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LGBT Health. 2019 Oct;6(7):370-376. doi: 10.1089/lgbt.2018.0087.

Assessing Sexually Transmitted Infections and HIV Risk Among Transgender Women in Lima, Peru: Beyond Behavior.

Author information

1
South American Program in HIV Prevention Research (SAPHIR), Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
2
Alpert Medical School, Brown University, Providence, Rhode Island.
3
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
4
Asociación Civil Vía Libre, Lima, Peru.
5
Division of Infectious Diseases, Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas.

Abstract

Purpose: The purpose of this study was to explore risk factors for HIV and sexually transmitted infections (STIs) among transgender women (TW) in Lima, Peru. Methods: HIV-negative or serostatus unknown TW reporting recent condomless receptive anal intercourse underwent testing for STIs and HIV and completed a sociobehavioral survey. Results: Among 120 TW, 29.6% had rectal Neisseria gonorrhoeae (GC) or Chlamydia trachomatis (CT) and 12.6% had HIV. Age and migrant status were associated with rectal GC/CT, and rectal GC/CT predicted HIV infection. Conclusions: Further study is needed to understand individual and social factors that contribute to HIV/STI vulnerability among TW.

KEYWORDS:

Global health; HIV/AIDS; sexually transmitted infections; transgender

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