The purpose of this study was to document the acceptability of anorectal STI testing and self-collection of anorectal swabs for testing among populations at risk of anorectal STIs, in advance of a large bio-behavioural survey during which this approach to specimen collection was planned among key populations in PNG. Four focus groups were conducted, collecting data from a purposive sample of 35 members of two civil society groups representing female sex workers, men who have sex with men and transgender women in Port Moresby and Goroka. Reasons given for willingness to undertake anorectal STI testing included that anal sex is practised; that anorectal STIs are not perceived to exist; there are self-reported experiences of anorectal symptoms indicative of anorectal STIs; that anorectal STI testing will enhance personal health; and that anorectal STI testing is not currently available in PNG. All participants were confident they could obtain self-collected specimens, although several stated that support from trained health workers should be available for community members who may not feel comfortable with self-collection.
Risk for HIV and unprotected sexual behavior in male primary partners of transgender women.
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Risk for HIV and unprotected sexual behavior in male primary partners of transgender women.
HIV prevalence among transgender women is disproportional when compared to the general population in various countries. No publication time period was determined in advance for this review. The studies were assessed according to the inclusion and exclusion criteria. We found 41 studies, mostly qualitative, published from to , and categorized in three dimensions of stigma: individual, interpersonal, and structural. HIV prevalence is disproportionally high among transgender women when compared to the general population 1 , 2 , 3. A metanalysis estimated a prevalence of
unprotected anal sex with trans sexworker ? risk probability ???
Discrimination related to gender identity may directly influence vulnerability to HIV through increased exposure to unprotected receptive anal intercourse URAI. This mixed-methods research began with a cross-sectional survey conducted between and with transgender women in Salvador, the capital city in one of the poorest regions in Brazil. Respondent-driven sampling was used to recruit the study population. Additionally, 19 semi-structured interviews with participants were transcribed and analyzed through thematic content analysis. URAI with stable partners was commonly reported
It is urgent to develop efficacious HIV prevention programs to curb the reported extremely high HIV prevalence and incidence among transgender women male-to-female transgender persons who reside in large cities in the USA. This study aimed to describe unprotected receptive anal sex URAS and unprotected insertive anal sex UIAS among high-risk transgender women in relation to partner types, psychosocial factors, and background variables. Based on purposive sampling from the targeted communities and AIDS service organizations in San Francisco and Oakland, a total of transgender women who had a history of sex work were recruited and individually interviewed using a structured survey questionnaire. Significant correlates with URAS with primary, casual, and commercial sex partners were found e.
