of HIV risk behavior of transgender persons. These findings should be considered when developing and adapting prevention interventions for transgender populations.

Notes:

"Online First" as an e-publication. Journal publication date unknown.

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ISBN:

1363-4607

Accession Number:

19702087

Abstract:

Gay female-to-male transgenderists (gay FTMs) are women who become men, and who then form erotic relationships with other men. Analysis of interviews with five gay FTMs depicts how they rely upon and reproduce distinctions between sex, gender, and sexuality in order to make sense of their bodies, their feelings and their interactions. Sex, gender and sexuality are produced as distinct and real through a range of interlocking material, discursive, and interactional practices. These categories of intelligibility function in relation to each other and serve to mutually constitute and reinforce each other. Although the distinctions drawn between sex, gender, and sexuality are real, the veracity of these distinctions is limited given their inextricability in the contiguous terrain of actual human lives.

Notes:

Vol. 9 Issue 1, p57-75 19p

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ISBN:

1525-4135

Accession Number:

14738603

Abstract:

Presents a letter to the editor about HIV testing behaviors of transgender people.

Notes:

Vol. 37 Issue 2, p1326-1327 2p; 1 chart