Ethnicity, Sex Work, and Incident HIV/STI Among Transgender Women in New York City: A Three Year Prospective Study
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In conjunction with a 3-year prospective study of 199 transgender women from the New York City Area, we attempted to better understand why non-Whites are much more likely than Whites to become HIV infected. We first assessed associations of ethnicity with sex work, sexual risk behavior for HIV, and biologically-determined HIV/STI, and then assessed the extent to which these ethnic differences are explained by socioeconomic factors, immigration status, and sexual orientation. Statistical techniques included generalized estimating equations and Cox proportional hazards. As expected, compared to Whites, Blacks and Hispanics were more involved in the sex trade, more likely to report unprotected receptive anal intercourse, and as a result, more likely to become HIV/STI infected. All of these associations were mediated by androphilia, and to a lesser extent androphilia/gynephilia. Sexual orientation is a significant but little recognized factors associated with new cases of HIV/STI among transgender women of color.
KeywordsTransgender women Incident HIV/STI Ethnicity
This research was funded by R01 DA 018080 from the National Institute of Drug Abuse (NIDA) (Larry Nuttbrock, Principal Investigator).
Compliance with Ethical Standards
Conflict of Interest
Both authors declare that they have no conflict of interests pertaining to this research.
Research protocols for this research were approved and monitored by the Institutional Review Board (IRB) at National Development and Research Institutes (NDRI. All procedures performed in this study involving human participants were in accordance with the ethical standards of the institution and/or national research committee and with the 1964 Helsinki declaration and its latter amendments or comparable ethical standards.
Informed consent was obtained from all individual participants in this study.
- 7.Inciardi JA, Surratt J, Felles RR, et al. Sex, drugs, and the culture of transvestimo in Rio de Janeiro. In: Bockting W, Kirk S, editors. Transgender and HIV: risks, prevention and care. New York: Haworth; 2001.Google Scholar
- 12.Center of Disease Control and Prevention. Surveillance data for HIV in the US, 2011. www.cdc.gov/hiv/…/statistics_20. Retreived 1 Jan 16.
- 20.Samons SL. When the opposite sex isn’t. New York: Routledge; 2009.Google Scholar
- 24.Prieur A. Mema’s house: on transvestites, queens, and machos. Chicago: University of Chicago Press; 1998.Google Scholar
- 25.Baily JM. What is sexual orientation and do women have one? In: Hope DA, editor. Contemporary perspectives on lesbian, gay, and bisexual identity, vol. 54. Lincoln: University of Nebraska Press; 2009. p. 1143–63.Google Scholar
- 26.Diamond LM. Sexual fluidity: understanding women’s love and desire. Cambridge: Harvard University Press; 2008.Google Scholar
- 27.Parker RG. Bodies, pleasure, and passion: sexual culture in contemporary Brazil. Boston: Beacon Press; 1991.Google Scholar
- 30.Hardin JR, Hilbe JR. Generalized estimating equations. 2nd ed. New York: CRC Press; 2012.Google Scholar
- 31.StataCorp. Stata statistical software: Release 9. College Station, TX: StataCorp LP.Google Scholar
- 32.Cleves M, Gutienez R, Gould W, Marchenko Y. An introduction to survival analysis using stata. 2nd ed. College Station: Stata Corp LP; 2008.Google Scholar
- 33.Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. 1996. J Pers Soc Psychol. 1996;57:1173–82.Google Scholar
- 34.MacKinnon DP. Introduction to statistical mediation analysis. New York: Lawrence Erlbaum Associates; 2008.Google Scholar
- 35.Nuttbrock L. A quantitative analysis of sex work among transgender women in New York City (Chap 2). In: Nuttbrock L, editor. Transgender sex work and society. New York, NY: Harrington Park; forthcoming.Google Scholar