학술논문
Syndemic Theory and HIV-Related Risk Among Young Transgender Women: The Role of Multiple, Co-Occurring Health Problems and Social Marginalization.
Document Type
Article
Author
Source
Subject
*HIV infection risk factors
*HISTORY of criminals
*SURVEYS
*AGE distribution
*CONCEPTUAL structures
*CONFIDENCE intervals
*STATISTICAL correlation
*EPIDEMIOLOGY
*HOMELESSNESS
*INTERVIEWING
*MENTAL status examination
*SEX work
*QUESTIONNAIRES
*RESEARCH funding
*RISK-taking behavior
*SCALES (Weighing instruments)
*SELF-esteem testing
*SELF-perception
*SOCIAL isolation
*STATISTICS
*VICTIMS
*WOMEN
*DATA analysis
*TRANSGENDER people
*MULTIPLE regression analysis
*CROSS-sectional method
*DESCRIPTIVE statistics
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Language
ISSN
0090-0036
Abstract
Objectives. We assessed whether multiple psychosocial factors are additive in their relationship to sexual risk behavior and self-reported HIV status (i.e., can be characterized as a syndemic) among young transgender women and the relationship of indicators of social marginalization to psychosocial factors. Methods. Participants (n = 151) were aged 15 to 24 years and lived in Chicago or Los Angeles. We collected data on psychosocial factors (low self-esteem, polysubstance use, victimization related to transgender identity, and intimate partner violence) and social marginalization indicators (history of commercial sex work, homelessness, and incarceration) through an interviewer-administered survey. Results. Syndemic factors were positively and additively related to sexual risk behavior and self-reported HIV infection. In addition, our syndemic index was significantly related to 2 indicators of social marginalization: a history of sex work and previous incarceration. Conclusions. These findings provide evidence for a syndemic of co-occurring psychosocial and health problems in young transgender women, taking place in a context of social marginalization. [ABSTRACT FROM AUTHOR]