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

Satcher, Milan F; Segura, Eddy R.; Silva-Santisteban, Alfonso; Sánchez, Jorge; Lama, Javier R.; Clark, Jesse L.

doi:10.1007/s10461-016-1503-x

Cited by 15 publications

(9 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Partnership type was the only partnership-level characteristic found to be significantly associated with both condomless receptive anal intercourse (CRAI) and condomless insertive anal intercourse (CIAI), with participants reporting significantly lower odds of CRAI and CIAI in casual and commercial partnerships compared with main partnerships. Similar to studies of adult transwomen, MSM and a previous study of young transwomen,6 7 W3 W5 we found a significantly higher risk of having condomless anal intercourse with main partners. Among MSM, main partners are believed to be the principal source of HIV transmission because of a higher number of sex acts, a higher frequency of receptive roles during anal sex and lower condom use.…”

Section: Discussionsupporting

confidence: 89%

“…Sexual networks may, in part, explain the high prevalence of HIV among transwomen 4 5. Studies with adult transwomen and men who have sex with men (MSM) found that main partnerships, seroconcordance, racial concordance and injection drug use discordance to be associated with greater sexual risk taking behaviours 5–8. Additionally, greater age discordance between sexual partners has been associated with increased HIV risk in cisgender heterosexual women and MSM 9 10…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Partnership-level correlates of sexual risk taking within the sexual partnerships of young transwomen in San Francisco, California

Prescott¹,

Santos²,

Arayasirikul³

et al. 2019

Sex Transm Infect

View full text Add to dashboard Cite

ObjectivesLittle is known about the sexual networks of young transwomen, leaving a major gap in what we know about transmission dynamics and the elevated rates of HIV in this population. The objective of this study was to understand partnership-level factors associated with condomless anal sex among young transwomen.MethodsA secondary data analysis of the sexual partnerships of young transwomen was conducted using baseline data from the SHINE study. Generalised estimating equation logistic regressions were used to assess for partnership-level associations between partnership type, age, injection drug use and racial concordance, HIV seroconcordance, sexual role and condomless receptive (CRAI) and insertive anal intercourse (CIAI).ResultsOur analysis included 187 young transwomen that reported a total of 464 sexual partnerships where they had at least one episode of anal sex in the past 6 months. We found casual (n=232 or 50%) and commercial partnerships (n=106 or 22.8%) to be significantly associated with a lower odds of CIAI (OR=0.53, 95% CI 0.32 to 0.86 and OR=0.39, 95% CI 0.18 to 0.82) and CRAI (OR=0.30, 95% CI 0.19 to 0.47 and OR=0.35, 95% CI 0.2 to 0.62) compared with main partnerships (n=126 or 27.2%). Additionally, HIV-positive seroconcordant (n=25 or 5.4%, OR=4.05, 95% CI 1.44 to 11.40) and injection-drug using partnerships (n=25 or 5.4%, OR=3.66, 95% CI 1.34 to 9.95) were found to be significantly associated with an increased odds of CIAI among participants compared with HIV-negative seroconcordant (n=330 or 71.1%) and non-using partnerships (n=338 or 72.8%), respectively.ConclusionYoung transwomen, like other populations, engage in condomless sex more often with main than casual and commercial partners, suggesting a need for interventions that address sexual practices with steady main partners.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Partnership-level correlates of sexual risk taking within the sexual partnerships of young transwomen in San Francisco, California

Prescott¹,

Santos²,

Arayasirikul³

et al. 2019

Sex Transm Infect

View full text Add to dashboard Cite

show abstract

“…All participants were recruited by staff at the Asociación Civil Impacta Salud y Educación [“Impact Health and Education” Civil Association] in Lima and the Centro de Referencia de ITS [STI Referral Center] “Alberto Barton” in Callao as part of a 2012 study of MSM and TW recently diagnosed with HIV and/or another STI. Participant recruitment, data collection methods, and data instruments have been previously described [21, 22]. Briefly, enrollment was limited to individuals who: 1) Were assigned male sex at birth, while some identified as cisgender men (gender identity congruent with natal sex) or as TW (assigned male sex at birth and reporting gender identity on a transfeminine spectrum), 2) Reported anal or oral intercourse with a male or TW partner during the previous year, and 3) Had been diagnosed within the previous 30 days with HIV, syphilis, genital herpes, urethritis or proctitis.…”

Section: Methodsmentioning

confidence: 99%

Homophobia and heteronormativity as dimensions of stigma that influence sexual risk behaviors among men who have sex with men (MSM) and women (MSMW) in Lima, Peru: a mixed-methods analysis

