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1.
Am J Public Health ; 105 Suppl 3: e41-7, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25905826

RESUMEN

OBJECTIVES: We examined HIV prevalence and risk behaviors of 282 trans*female youths aged 16 to 24 years participating in the San Francisco Bay Area, California, SHINE study from 2012 to 2013 to determine differences between racial/ethnic minority and White youths. METHODS: We conducted the χ(2) test to determine distributional differences between racial/ethnic minority and White participants in sociodemographic factors, HIV-related risk behaviors, and syndemic factors. RESULTS: Of the trans*female youths, 4.8% were HIV positive. Racial/ethnic minority and White trans*female youths differed significantly in gender identity and sexual orientation. Racial/ethnic minority youths also had significantly lower educational attainment, were less likely to have lived with their parents of origin as a child, and were significantly more likely to engage in recent condomless anal intercourse than were Whites. CONCLUSIONS: Efforts to assess the impact of multiple-minority stress on racial/minority trans*female youths are needed imminently, and prevention efforts must address macrolevel disparities for trans*female youths, especially those from racial/ethnic minority groups, to reduce these disparities and prevent incident cases of HIV.


Asunto(s)
Infecciones por VIH/etnología , Grupos Raciales , Personas Transgénero , Adolescente , Adulto , Escolaridad , Femenino , Grupos Focales , Infecciones por VIH/epidemiología , Disparidades en el Estado de Salud , Humanos , Estudios Longitudinales , Masculino , Prevalencia , Características de la Residencia , San Francisco/epidemiología , Factores Socioeconómicos , Sexo Inseguro
2.
J Homosex ; 65(1): 66-79, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-28332945

RESUMEN

Research on the health of transwomen is largely focused on heterosexual HIV risk. Little is known about the health of sexual minority transwomen. We conducted a secondary cross-sectional analysis of data from a HIV risk and resilience study of transwomen aged 16 to 24 years in the San Francisco Bay Area (N = 259). Prevalence and demographic characteristics of sexual minority transwomen was assessed and logistic regression models were used to examine the relationship between sexual minority status and alcohol and drug use. In logistic regression models, sexual minority transwomen had greater fold odds of heavy episodic drinking and illicit prescription drug use compared to their heterosexual counterparts, controlling for race/ethnicity, age, income, nativity, hormone status, and history of feminization procedures. These results suggest that sexual minority status may be an important social determinant of health among gender minorities. Populations of transwomen are heterogeneous; effective interventions must consider sexual minority status.


Asunto(s)
Alcoholismo/psicología , Trastornos Relacionados con Sustancias/psicología , Personas Transgénero/psicología , Adolescente , Alcoholismo/epidemiología , Estudios Transversales , Femenino , Heterosexualidad , Humanos , Modelos Logísticos , Masculino , Prevalencia , Grupos Raciales , San Francisco/epidemiología , Conducta Sexual , Minorías Sexuales y de Género , Trastornos Relacionados con Sustancias/epidemiología , Adulto Joven
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