AIDS and Behavior

, Volume 19, Issue 8, pp 1446–1453 | Cite as

Gender Abuse and Incident HIV/STI Among Transgender Women in New York City: Buffering Effect of Involvement in a Transgender Community

  • Larry Nuttbrock
  • Walter Bockting
  • Andrew Rosenblum
  • Sel Hwahng
  • Mona Mason
  • Monica Macri
  • Jeffrey Becker
Original Paper


In a 3 year prospective study of 230 transgender women from the New York City Area, we further examined associations of gender-related abuse with HIV sexual risk behavior and incident HIV/STI, focusing here and the extent to which these associations are buffered by involvement in a transgender community. Largely consistent with the prior study, gender abuse was longitudinally associated with unprotected receptive anal intercourse (URAI) with casual and commercial sex partners, and the presumed biological outcome of this behavioral risk, new cases of HIV/STI. Both of these associations, gender abuse with URAI and HIV/STI, were significantly buffered by transgender community involvement (interaction effects). However, independent of these interaction effects, transgender community involvement was also positively associated with URAI and HIV/STI (direct effects). HIV prevention in this population should emphasize the benefits of interactions with transgender peers while also emphasizing the importance of resisting normative permission for HIV risk behavior from these same peers.


Transgender Gender abuse HIV/STI Transgender community 



Supported by a Grant from the National Institute of Drug Abuse (NIDA) (1 R01 DA018080) (Larry Nuttbrock, Principal Investigator) and by a NIDA administrative research supplement to promote diversity in health related research (Sel Hwahng, Ph.D., Investigator). We thank the participants of this study for sharing their “life stories.”


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Larry Nuttbrock
    • 1
    • 2
  • Walter Bockting
    • 3
  • Andrew Rosenblum
    • 1
  • Sel Hwahng
    • 1
  • Mona Mason
    • 1
  • Monica Macri
    • 1
  • Jeffrey Becker
    • 1
  1. 1.Institute of Treatment and Services Research at the National Development and Research Institutes (NDRI)New YorkUSA
  2. 2.ElmhurstUSA
  3. 3.LGBT Health Initiative, Division of Gender, Sexuality and HealthNew York State Psychiatric Institute/Columbia University Medical CenterNew YorkUSA

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