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J Acquir Immune Defic Syndr. 2001 Dec 1;28(4):380-4.

Incidence of human immunodeficiency virus among male-to-female transgendered persons in San Francisco.

Author information

1
Department of Public Health, San Francisco, California, USA. Tim_Kellogg@dph.sf.ca.us

Abstract

OBJECTIVE:

To estimate HIV incidence among male-to-female transgendered persons (MtF transgendered persons) who repeatedly tested for HIV antibodies at public San Francisco counseling and testing sites between July 1997 and June 2000.

METHODS:

HIV seroconversions were identified and person-time of observation were estimated using the date and result of the current test and the self-reported date and result of the previous test. Factors independently associated with HIV seroconversion were determined using multivariable proportional hazard analysis.

RESULTS:

HIV incidence was 7.8 per 100 person-years (95% confidence intervals [CI], 4.6-12.3) based on 13 seroconversions among 155 repeat testers with 167.7 person-years of observation. African-American race/ethnicity (adjusted relative hazard ratio [HR], 5.0; 95% CI, 1.5-16.2) and unprotected receptive anal intercourse (HR, 3.9; 95% CI, 1.2-13.1) were independent predictors of HIV seroconversion.

CONCLUSIONS:

HIV is currently spreading at an extremely high rate among MtF transgendered persons in San Francisco, especially those who are African Americans.

[Indexed for MEDLINE]

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