Social Determinants of Transactional Sex in a Sample of Young Black and Latinx Sexual Minority Cisgender Men and Transgender Women

2021 ◽  
Author(s):  
Renata Arrington-Sanders ◽  
Aubrey Alvarenga ◽  
Noya Galai ◽  
Joyell Arscott ◽  
Andrea Wirtz ◽  
...  
Keyword(s):  
Social Determinants ◽  
Sexual Minority ◽  
Transgender Women ◽  
Transactional Sex

Housing Stability and Transactional Sex among Spanish-Speaking and English-Speaking Transgender Women

2021 ◽  
Vol 2 (2) ◽  
pp. 135-141
Author(s):  
John A. Sauceda ◽  
Edda I. Santiago-Rodriguez ◽  
Gaspar Zaragoza ◽  
Catherine E. Rivas ◽  
Luz Venegas ◽  
...  
Keyword(s):  
Regression Model ◽  
San Francisco ◽  
Transgender Women ◽  
Spanish Speakers ◽  
Transactional Sex ◽  
English Speakers ◽  
Lower Probability ◽  
Housing Stability ◽  
Spanish Speaking ◽  
English Speaking

There is evidence for a relationship between housing instability and transactional sex among transgender women. However, less is known about this relationship among monolingual Spanish-speaking transgender women. We compared Spanish- and English-speaking transgender women for differences in ever reporting transactional sex, and if perceived housing stability moderated these differences. Using a cross-sectional design, we surveyed 186 Spanish- and English-speaking transgender women in Philadelphia, Pennsylvania, and the San Francisco Bay Area, California. All variables in this study were from a brief demographic questionnaire in a larger parent study. Using a multivariate regression model for moderation, we tested whether the odds for reporting transactional sex were different between English and Spanish speakers, and whether housing stability moderated these odds. Overall, Spanish and English speakers reporting similar percentages of transactional sex (52.3–53.8%) and similar scores on the housing stability measure. In the moderation regression model, Spanish speakers had 7.9 times the adjusted odds of transaction sex, versus English speakers, but housing stability moderated the probability of transactional sex in the form of a crossover interaction. That is, lesser housing stability was associated with a higher probability of reporting transactional sex among Spanish speakers, yet greater housing stability was also associated with lower probability of reporting transactional sex. Housing stability evidenced both a risk and protective role for Spanish-speaking transgender women, which highlight the importance of this basic health need.

scholarly journals Rapid mixed-methods assessment of COVID-19 impact on Latinx sexual minority men and Latinx transgender women

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244421
Author(s):  
Sarah MacCarthy ◽  
Max Izenberg ◽  
Joanna L. Barreras ◽  
Ron A. Brooks ◽  
Ana Gonzalez ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Sexual Minority ◽  
Healthcare Access ◽  
Transgender Women ◽  
Medical Attention ◽  
Computer Assisted ◽  
Hiv Knowledge ◽  
Sexual Minority Men ◽  
Minority Men ◽  
The Impact

We conducted a rapid, mixed-methods assessment to understand how COVID-19 affected Latinx sexual minority men (LSMM) and transgender women (LTGW). Using a computer-assisted telephone interviewing software, one interviewer called 52 participants (randomly sampled from a larger HIV prevention pilot study aiming to increase HIV knowledge and testing frequency; n = 36 LSMM and n = 16 LTGW) between 04/27/20-05/18/20. We quantified core domains using the Epidemic-Pandemic Impacts Inventory scale and provided important context through open-ended qualitative questions assessing: 1) COVID-19 infection history and experiences with quarantine; 2) Health and healthcare access; 3) Employment and economic impact of COVID-19. Participants reported increases in physical conflict or verbal arguments with a partner (13.5%) or other adult(s) (19.2%) due to stressors associated with the safer-at-home order. Participants also reported increased alcohol consumption (23.1%), problems with sleep (67.3%) and mental health (78.4%). Further, disruptions in access to Pre-Exposure Prophylaxis or PrEP–a daily pill to prevent HIV–occurred (33.3% of 18 participants who reported being on PrEP). Many said they received less medical attention than usual (34.6%), and LTGW reported delays in critical gender-affirming hormones/procedures. Half of the participants lost their jobs (50.0%); many undocumented participants relayed additional financial concerns because they did not qualify for financial assistance. Though no COVID-19 infections were noted, COVID-19 dramatically impacted other aspects of health and overall wellbeing of LSMM and LTGW. Public health responses should address the stressors faced by LSMM and LTGW during the COVID-19 pandemic and the impact on wellbeing.

Mental Health in Sexual Minority and Transgender Women

2019 ◽  
Vol 103 (4) ◽  
pp. 723-733 ◽  
Author(s):  
Julie K. Schulman ◽  
Laura Erickson-Schroth
Keyword(s):  
Mental Health ◽  
Sexual Minority ◽  
Transgender Women

scholarly journals Application of the “syndemics” theory to explain unprotected sex and transactional sex: A crosssectional study in men who have sex with men (MSM), transgender women, and non-MSM in Colombia

Biomédica ◽  
2020 ◽  
Vol 40 (2) ◽  
pp. 391-403
Author(s):  
Beatriz Alvarado ◽  
Hector Fabio Mueses ◽  
Jaime Galindo ◽  
Jorge Luis Martínez-Cajas
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Alcohol Use ◽  
Hiv Risk ◽  
Illicit Drug ◽  
Transgender Women ◽  
Unprotected Sex ◽  
Transactional Sex ◽  
Psychosocial Conditions ◽  
Sex With Men

Introduction: Men who have sex with men (MSM) and transgender women (TW) in Colombia are highly affected by HIV. To improve understanding of the role of HIV risk behaviors in HIV acquisition, we used the syndemic framework, a useful concept to inform prevention efforts.Objective: To examine the effect of four psychosocial conditions, namely, forced sex, history of childhood sexual abuse, frequent alcohol use, and illicit drug use on unprotected sex and the synergistic effects (“syndemic” effects) of these conditions on HIV risk behavior.Materials and methods: We enrolled a total of 812 males (54.7% men who have sex with men, MSM; 7.3% transgender women, and 38% non-MSM). The participants were recruited from neighborhoods of low socioeconomic status through free HIV-counseling and -testing campaigns. We performed Poisson regression analysis to test the associations and interactions between the four psychosocial conditions and unprotected sex with regular, occasional, and transactional partners. To test the “syndemic” model, we assessed additive and multiplicative interactions.Results: The prevalence of any psychosocial condition was 94.9% in transgender women, 60.1% in MSM, and 72.2% in non-MSM. A higher likelihood of transactional sex was associated in MSM (prevalence ratio (PR)=7.41, p<0.001) and non-MSM (PR=2.18, p< 0.001) with three or all four conditions compared to those with one condition. Additive interactions were present for all combinations of psychosocial problems on transactional sex n MSM. No cumulative effect or additive interaction was observed in transgender women.Conclusions: Our study highlights the need for bundled mental health programs addressing childhood sexual abuse, illicit drug use, and frequent alcohol use with other HIV prevention programs.

scholarly journals Syndemic Conditions, HIV Transmission Risk Behavior, and Transactional Sex Among Transgender Women

2018 ◽  
Vol 22 (7) ◽  
pp. 2056-2067 ◽  
Author(s):  
Jeffrey T. Parsons ◽  
Nadav Antebi-Gruszka ◽  
Brett M. Millar ◽  
Demetria Cain ◽  
Sitaji Gurung
Keyword(s):  
Risk Behavior ◽  
Hiv Transmission ◽  
Transgender Women ◽  
Transactional Sex ◽  
Transmission Risk ◽  
Hiv Transmission Risk

scholarly journals Profiles of HIV Risk, Sexual Power, and Decision-Making among Sexual Minority Men of Color Who Engage in Transactional Sex: A Latent Profile Analysis

2021 ◽  
Vol 18 (9) ◽  
pp. 4961
Author(s):  
S. Raquel Ramos ◽  
David T. Lardier ◽  
Donte T. Boyd ◽  
José I. Gutierrez ◽  
Eliana Carasso ◽  
...  
Keyword(s):  
Decision Making ◽  
Hiv Risk ◽  
Sexual Minority ◽  
Profile Analysis ◽  
Sexual Relationship ◽  
Transactional Sex ◽  
Sexual Minority Men ◽  
Men Of Color ◽  
Minority Men ◽  
Sexual Power

Though the transmission of HIV is preventable, there were still 37,968 new documented cases in the United States in 2018. HIV incidence is disproportionate in sexual minority men of color. The purpose of this study was to examine sexual relationship power risk profiles to identify distinct subgroups within the profiles who carry the highest HIV risk. Latent class profile analysis was used to identify subgroups of sexual minority men of color at the highest risk for contracting HIV based on their sexual power profiles. Among 322 sexual minority men, we identified four latent profiles. Profile 1: Low transactional sex and high power (n = 133; 14.3%); Profile 2: Transactional sex, high decision-making in sexual relationships, and low control in sexual relationship (n = 99; 30.7%); Profile 3: Low transactional sex, low decision-making, and moderate control (n = 43; 13.4%); Profile 4: High transactional sex and low power (n = 47; 14.6%). LPA was useful to identify distinct subgroups based on measures of sexual risk and relationship sexual power. Findings carry significant implications for developing tailored strategies to increase HIV knowledge and related HIV prevention and risk reduction services for sexual minority men of color who engage in transactional sex.

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