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Gender abuse, depressive symptoms, and HIV and other sexually transmitted infections among male-to-female transgender persons: A three-year prospective study

Author

Listed:
  • Nuttbrock, L.
  • Bockting, W.
  • Rosenblum, A.
  • Hwahng, S.
  • Mason, M.
  • Macri, M.
  • Becker, J.

Abstract

Objectives. We examined gender abuse and depressive symptoms as risk factors for HIV and other sexually transmitted infections (HIV/STI) among maleto- female transgender persons (MTFs). Methods. We conducted a 3-year prospective study of factors associated with incident HIV, syphilis, hepatitis B, chlamydia, and gonorrhea among 230 MTFs from the New York Metropolitan Area. Statistical techniques included Cox proportional hazards analysis with time varying covariates. Results. Among younger MTFs (aged 19-30 years), gender abuse predicted depressive symptoms (Center for Epidemiologic Studies Depression score ≥ 20), and gender abuse combined with depressive symptoms predicted both high-risk sexual behavior (unprotected receptive anal intercourse) and incident HIV/STI. These associations were independent of socioeconomic status, ethnicity, sexual orientation, hormone therapy, and sexual reassignment surgery. Conclusions. Gender abuse is a fundamental distal risk factor for HIV/STI among younger MTFs. Interventions for younger MTFs are needed to reduce the psychological impact of gender abuse and limit the effects of this abuse on highrisk sexual behavior. Age differences in the impact of gender abuse on HIV/STI suggest the efficacy of peer-based interventions in which older MTFs teach their younger counterparts how to cope with this abuse. Copyright © 2012 by the American Public Health Association®.

Suggested Citation

  • Nuttbrock, L. & Bockting, W. & Rosenblum, A. & Hwahng, S. & Mason, M. & Macri, M. & Becker, J., 2013. "Gender abuse, depressive symptoms, and HIV and other sexually transmitted infections among male-to-female transgender persons: A three-year prospective study," American Journal of Public Health, American Public Health Association, vol. 103(2), pages 300-307.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300568_9
    DOI: 10.2105/AJPH.2011.300568
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    Cited by:

    1. Süreyya Gümüşsoy & İsmet Hortu & Nursel Alp Dal & Sevgül Dönmez & Ahmet Mete Ergenoğlu, 2022. "Quality of Life and Perceived Social Support Before and After Sex Reassignment Surgery," Clinical Nursing Research, , vol. 31(3), pages 481-488, March.

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