TY - JOUR PY - 2022// TI - In their own words: how trans women acquired HIV infection JO - AIDS and behavior A1 - Wilson, Erin C. A1 - Hernandez, Christopher J. A1 - Arayasirikul, Sean A1 - Scheer, Susan A1 - Trujillo, Dillon A1 - Sicro, Sofia A1 - Turner, Caitlin M. A1 - McFarland, Willi SP - ePub EP - ePub VL - ePub IS - ePub N2 - Despite high HIV prevalence, the reasons trans women acquire HIV are not well understood. Trans women are often mis-classified or aggregated with men who have sex with men (MSM) in epidemiologic studies and HIV surveillance data. Trans women enrolled in the 2019/2020 National HIV Behavioral Surveillance Study in San Francisco were asked an open-ended question about how they were infected with HIV. The most common responses were "Sex with a straight cisgender man partner when the respondent identified as a trans woman" (43.0%); "Sexual assault" (13.9%); "Injection drug use (IDU)" (10.1%); "IDU or sexual contact" (7.6%) and "Sex with a partner who injected drugs" (7.6%). Sex with a cisgender man partner prior to identifying as a trans women (MSM contact) was not mentioned by any respondent. HIV prevention strategies targeting MSM will fail to reach trans women and many of their cisgender men partners.

Language: en

LA - en SN - 1090-7165 UR - http://dx.doi.org/10.1007/s10461-021-03555-8 ID - ref1 ER -