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Differential HIV risk for racial/ethnic minority trans∗female youths and socioeconomic disparities in housing, residential stability, and education

E.C. Wilson, Y.-H. Chen, S. Arayasirikul, M. Fisher, W.A. Pomart, V. Le, H.F. Raymond and W. McFarland
Authors registered in the RePEc Author Service: Manfred M. Fischer

American Journal of Public Health, 2015, vol. 105, e41-e47

Abstract: Objectives. We examined HIV prevalence and risk behaviors of 282 trans∗female youths aged 16 to 24 years participating in the San Francisco Bay Area, California, SHINE study from 2012 to 2013 to determine differences between racial/ethnic minority and White youths. Methods. We conducted the χ2 test to determine distributional differences between racial/ethnic minority and White participants in sociodemographic factors, HIV-related risk behaviors, and syndemic factors. Results. Of the trans∗female youths, 4.8% were HIV positive. Racial/ethnic minority and White trans∗female youths differed significantly in gender identity and sexual orientation. Racial/ethnic minority youths also had significantly lower educational attainment, were less likely to have lived with their parents of origin as a child, and were significantly more likely to engage in recent condomless anal intercourse than were Whites. Conclusions. Efforts to assess the impact of multiple-minority stress on racial/ minority trans∗female youths are needed imminently, and prevention efforts must addressmacrolevel disparities for trans∗female youths, especially those from racial/ethnic minority groups, to reduce these disparities and prevent incident cases of HIV.

Keywords: adolescent; adult; ancestry group; demography; educational status; ethnology; female; health disparity; HIV Infections; human; information processing; longitudinal study; male; prevalence; socioeconomics; transgender; United States; unsafe sex, Adolescent; Adult; Continental Population Groups; Educational Status; Female; Focus Groups; Health Status Disparities; HIV Infections; Humans; Longitudinal Studies; Male; Prevalence; Residence Characteristics; San Francisco; Socioeconomic Factors; Transgender Persons; Unsafe Sex (search for similar items in EconPapers)
Date: 2015
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DOI: 10.2105/AJPH.2014.302443

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Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302443_6