Latino men's sexual behavior with transgender persons

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

Male-to-female transgender persons are thought to be "vectors" for HIV/STI transmission, yet little quantitative information exists about the risk behavior of their male sexual partners who may serve as a "bridge" for HIV transmission into the general population. As part of an online survey examining the sexual risk behavior of Latino men who have sex with men (N = 1,026), we identified 44 (4%) participants who reported having had sex with a transgender partner. Compared with a randomly selected sub-sample of 200 men who did not report sex with a transgender person, sexual partners of transgender persons were almost three times more likely to have had unprotected sexual intercourse in the last three months. In addition, men who had sex with transgender persons were more likely to be HIV-positive; married, separated, or divorced; identify as bisexual or straight; have sex with women; and live in rural or small town communities. Regression analysis revealed that community size, sexual compulsivity, and having had a transgender partner were independent predictors of unprotected sex. Among Latino men who have sex with men, men with a history of sex with a transgender person appear more likely to be sexually compulsive and at greater risk for HIV and other sexually transmitted infections. These men may, therefore, also serve as a "bridge" for HIV transmission to (as opposed to from) the transgender population.

Original languageEnglish (US)
Pages (from-to)778-786
Number of pages9
JournalArchives of sexual behavior
Volume36
Issue number6
DOIs
StatePublished - Dec 2007

Bibliographical note

Funding Information:
Acknowledgements The authors acknowledge Heather Haley and Anne Marie Weber-Main for their critical review and editing of manuscript drafts, Bruce Center for statistical advice, and Jeffrey Stanton for his role as project coordinator. Funding for this project was provided by NIMH grant R01-MH63688.

Keywords

  • HIV/STI risk
  • Homosexuality
  • Latino
  • Men who have sex with men
  • Transgender
  • Transsexual

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