| Titre : | HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons : Implications for public health intervention. (2001) |
| Auteurs : | Kristen CLEMENTS-NOLLE ; Robert GUZMAN ; Mitchell KATZ ; Rani MARX ; San Francisco Department of Public Health. San Francisco. CA. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 91, n° 6, 2001) |
| Pagination : | 915-921 |
| Langues: | Anglais |
| Mots-clés : | Epidémiologie ; Sida ; Virose ; Infection ; Prévalence ; Comportement ; Prise de risque ; Transsexualisme ; Comportement sexuel ; Niveau enseignement ; Utilisation service ; Utilisation ; Homme ; Race ; Sexe ; Facteur sociodémographique ; Immunopathologie ; Etats Unis ; Amérique ; Amérique du Nord ; Psychopathologie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xxSXi1. Diffusion soumise à autorisation]. Objectives. This study described HIV prevalence, risk behaviors, health care use, and mental health status of male-to-female and female-to-male transgender persons and determined factors associated with HIV. Methods. We recruited transgender persons through targeted sampling, respondent-driven sampling, and agency referrals ; 392 male-to-female and 123 female-to-male transgender persons were interviewed and tested for HIV. Results. HIV prevalence among male-to-female transgender persons was 35%. African American race (adjusted odds ratio [OR]=5.81 ; 95% confidence interval [CI]=2.82,11.96), a history of injection drug use (OR=2.69 ; 95% Cl=1.56,4.62), multiple sex partners (adjusted OR=2.64 ; 95% Cl=1.50,4.62), and low education (adjusted OR=2.08 ; 95% CI=1.17,3.68) were independently associated with HIV. Among female-to male transgender persons, HIV prevalence (2%) and risk behaviors were much lower. Most male-to-female (78%) and female-to-male (83%) transgender persons had seen a medical provider in the past 6 months. Sixty-two percent of the male-to-female and 55% of the female-to-male transgender persons were depressed ; 32% of each population had attempted suicide. Conclusions. High HIV prevalence suggessts an urgent need for risk reduction interventions for male-to-female transgender persons. Recent contact with medical providers was observed, suggesting that medical providers could provide an important link to needed prevention, health, and social services. |
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