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. 2015 Jul;105 Suppl 3(Suppl 3):e41-7.
doi: 10.2105/AJPH.2014.302443. Epub 2015 Apr 23.

Differential HIV risk for racial/ethnic minority trans*female youths and socioeconomic disparities in housing, residential stability, and education

Erin C Wilson  1 , Yea-Hung Chen, Sean Arayasirikul, Marla Fisher, W Andres Pomart, Victory Le, H Fisher Raymond, Willi McFarland
Affiliations

Differential HIV risk for racial/ethnic minority trans*female youths and socioeconomic disparities in housing, residential stability, and education

Erin C Wilson et al. Am J Public Health. 2015 Jul.

Abstract

Objectives: We examined HIV prevalence and risk behaviors of 282 trans*female youths aged 16 to 24 years participating in the San Francisco Bay Area, California, SHINE study from 2012 to 2013 to determine differences between racial/ethnic minority and White youths.

Methods: We conducted the χ(2) test to determine distributional differences between racial/ethnic minority and White participants in sociodemographic factors, HIV-related risk behaviors, and syndemic factors.

Results: Of the trans*female youths, 4.8% were HIV positive. Racial/ethnic minority and White trans*female youths differed significantly in gender identity and sexual orientation. Racial/ethnic minority youths also had significantly lower educational attainment, were less likely to have lived with their parents of origin as a child, and were significantly more likely to engage in recent condomless anal intercourse than were Whites.

Conclusions: Efforts to assess the impact of multiple-minority stress on racial/minority trans*female youths are needed imminently, and prevention efforts must address macrolevel disparities for trans*female youths, especially those from racial/ethnic minority groups, to reduce these disparities and prevent incident cases of HIV.

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References

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    1. Garofalo R, DeLeon J, Osmer E, Doll M, Harper G. Overlooked, misunderstood, and at-risk: overlooked, misunderstood and at-risk: exploring the lives and HIV risk of ethnic minority male-to-female transgender youth. Journal of Adolescent Health. 2006;38(3):230–236. - PubMed
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    1. Wilson EC, Garofalo R, Harris RD et al. Transgender female youth and sex work: HIV risk and a comparison of life factors related to engagement in sex work. AIDS Behav. 2009;13(5):902–913. - PMC - PubMed

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