AIDS and Behavior

, Volume 15, Issue 3, pp 659–662

Transmen in San Francisco: What do We Know from HIV Test Site Data?

  • Shipeng Chen
  • Willi McFarland
  • Hale M. Thompson
  • H. Fisher Raymond
Brief Report

Abstract

The HIV epidemic has disproportionately affected marginalized populations. Societal marginalization contributes to the lack of appropriate prevention programs focusing on these populations, which in turn may contribute to ongoing HIV transmission. Transmen (female-to-male transgender persons) may also be a marginalized population at risk for HIV infection. Unfortunately, few studies that focus on transmen have been conducted. We considered the available existing data sources that may include members of the transmen population in San Francisco to describe what is known and what remains to be understood with respect to their risk for HIV. Data used for this descriptive analysis were collected at HIV test sites in 2009. In 2009, 59 unduplicated test seekers identified as transmen. While behavioral risk factors present in this study point to the high potential for HIV risk, there may still be low HIV prevalence and time to intervene. Lest we be caught off guard as another marginalized sexual minority experiences the tragedy of a rapid HIV epidemic, more detailed, specifically designed studies are needed to complete what we do not know about this population.

Keywords

HIV/AIDS Female to male transgender persons Transmen HIV risk behaviors 

References

  1. 1.
    Breyer C. Hidden yet happening: the epidemics of sexually transmitted infections and HIV among men who have sex with men in developing countries. Sex Transm Infect. 2009;84:410–2.CrossRefGoogle Scholar
  2. 2.
    van Griensven F, van Wijngaarden JW, Baral S, Grulich A. The global epidemic of HIV infection among men who have sex with men. Curr Opin HIV AIDS. 2009;4(4):300–7.PubMedCrossRefGoogle Scholar
  3. 3.
    Clements-Nolle K, Marx R, Guzman R, Katz M. HIV Prevalence, risk behaviors, health care use and mental health status of transgender persons: implications for public health intervention. Am J Public Health. 2001;91(6):915–21.PubMedCrossRefGoogle Scholar
  4. 4.
    HIV/AIDS epidemiology annual report 2007: San Francisco Department of Public Health (2008). Available at http://www.sfdph.org/dph/files/reports/default.asp. Accessed 22 July 2010.
  5. 5.
    Bockting W, Benner A, Coleman E. Gay and bisexual identity development among female to male transsexual in North America: emergence of a transgender sexuality. AIDS Behav. 2009; 13(4):746–756 doi 10.1007/s10508-009-9489-3
  6. 6.
    HIV/AIDS epidemiology annual report, 2008 : San Francisco Department of Public Health (2009). Available at http://www.sfdph.org/dph/files/reports/default.asp. Accessed 22 July 2010.
  7. 7.
    Raymond HF, McFarland W. Racial mixing among men who have sex with men. AIDS Behav. 2009;13(4):671–6.PubMedCrossRefGoogle Scholar
  8. 8.
    San Francisco 2010 HIV Prevention Plan: San Francisco HIV Prevention Planning Council (2010). Available at http://www.sfhiv.org/documents/Chapter1EpidemiologicProfile.pdf Accessed 5 October, 2010
  9. 9.
    McFarland W.: Proposed 2006 HIV consensus estimates. Available at http://www.sfhiv.org/files/full_council/2006/04-13/Consensus%202006%200413%20W%20McFarland.ppt (2006). Accessed 19 July 2010
  10. 10.
    Kenagy GP, Hsieh C-P. The risk less known: female-to-male transgender persons’ vulnerability to HIV infection. AIDS Care. 2005;17(2):195–207.PubMedCrossRefGoogle Scholar
  11. 11.
    Newfield E, Hart S, Dibble S, Kohler L. Female-to-male transgender quality of life. Qual Life Res. 2006;15(9):1447–57.PubMedCrossRefGoogle Scholar
  12. 12.
    Herbst JH, Jacobs ED, Finlayson TJ, McKleroy VS, Neumann MS, Crepaz N, Estimating HIV. Prevalence and risk behaviors of transgender persons in the United States: a systematic review. AIDS Behav. 2007;12:1–17.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Shipeng Chen
    • 1
  • Willi McFarland
    • 2
  • Hale M. Thompson
    • 3
  • H. Fisher Raymond
    • 2
  1. 1.School of Public Health and Tropical MedicineTulane UniversityNew OrleansUSA
  2. 2.San Francisco Department of Public HealthSan FranciscoUSA
  3. 3.School of Public HealthUniversity of MinnesotaMinneapolisUSA

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