Partner-Level Factors Associated with Insertive and Receptive Condomless Anal Intercourse Among Transgender Women in Lima, Peru

Milan F. Satcher(corresponding author)
,
Eddy R. Segura
,
Alfonso Silva-Santisteban
,
Jorge Sanchez
,
Javier R. Lama
,
Jesse L. Clark

*Corresponding author for this work

David Geffen School of Medicine at UCLA
,
Boston University School of Medicine / Boston Medical Center
,
Universidad Peruana Cayetano Heredia
,
Asociación Civil Impacta Salud y Educación

Research Output:

Contribution to journal

Article

Peer-review

Open access

Publication Information

Output type

Research Output:

Contribution to journal

Article

Peer-review

Original language

English

Pages from-to (Number of pages)

Pages 2439-2451 (13 pages)

Journal (Volume, Issue Number)

AIDS and Behavior (Volume 21, Issue 8)

Publication milestones

Published - 01/08/2017

Publication status

Published - 01/08/2017

ISSN

1090-7165

Publication IDs

Scopus: 84988358773
PubMed: 27639404

Abstract

Condomless anal intercourse among transgender women (TW) in Peru has been shown to vary by the type of partner involved (e.g. primary vs. casual vs. transactional sex partner), but no previous studies have explored variations in partner-level patterns of condom use according to type of anal intercourse. We evaluated the relationship between partnership characteristics and condom use during insertive (IAI) versus receptive anal intercourse (RAI) among TW with recent, non-female partners. Condomless IAI was more common with transactional and casual sex partners and by TW who self-reported HIV-uninfected serostatus (p < 0.05), alcohol use disorders, or substance use before sex. Condomless RAI was more common with primary partners and by TW who described their HIV serostatus as unknown (p < 0.05). Examining partner-level differences between condomless IAI and RAI reveals distinct patterns of HIV/STI risk among TW, suggesting a need for HIV prevention strategies tailored to the specific contexts of partners, practices, and networks.

Funding Details

We would like to express gratitude to the study participants, peer recruiters, and staff of the Asociación Civil Impacta Salud y Educación, particularly Jessica Rios, for their contributions to this study. Without their involvement, this study would not have been possible. Milan F. Satcher received funding from the UCLA South American Program in HIV Prevention Research (SAPHIR; NIH R25 MH087222). The primary research for this secondary data analysis was funded by the NIH/NIMH (NIH R21 MH092232 and K23 MH084611). This study was funded by NIMH (K23 MH084611, NIH R21 MH092232) and NIH (NIH R25 MH087222).

FundersFunding numbers

NIH

NIMH

R25MH087222, K23 MH084611, R21 MH092232

UCLA