Differences in substance use and sexual partnering between men who have sex with men, men who have sex with men and women and transgender women

作者：Bowers Jane Rohde^*; Branson Catherine M; Fletcher Jesse; Reback Cathy J

来源：Culture, Health and Sexuality, 2011, 13(6): 629-642.

DOI：10.1080/13691058.2011.564301

• HIV
• AIDS
• men who have sex with men
• gay
• bisexual men
• transgender women
• substance use
• USA

Men who have sex with men (MSM), men who have sex with men and women (MSM/W) and transgender women (TGW) remain the populations most severely and disproportionately impacted upon by HIV in Los Angeles County. Baseline data from community-based HIV-prevention programmes serving these populations were analysed to explore differences in demographic characteristics, substance use and sexual partnering between the three groups. Despite high HIV prevalence overall (MSM 34.7% versus MSM/W 16.1% versus TGW 21.9%, p.001), there were striking differences in risk behaviours. Higher rates of homelessness were reported by MSM/W compared to MSM and TGW. Lower rates of education and less substance use were reported by TGW (62.2%), compared to MSM (79.7%) and MSM/W (92.6%). A much higher number of male sexual exchange partners were reported by TGW (MSM 1.04 [SD=4.8] versus MSM/W 1.54 [SD=10.3] versus TGW 12.37 [SD=23.9], p.001). Findings support the need for HIV-prevention interventions that specifically address the unique risk patterns among each population in order to curb HIV acquisition and transmission.

• 出版日期2011