“There’s no pamphlet for the kind of sex I have”: HIV-related risk factors and protective behaviors among transgender men who have sex with nontransgender men.
Open accessAbstract
Preliminary evidence has suggested that some transgender men who have sex with nontransgender men ("trans MSM") may be at risk for HIV and sexually transmitted infections and that their prevention needs are not being met. Quantitative (n =45) and qualitative (n =15) interviews explored risk behaviors, protective strategies, and perceptions of the impact of transgender identity on sexual decision making among trans MSM. A majority of the participants reported inconsistent condom use during receptive vaginal and anal sex with nontrans male partners; HIV prevalence was 2.2%. Risk factors included barriers to sexual negotiation such as unequal power dynamics, low self-esteem, and need for gender identity affirmation. Protective strategies included meeting and negotiating with potential partners online. Results of this study provide initial evidence that current risk behaviors could lead to rising HIV prevalence rates among trans MSM. Prevention programs must tailor services to include issues unique to trans MSM and their nontrans male partners.
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Transgender men who have sex with cisgender men might be at elevated risk for HIV infection.
“However, transgender men who have sex with cisgender men might be at elevated risk for HIV infection (332,363,364).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [364]
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- Authors
- Sevelius, J.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Sevelius, Jae
- ORCID
- Sevelius, Jae
- Venue
- Journal of the Association of Nurses in AIDS Care
- Published
- 2009-09
- Volume
- 20
- Issue
- 5
- Pages
- 398-410
- ISSN
- 1055-3290 (ISSN-L)
- PMC
- PMC2785444
- OpenAlex
- W1983768784
- Cited by
- 150
- References
- 18
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 7 · 2023: 9 · 2022: 10 · 2021: 9 · 2020: 15 · 2019: 15 · 2018: 9 · 2017: 12 · 2016: 19 · 2015: 7 · 2014: 4 · 2013: 7 · 2012: 5
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the Association of Nurses in AIDS Care (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K08MH085566, P30MH062246)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- HIV risk factors, HIV prevention, condom use, sexual negotiation, self-esteem, online dating, HIV prevalence, sexually transmitted infections
- MeSH terms
- Humans, Male, Risk Factors, Sexual Behavior, Transsexualism, HIV Seroprevalence, HIV Infections
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