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Day-Level Associations Between Substance Use and HIV Risk Behavior Among a Diverse Sample of Transgender Women
- Source :
- Transgender Health, Vol 3, Iss 1, Pp 210-219 (2019), Transgender Health
- Publication Year :
- 2019
- Publisher :
- Mary Ann Liebert, 2019.
-
Abstract
- Purpose: Transgender women in the United States face elevated rates of HIV and of substance use. Studies measuring overall or aggregate levels of substance use have linked use to increased HIV transmission risk behavior (TRB). Although intensive longitudinal studies in other populations have found day-level links between substance use and TRB, no study has yet explored such links among transgender women. This study aimed to fill this gap in the literature. Methods: Utilizing survey and 60-day timeline follow-back interview data from a sample of 214 transgender women in New York City, we tested whether day-level heavy drinking, marijuana use, and/or nonprescription stimulant use were associated with odds of engaging in any sex (vs. no sexual activity) or engaging in TRB (vs. sex without TRB), adjusting for overall levels of use. Results: Multilevel models showed that each of the three substance types was associated with greater odds of engaging in sex on a given day—and more strongly so for heavy drinking among those with higher rates of heavy drinking, and for stimulant use among those with lower rates of stimulant use. Only marijuana use was associated with greater odds of TRB on a given day, but only among those with higher rates of use. Conclusion: These findings substantiate day-level links between substance use and engaging in sexual activity among transgender women, and importantly, between marijuana use and greater likelihood of TRB on a day when sexual activity occurs. This highlights the importance of addressing substance use for sexual health among transgender women especially focusing on marijuana use.
- Subjects :
- intensive longitudinal data
lcsh:Special situations and conditions
Human immunodeficiency virus (HIV)
Medicine (miscellaneous)
Sample (statistics)
medicine.disease_cause
Hiv risk
Transgender women
Gender Studies
03 medical and health sciences
0302 clinical medicine
5. Gender equality
prevention
Environmental health
Medicine
030212 general & internal medicine
harm reduction
drug use
Harm reduction
030505 public health
business.industry
alcohol
lcsh:RC952-1245
3. Good health
Original Article
Substance use
0305 other medical science
business
Subjects
Details
- Language :
- English
- Volume :
- 3
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Transgender Health
- Accession number :
- edsair.doi.dedup.....5d6e55fadc2ce23e85dcec8d53cbdb5a