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Syndemic Theory and HIV-Related Risk Among Young Transgender Women: The Role of Multiple, Co-Occurring Health Problems and Social Marginalization

Open access
Brennan, Julia, Kuhns, Lisa M., Johnson, Amy K., Belzer, Marvin, Wilson, Erin C., Garofalo, Robert, the Adolescent Medicine Trials Network for HIV/AIDS Interventions·2012·American Journal of Public Health

Abstract

Objectives. We assessed whether multiple psychosocial factors are additive in their relationship to sexual risk behavior and self-reported HIV status (i.e., can be characterized as a syndemic) among young transgender women and the relationship of indicators of social marginalization to psychosocial factors. Methods. Participants (n = 151) were aged 15 to 24 years and lived in Chicago or Los Angeles. We collected data on psychosocial factors (low self-esteem, polysubstance use, victimization related to transgender identity, and intimate partner violence) and social marginalization indicators (history of commercial sex work, homelessness, and incarceration) through an interviewer-administered survey. Results. Syndemic factors were positively and additively related to sexual risk behavior and self-reported HIV infection. In addition, our syndemic index was significantly related to 2 indicators of social marginalization: a history of sex work and previous incarceration. Conclusions. These findings provide evidence for a syndemic of co-occurring psychosocial and health problems in young transgender women, taking place in a context of social marginalization.

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Metadata

Authors
Brennan, J., Kuhns, L. M., Johnson, A. K., Belzer, M., Wilson, E. C., Garofalo, R., & the Adolescent Medicine Trials Network for HIV/AIDS Interventions
Venue
American Journal of Public Health
Published
2012-09
Volume
102
Issue
9
Pages
1751-1757
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
OpenAlex
W2115325589
Cited by
429
References
4
FWCI
23.45
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Syndemic Theory and HIV-Related Risk Among Young Transgender Women: The Role of Multiple, Co-Occurring Health Problems and Social Marginalization. https://app.cochat.ai/papers/10.2105/ajph.2011.300433
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Brennan, J., Kuhns, L. M., Johnson, A. K., Belzer, M., Wilson, E. C., Garofalo, R., & the Adolescent Medicine Trials Network for HIV/AIDS Interventions. (2012). Syndemic Theory and HIV-Related Risk Among Young Transgender Women: The Role of Multiple, Co-Occurring Health Problems and Social Marginalization. American Journal of Public Health. https://doi.org/10.2105/ajph.2011.300433

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