Correlates of HIV infection among transfemales, San Francisco, 2010: results from a respondent-driven sampling study.
Open accessAbstract
OBJECTIVES: We evaluated the use of respondent-driven sampling (RDS) among a high-risk population of transfemales. We also obtained up-to-date epidemiological data on HIV infection and related correlates among this population. METHODS: We evaluated the utility of RDS in recruiting a sample of 314 transfemales in San Francisco, California, from August to December 2010 by examining patterns of recruitment and assessing network sizes and equilibrium. We used RDS weights to conduct bivariate and multivariate analyses of correlates of HIV infection. RESULTS: The sample had moderate homophily and reached equilibrium at the eighth wave of recruitment. Weighted HIV prevalence among transfemales was 39.5%. Being a transfemale of color, using injection drugs, and having low educational attainment were independently associated with HIV infection and having a high number of sexual partners and identifying as female were not. CONCLUSIONS: RDS performed well and allowed for analyses that are generalizable to the population from which the sample was drawn. Transfemales in San Francisco are disproportionately affected by HIV compared with all other groups except men who have sex with men who also inject drugs.
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Transgender persons often experience high rates of stigma and socioeconomic and structural barriers to care that negatively affect health care usage and increase susceptibility to HIV and STIs.
“Transgender persons often experience high rates of stigma and socioeconomic and structural barriers to care that negatively affect health care usage and increase susceptibility to HIV and STIs (326–332).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [329]
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Sexually Transmitted Infections Treatment Guidelines, 2021
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- Authors
- Rapues, J., Wilson, E. C., Packer, T., Colfax, G. N., & Raymond, H. F.
- Affiliations
- San Francisco Department of Public Health (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2013-08
- Volume
- 103
- Issue
- 8
- Pages
- 1485-1492
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC4007863
- OpenAlex
- W2142167418
- Cited by
- 77
- References
- 12
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 5 · 2020: 3 · 2019: 12 · 2018: 7 · 2017: 10 · 2016: 7 · 2015: 11 · 2014: 6 · 2013: 3
- FWCI
- 6.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Keywords
- HIV infection, respondent-driven sampling, HIV prevalence, intravenous drug use, racial disparities, educational attainment, sexual partners, homophily, San Francisco
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Risk Factors, Sampling Studies, San Francisco, Sexual Partners, HIV Infections, Prevalence, Chi-Square Distribution, Transgender Persons
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