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Psychosocial Problems and Condomless Anal Sex among Transgender Women in Two Cities of China: Study Based on the Syndemic Framework

Author

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  • Danni Xia

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
    These authors contributed equally to this work.)

  • Yingjie Chen

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
    These authors contributed equally to this work.)

  • Ruijie Chang

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Chen Xu

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Xiaoyue Yu

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Yujie Liu

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Hui Chen

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Rongxi Wang

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Shangbin Liu

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Xin Ge

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Yuxuan Wang

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Ajuan Liang

    (Reproductive Medical Center, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China)

  • Fan Hu

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Yong Cai

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Ying Wang

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

Abstract

Studies examining the association between psychosocial problems and condomless anal sex (CAS) among transgender women (TGW) are rare. In this study, close attention was paid to the effect of co-occurring psychosocial problems on sexual risk behaviors. A cross-sectional study, including 247 TGW, was conducted in Kunming and Shenyang, China. The prevalence of condomless anal sex among TGW in the previous 6 months was 30.8%. Most of the psychosocial factors were associated with one another in bivariate logistic regression models. Low self-esteem (ORm = 2.99, 95% CI = 1.25–7.18), sexual compulsivity (ORm = 2.13, 95% CI = 1.13–4.00), and intimate partner violence (ORm = 2.21, 95% CI = 1.19–4.11) were discovered to be related to condomless anal sex in the multivariate regression model. No significant interactive effects of the syndemic factors on condomless anal sex were detected. More programmatic and effective HIV prevention interventions targeting psychosocial problems are required to reduce HIV infection within the population.

Suggested Citation

  • Danni Xia & Yingjie Chen & Ruijie Chang & Chen Xu & Xiaoyue Yu & Yujie Liu & Hui Chen & Rongxi Wang & Shangbin Liu & Xin Ge & Yuxuan Wang & Ajuan Liang & Fan Hu & Yong Cai & Ying Wang, 2022. "Psychosocial Problems and Condomless Anal Sex among Transgender Women in Two Cities of China: Study Based on the Syndemic Framework," IJERPH, MDPI, vol. 19(23), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16161-:d:991917
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    References listed on IDEAS

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    1. Tsai, Alexander C. & Burns, Bridget F.O., 2015. "Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept," Social Science & Medicine, Elsevier, vol. 139(C), pages 26-35.
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    3. Pinkerton, Steven D. & Abramson, Paul R., 1997. "Effectiveness of condoms in preventing HIV transmission," Social Science & Medicine, Elsevier, vol. 44(9), pages 1303-1312, May.
    4. Tomori, Cecilia & McFall, Allison M. & Solomon, Sunil S. & Srikrishnan, Aylur K. & Anand, Santhanam & Balakrishnan, P. & Mehta, Shruti H. & Celentano, David D., 2018. "Is there synergy in syndemics? Psychosocial conditions and sexual risk among men who have sex with men in India," Social Science & Medicine, Elsevier, vol. 206(C), pages 110-116.
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