Laboratory-confirmed HIV and sexually transmitted infection seropositivity and risk behavior among sexually active transgender patients at an adolescent and young adult urban community health center

AIDS Care
Sari L ReisnerMatthew J Mimiaga

Abstract

The sexual health of transgender adolescents and young adults who present for health care in urban community health centers is understudied. A retrospective review of electronic health record (EHR) data was conducted from 180 transgender patients aged 12-29 years seen for one or more health-care visits between 2001 and 2010 at an urban community health center serving youth in Boston, MA. Analyses were restricted to 145 sexually active transgender youth (87.3% of the sample). Laboratory-confirmed HIV and sexually transmitted infections (STIs) seroprevalence, demographics, sexual risk behavior, and structural and psychosocial risk indicators were extracted from the EHR. Analyses were descriptively focused for HIV and STIs. Stratified multivariable logistic regression models were fit for male-to-female (MTF) and female-to-male (FTM) patients separately to examine factors associated with any unprotected anal and/or vaginal sex (UAVS). The mean age was 20.0 (SD=2.9); 21.7% people of color, 46.9% white (non-Hispanic), 21.4% race/ethnicity unknown; 43.4% MTF, and 56.6% FTM; and 68.3% were on cross-sex hormones. Prevalence of STIs: 4.8% HIV, 2.8% herpes simplex virus, 2.8% syphilis, 2.1% chlamydia, 2.1% gonorrhea, 2.8% hepatitis C, 1.4...Continue Reading

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Citations

Jan 13, 2016·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Sari L ReisnerMatthew J Mimiaga
Jul 20, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tonia PoteatStefan Baral
Jul 20, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Robert GarofaloMatthew J Mimiaga
Jul 20, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sari L ReisnerMadeline B Deutsch
Feb 1, 2017·Journal of Sex Research·Rob StephensonJosé A Bauermeister
Jun 27, 2017·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Celia B FisherBrian Mustanski
Jun 1, 2017·Current Opinion in Pediatrics·Ximena LopezUNKNOWN Pediatric Endocrine Society Transgender Health Special Interest Group
Aug 3, 2018·LGBT Health·Celia B FisherBrian Mustanski
Nov 10, 2017·Current Opinion in Endocrinology, Diabetes, and Obesity·Julia Cartaya, Ximena Lopez
Feb 28, 2019·Journal of Viral Hepatitis·Erin C WilsonHenry Fisher Raymond
Sep 11, 2019·Sexual Health·Robert D KirkcaldyGwenda Hughes
Jun 2, 2020·Expert Opinion on Drug Metabolism & Toxicology·Lauren R CirrincioneAlice Tseng
Sep 30, 2021·Archives of Sexual Behavior·Edgar Garcia SaizSabra L Katz-Wise

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