Syndemic theory and HIV-related risk among young transgender women: the role of multiple, co-occurring health problems and social marginalization.

Abstract:

OBJECTIVES:We assessed whether multiple psychosocial factors are additive in their relationship to sexual risk behavior and self-reported HIV status (i.e., can be characterized as a syndemic) among young transgender women and the relationship of indicators of social marginalization to psychosocial factors. METHODS:Participants (n = 151) were aged 15 to 24 years and lived in Chicago or Los Angeles. We collected data on psychosocial factors (low self-esteem, polysubstance use, victimization related to transgender identity, and intimate partner violence) and social marginalization indicators (history of commercial sex work, homelessness, and incarceration) through an interviewer-administered survey. RESULTS:Syndemic factors were positively and additively related to sexual risk behavior and self-reported HIV infection. In addition, our syndemic index was significantly related to 2 indicators of social marginalization: a history of sex work and previous incarceration. CONCLUSIONS:These findings provide evidence for a syndemic of co-occurring psychosocial and health problems in young transgender women, taking place in a context of social marginalization.

journal_name

Am J Public Health

authors

Brennan J,Kuhns LM,Johnson AK,Belzer M,Wilson EC,Garofalo R,Adolescent Medicine Trials Network for HIV\/AIDS Interventions.

doi

10.2105/AJPH.2011.300433

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

1751-7

issue

9

eissn

0090-0036

issn

1541-0048

journal_volume

102

pub_type

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