Abstract
Purpose: The purpose of this study was to explore risk factors for HIV and sexually transmitted infections (STIs) among transgender women (TW) in Lima, Peru. Methods: HIV-negative or serostatus unknown TW reporting recent condomless receptive anal intercourse underwent testing for STIs and HIV and completed a sociobehavioral survey. Results: Among 120 TW, 29.6% had rectal Neisseria gonorrhoeae (GC) or Chlamydia trachomatis (CT) and 12.6% had HIV. Age and migrant status were associated with rectal GC/CT, and rectal GC/CT predicted HIV infection. Conclusions: Further study is needed to understand individual and social factors that contribute to HIV/STI vulnerability among TW.
Keywords:
Global health; HIV/AIDS; sexually transmitted infections; transgender.
Publication types
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Research Support, N.I.H., Extramural
MeSH terms
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Adolescent
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Adult
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Age Factors
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Anal Canal
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Chlamydia Infections / epidemiology
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Chlamydia Infections / etiology
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Chlamydia Infections / microbiology
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Chlamydia trachomatis / growth & development*
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Condoms
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Female
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Gonorrhea / epidemiology
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Gonorrhea / etiology
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Gonorrhea / microbiology
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HIV / growth & development*
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HIV Infections / epidemiology
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HIV Infections / etiology
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HIV Infections / virology
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Humans
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Middle Aged
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Neisseria gonorrhoeae / growth & development*
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Peru / epidemiology
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Rectal Diseases / epidemiology
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Rectal Diseases / etiology*
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Rectal Diseases / microbiology
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Rectal Diseases / virology
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Rectum / microbiology
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Rectum / virology
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Risk Factors
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Sexual Behavior*
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Sexually Transmitted Diseases / epidemiology*
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Sexually Transmitted Diseases / etiology
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Sexually Transmitted Diseases / microbiology
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Sexually Transmitted Diseases / virology
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Transgender Persons*
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Transients and Migrants
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Unsafe Sex
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Young Adult