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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
3201.0: Monday, December 12, 2005 - 1:00 PM

Abstract #110373

Transgender and transsexual clients of HIV service programs in Los Angeles County

Jordan W. Edwards, BA1, Dennis G. Fisher, PhD1, Grace L. Reynolds, DPA1, Michael A. Janson, BA2, Pamela C. Ogata, MPH2, and Adi Jaffe, BA1. (1) Center for Behavioral Research & Services, California State University, Long Beach, 1090 Atlantic Avenue, Long Beach, CA 90813, 562-495-2330, jordanedwards@charter.net, (2) Office of AIDS Programs and Policy, Los Angeles County Dept. of Health Services, 600 S. Commonwealth Avenue, 2nd Floor, Los Angeles, CA 90005

Objective: To describe individuals accessing HIV programs funded by Los Angeles County who self-report they are transgender or transsexual. Methods: LA County uses the Countywide Risk Assessment Survey (CRAS) annually to assess sexual risk and drug use behaviors of individuals receiving HIV prevention services. In May of 2004, 51 HIV prevention service providers completed 2,126 face-to-face interviews using the CRAS survey. This survey used two-tiered sampling that included both stratified and systematic sampling. Complete data from 2,069 responses were used in the analysis, of whom 92 were male-to-female transgender, 9 were male-to-female transsexual, and 3 were female-to-male transgender. These categories were collapsed for analysis purposes. Results: Logistic regression was used to predict membership in the Transgender (TG) group of current HIV prevention clients. “Risk” factors include: use of steroids or hormones in the last 6 months (OR=13.7, CI=7.56, 24.83), ever received offensive comments because of sexual orientation (OR=9.8, CI=5.01, 19.08, intention to use a needle after someone else (OR=9.5, CI=1.53, 59.56), ever been paid for sex (OR=4.8, CI=2.93, 7.93), ever receive HIV testing/counseling (OR=2.2, CI=1.35, 3.27), “Protective” factor is: use of heroin within six months (OR=.06, CI=.01, .32). Conclusions: Transgender clients are much more likely than other clients to have been the victim of verbal stigmatization, they are also at higher needle and commercial sex risk for HIV infection, which they may recognize by utilizing HIV testing services at a significantly higher rate. Contrary to other reports, transgender clients in this sample were significantly less likely to use heroin.

Learning Objectives:

  • At the conclusion of this session, the participant should be able to

    Keywords: Risk Behavior, Community Health Programs

    Presenting author's disclosure statement:

    I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

    [ Recorded presentation ] Recorded presentation

    Transgender Health

    The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA