Intimate Partner Violence Among Chinese Transwomen: Associations With Sexual Risk Behaviors and HIV Testing
| Autor: | Jane M. Simoni, John P. Barile, Zhen Ning, Liying Wang, Qing Yue, Huang Zheng, Rachel Harris, Frank Y. Wong, Jie Fu |
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| Rok vydání: | 2020 |
| Předmět: |
Microbiology (medical)
China Sexual Behavior Population Gonorrhea Sexually Transmitted Diseases Intimate Partner Violence HIV Infections Dermatology Hiv testing Logistic regression HIV Testing 03 medical and health sciences Risk-Taking 0302 clinical medicine Risk Factors Prevalence medicine Humans 030212 general & internal medicine education education.field_of_study 030505 public health business.industry Public Health Environmental and Occupational Health virus diseases Odds ratio medicine.disease Confidence interval Cross-Sectional Studies Sexual Partners Infectious Diseases Domestic violence Syphilis 0305 other medical science business Demography |
| Zdroj: | Sexually Transmitted Diseases. 48:362-369 |
| ISSN: | 1537-4521 0148-5717 |
| DOI: | 10.1097/olq.0000000000001317 |
| Popis: | BACKGROUND Intimate partner violence (IPV) is an emerging risk factor for HIV infection. Given the high vulnerability of and limited research on transwomen in China, we described IPV, sexual risk behaviors, HIV, and sexually transmitted infection (STIs) testing rates and results, and investigated the pathways that link IPV to HIV infection among this population. METHODS We conducted a cross-sectional survey and collected blood samples for HIV and syphilis testing among transwomen in Shanghai, China (n = 199). With logistic regression, we examined sexual risk behaviors and HIV/STI testing history among participants with and without IPV experience. RESULTS More than half of the respondents reported IPV (57.3%), and the prevalence of unprotected sex ranged from 51.9% (with sex workers) to 87.8% (oral sex); 85.9% had ever tested for HIV and 49.3% for other STIs. Self-reported positivity results were as follows: HIV (2.3%), herpes simplex virus type 2 (8.3%), gonorrhea (18.8%), and syphilis (17.8%). Laboratory-confirmed positivity values were 5.0% for HIV and 6.5% for syphilis. Respondents with a history of IPV were significantly less likely to report HIV testing in the past 12 months (adjusted odds ratio, 0.20; 95% confidence interval, 0.10-0.38). CONCLUSIONS Transwomen self-reported a high prevalence of IPV, which was related to a lower probability of HIV testing. The prevalence of HIV and other STIs was lower than reported in previous studies of Chinese transwomen, whereas the HIV/STI testing rates were higher. Findings suggest transwomen in China are at risk for IPV and need enhanced HIV prevention services to promote HIV testing in an IPV setting. |
| Databáze: | OpenAIRE |
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