Sexual Orientation, Gender Identity and Perceived Source of Infection Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) Recently Diagnosed with HIV and/or STI in Lima, Peru

Cheríe S. Blair, Eddy R. Segura, Amaya G. Perez-Brumer, Jorge Sanchez, Javier R. Lama, Jesse L. Clark

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Risk perception and health behaviors result from individual-level factors influenced by specific partnership contexts. We explored individual- and partner-level factors associated with partner-specific perceptions of HIV/STI risk among 372 HIV/STI-positive MSM and transgender women (TW) in Lima, Peru. Generalized estimating equations explored participants’ perception of their three most recent partner(s) as a likely source of their HIV/STI diagnosis. Homosexual/gay (PR = 2.07; 95 % CI 1.19–3.61) or transgender (PR = 2.84; 95 % CI 1.48–5.44) partners were more likely to be considered a source of infection than heterosexual partners. Compared to heterosexual respondents, gay and TW respondents were less likely to associate their partner with HIV/STI infection, suggesting a cultural link between gay or TW identity and perceived HIV/STI risk. Our findings demonstrate a need for health promotion messages tailored to high-risk MSM partnerships addressing how perceived HIV/STI risk aligns or conflicts with actual transmission risks in sexual partnerships and networks.

Original languageEnglish
Pages (from-to)2178-2185
Number of pages8
JournalAIDS and Behavior
Volume20
Issue number10
DOIs
StatePublished - 1 Oct 2016
Externally publishedYes

Keywords

  • HIV
  • MSM
  • Perceived risk
  • STI
  • Transgender

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