Psychosocial Problems and Condomless Anal Sex among Transgender Women in Two Cities of China: Study Based on the Syndemic Framework

Danni Xia, Yingjie Chen, Ruijie Chang, Chen Xu, Xiaoyue Yu, Yujie Liu, Hui Chen, Rongxi Wang, Shangbin Liu, Xin Ge, Yuxuan Wang, Ajuan Liang, Fan Hu, Yong Cai () and Ying Wang ()
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Danni Xia: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Yingjie Chen: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Ruijie Chang: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Chen Xu: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Xiaoyue Yu: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Yujie Liu: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Hui Chen: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Rongxi Wang: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Shangbin Liu: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Xin Ge: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Yuxuan Wang: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Ajuan Liang: Reproductive Medical Center, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China
Fan Hu: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Yong Cai: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
Ying Wang: School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China

IJERPH, 2022, vol. 19, issue 23, 1-14

Abstract: Studies examining the association between psychosocial problems and condomless anal sex (CAS) among transgender women (TGW) are rare. In this study, close attention was paid to the effect of co-occurring psychosocial problems on sexual risk behaviors. A cross-sectional study, including 247 TGW, was conducted in Kunming and Shenyang, China. The prevalence of condomless anal sex among TGW in the previous 6 months was 30.8%. Most of the psychosocial factors were associated with one another in bivariate logistic regression models. Low self-esteem (ORm = 2.99, 95% CI = 1.25–7.18), sexual compulsivity (ORm = 2.13, 95% CI = 1.13–4.00), and intimate partner violence (ORm = 2.21, 95% CI = 1.19–4.11) were discovered to be related to condomless anal sex in the multivariate regression model. No significant interactive effects of the syndemic factors on condomless anal sex were detected. More programmatic and effective HIV prevention interventions targeting psychosocial problems are required to reduce HIV infection within the population.

Keywords: transgender women; psychosocial problems; condomless anal sex; syndemic (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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