Characterizing Men Who Have Sex with Transgender Women in Lima, Peru: Sexual Behavior and Partnership Profiles

Jessica E. Long, Angela Ulrich, Edward White, Sayan Dasgupta, Robinson Cabello, Hugo Sanchez, Javier R. Lama, Ann Duerr

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


HIV prevalence is high among transgender women (TW), but how HIV is transmitted to this population is not well understood. This analysis aims to characterize sexual partners of TW (PTW) to understand how their behavior contributes to HIV risk among TW. We examined baseline data from TW, PTW, and men who have sex with men (MSM) from a treatment-as-prevention study in Lima, Peru. Individual and partnership characteristics were compared across groups, and Poisson regression was used to calculate prevalence ratios for associations between sexual concurrency and potential correlates. We found that 81% of PTW had no cisgender male partners. Prevalence of alcohol dependency, concurrency, and condomless anal intercourse was high and HIV testing was low compared to the other groups. Our results suggest that PTW are a distinct population from MSM and TW, engage in behavior associated with HIV transmission, and are likely not well reached by HIV prevention interventions.

Original languageEnglish (US)
Pages (from-to)914-924
Number of pages11
JournalAIDS and Behavior
Issue number3
StatePublished - Mar 1 2020

Bibliographical note

Funding Information:
This work was funded by the NIH National Institute on Drug Abuse, (R01 Grant DA032106 to AD) and by NIH Research Training Grant #D43 TW009345 awarded to the Northern Pacific Global Health Fellows Program by the Fogarty International Center.

Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.


  • Concurrency
  • HIV
  • Peru
  • Sexual networks
  • Transgender women


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