Characteristics of male HIV-positive Ryan White clients with transgender sexual partners
Methods: Ryan White Part A providers assess clients on demographic, behavioral, and clinical characteristics, including sexual history, via standardized interview. Male HIV-positive clients were included in this analysis if they were assessed from 1/1/11-6/30/13, reported sexual activity during the year before assessment, and matched to the NYC HIV Surveillance Registry. Group assignment was hierarchical as follows: those reporting transgender partners were categorized as MST; men reporting male partners were categorized as men who have sex with men (MSM); and those reporting only female partners were categorized as men who have sex with women (MSW). Analyses included descriptive frequencies on MST and Chi-square tests identifying associations between each characteristic and MST group membership.
Results: Of 147 MST, almost 20% were foreign-born, 42% were unstably housed, 31% had a history of incarceration, and 70% lived below federal poverty level (FPL). MST were significantly more likely than MSW (n=2189) to have recent IDU, unprotected sex, multiple sex partners and interrupted care. MST were significantly more likely than MSM (n=2306) to be: aged 50 or older, without a high school diploma, unemployed, below FPL, and previously incarcerated.
Conclusions: MST exhibited elevated risk of onward HIV transmission and a greater burden of life and environmental stressors. These results can inform HIV prevention and care interventions for MST.
Learning Areas:Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Describe demographic, behavioral and clinical differences between HIV-positive men who report transgender sexual partners and other HIV-positive men.
Keyword(s): Lesbian, Gay, Bisexual and Transgender (LGBT), Risk Factors/Assesment
Qualified on the content I am responsible for because: I am actively involved in researching, evaluating and reporting on Ryan White programs in the New York Eligible Metropolitan Area, as well as managing the data system that collects client-level data on all Ryan White clients in this area.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.