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background Stigma differentially influences HIV and STI care among MSM, especially regarding partner notification practices. Recognizing the heterogeneous behaviors/identities within the category “MSM,” we used mixed-methods to assess sexual risk behaviors among men who have sex with men only (MSMO) and behaviorally bisexual MSM (MSMW) with HIV and/or other STIs. Methods MSMO/MSMW recently diagnosed (< 30 days) with HIV, syphilis, urethritis, or proctitis completed a cross-sectional survey assessing sexual risk behaviors, anticipated disclosure, and sexual partnership characteristics ( n = 332). Multivariable generalized estimating equation models assessed characteristics associated with female compared to male partners in the last three partnerships. Follow-up qualitative interviews ( n = 30) probed partner-specific experiences (e.g., acts and disclosure). Results Among all participants, 13.9% ( n = 46) described at least one of their last three sex partners as female (MSMW). MSMW (mean age of 31.8) reported a mean of 3.5 partners (SD = 4.5) in the past 3 months and MSMO (mean age 30.6) reported a mean of 4.6 partners (SD = 9.7) in the past 3 months. MSMW were more likely to report unprotected insertive anal sex (77.9%) than MSMO (43.1%; p < 0.01). Cisgender female partners were associated with condomless insertive sex in the last 3 months (aPR: 3.97, 95%CI: 1.98–8.00) and classification as a “primary” partnership (2.10, 1.34–3.31), and with lower prevalence of recent HIV diagnosis (0.26, 0.11–0.61). Planned notification of HIV/STI diagnoses was less common for female than for male partners (0.52, 0.31–0.85). Narratives illustrate internal (e.g., women as ‘true’ partners) and community-level processes (e.g., discrimination due to exposure of same-sex behavior) that position homosexual behavior and bisexual identity as divergent processes of deviance and generate vulnerability within sexual networks. Conclusions MSMW recently diagnosed with HIV/STI in Peru report varying partnership characteristics, with different partner-specific risk contexts and prevention needs. Descriptions highlight how behaviorally bisexual partnerships cut across traditional risk group boundaries and suggest that HIV/STI prevention strategies must address diverse, partnership-specific risks.

show abstract

“…Esto puede tratarse de acuerdos sexuales 37 entre las parejas, y también un reflejo de cómo ellas se perciben y cómo se ha introyectado la hetero-cisnormatividad en sus formas de socialización y de experimentar su sexualidad. La hetero-cisnorma cumple su cometido al hacerles sentir que "no son mujeres", no como "las demás", que sus cuerpos son ajenos a lo que el género como estructura dicta.…”

Section: El Género Y El Vih En Las Relaciones Interpersonalesunclassified

“¿Por qué pasa esto? Porque vivimos en una sociedad que constantemente te dice que no eres mujer”: género y riesgo del VIH en mujeres trans del noreste mexicano

et al. 2022

View full text Add to dashboard Cite

Las mujeres trans enfrentan un riesgo desproporcionado de adquirir el VIH. Este estudio analiza cualitativamente el riesgo del VIH en mujeres trans mexicanas desde el género como estructura social. Se trata de un estudio cualitativo realizado en el noreste de México. Se hicieron 15 entrevistas a mujeres trans de entre 22 y 69 años y se realizó un análisis temático. El análisis de las entrevistas reveló tres categorías temáticas: construcciones sociales del VIH y estigma, el género y el VIH en las relaciones interpersonales, y el género y el VIH en las instituciones y la política. Los resultados muestran que las construcciones sociales del VIH se tejen en el colectivo, a partir de la interacción con otras mujeres trans. El VIH es un fenómeno atravesado por la temporalidad sociohistórica y, en ese sentido, se generan las percepciones de riesgo frente a él. El género como estructura de opresión se vincula con las experiencias de estigma y discriminación, así como la búsqueda de la legitimación del género a través de las relaciones con parejas sexuales. Las instituciones y la política pública se relacionan con el acceso a los servicios de salud, además se identifican y analizan las barreras institucionales, personales y colectivas a partir de la identidad de género. La política sostiene y refuerza la marginalización de las mujeres trans impactando en el riesgo del VIH. Los resultados muestran que el riesgo del VIH es un fenómeno multicausal basado en el género como estructura de opresión con implicaciones sistémicas.

show abstract

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

Cited by 15 publications

References 39 publications

Partnership-level correlates of sexual risk taking within the sexual partnerships of young transwomen in San Francisco, California

Partnership-level correlates of sexual risk taking within the sexual partnerships of young transwomen in San Francisco, California

Homophobia and heteronormativity as dimensions of stigma that influence sexual risk behaviors among men who have sex with men (MSM) and women (MSMW) in Lima, Peru: a mixed-methods analysis

“¿Por qué pasa esto? Porque vivimos en una sociedad que constantemente te dice que no eres mujer”: género y riesgo del VIH en mujeres trans del noreste mexicano

Contact Info

Product

Resources

About