OBJECTIVE: To examine the relationship between self-assessed HIV risk, self-reported behavior, and seroprevalence in a male-to-female (MtF) transgender population. METHODS: Those eligible included Los Angeles County residents 18 years or older, born male but identifying as a woman or MtF transgender/transsexual, and receiving prevention services at three community agencies. Each participant received a structured interview and an HIV antibody test. RESULTS: Of 244 in the study group, 14% reported a prior HIV-positive test and were excluded from further analysis. Of the remainder (n=211), 14% reported that it was somewhat to very likely they were HIV-infected, 70% that it was somewhat to very unlikely, and 17% that they did not know the likelihood of infection. The seroprevalence in the three groups was 28%, 8%, and 9%, respectively (p=.005). Among those who assessed their likelihood of infection as unlikely or unknown (n=181), 70% reported high-risk behaviors in the past 6 months (unprotected anal sex, sex while high on alcohol/drugs, or sharing needles for injection-drug use). Those who reported high risk behavior in the past 6 months were more likely to be 18-29 years of age (p=.005), have <12 years of education (p=.003), self-identify as heterosexual (p<.001), and report sex work as a major source of income (p<.001). CONCLUSIONS: Many in this MtF transgender population perceive themselves at low risk of infection yet are at significant risk based on reported behaviors. The findings highlight the importance of prevention efforts that include client-centered counseling that facilitates accurate self-assessment of risk.
Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to: 1. Recognize the complexity of the transgender experience related to HIV risk. 2. Understand the relationship between self assessed risk and reported risk behaviors. 3. Recognize the high HIV seroprevalence in this population
Keywords: Risky Behaviors, HIV/AIDS
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.