Open AccessCharacteristics of Transgender Residents of Massachusetts Cities With High HIV Prevalence
Author(s) -
Jaclyn M. W. Hughto,
Sari L. Reisner,
Matthew J. Mimiaga
Publication year - 2015
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2015.302877
Subject(s) - transgender , demography , ethnic group , context (archaeology) , human immunodeficiency virus (hiv) , transgender women , medicine , gerontology , men who have sex with men , geography , gender studies , family medicine , sociology , syphilis , archaeology , anthropology
Geographic context can influence individual risk in populations disproportionately susceptible to HIV infection, such as transgender people. We examined factors associated with residing in Massachusetts cities with the highest HIV prevalence (geographic "hotspots") in a 2013 sample of 433 transgender adults who were not infected with HIV. Residing in hotspots was associated with older age, non-White race/ethnicity, low income, incarceration history, polydrug use, smoking, binge drinking, and condomless receptive anal sex during one's most recent sexual encounter with a partner who was assigned male sex at birth. Future research to understand the interpersonal and socio-structural factors that drive localized epidemics among transgender people is warranted.