Sex Work and High-Risk Anal Human Papillomavirus Infection Among Transgender Women: The Condesa Study

Portillo-Romero, Alejandra Jalil; Allen‐Leigh, Betania; Nyitray, Alan G.; Carnalla, Martha; Salmerón, Jorge; León‐Maldonado, Leith; Yunes, Elsa; Rivera, Leonor Rivera; Magis-Rodríguez, Carlos; Vargas-Guadarrama, Galileo; Giuliano, Anna R.; Esquivel-Ocampo, Eiberth A.; Lazcano‐Ponce, Eduardo

doi:10.1089/trgh.2020.0075

Cited by 6 publications

(1 citation statement)

References 42 publications

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“…Furthermore, other aspects not evaluated in this study could have influence on lower or higher CPS levels, such as sexual frequency and abstinence. TW sex workers have a higher sexual frequency with more sexual partnerships, which could decrease the chance of CPS (in addition to a greater chance of suffering police and street violence, which can act as confounding variables) [ 63 , 64 ]. Sexual abstinence (e.g., case of transgender people who do not have sex due to sexual dysfunctions or other such as surgery complications, pain, and high body shame) also could lead to lower CPS [ 47 , 65 ].…”

Section: Discussionmentioning

confidence: 99%

Condom-Protected Sex and Minority Stress: Associations with Condom Negotiation Self-Efficacy, “Passing” Concerns, and Experiences with Misgendering among Transgender Men and Women in Brazil

Catelan

Saadeh

Lobato

et al. 2021

IJERPH

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This cross-sectional exploratory study aims to verify associations between condom-protected sex, condom negotiation self-efficacy, self-esteem, and four minority stressors (experiences with misgendering, “passing” concerns, anticipated prejudice, and perceived prejudice) among transgender men (TM) and transgender women (TW). 260 individuals (192 TW and 68 TM) residing in two Brazilian states participated in the study. Data was collected online and in two hospital programs for transgender people and included sociodemographic data, condom-protected sex, the Trans-Specific Condom/Barrier Negotiation Self-Efficacy (T-Barrier) Scale, the Rosenberg Self-Esteem Scale, and four minority stressors. Measures that were significantly associated with condom-protected sex were tested as independent variables in a linear regression model. The main results suggest that lower condom negotiation self-efficacy, higher “passing” concerns, and higher experiences with misgendering were predictors of lower frequency of condom-protected sex. These negative outcomes were found among both TM and TW, which justifies their inclusion in public health policies. Structural strategies and clinical interventions are suggested to address condom negotiation self-efficacy and “passing” concerns in transgender populations.

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Section: Discussionmentioning

confidence: 99%