According to the 'Consolidated
Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key
Populations' there are five groups of people at elevated risk of HIV, including
'transgender women or transgender men who have receptive anal sex with men'.
Although cost effectiveness strategies and best practice lessons recommend
targeting specific populations for HIV prevention, existing risk categories
lack specificity, and may in fact cause further confusion.
Existing categories
of risk often perpetuate notions of gender and sexuality that can erroneously
exclude, alienate, and stigmatise those who are at the highest risk and thus
should be prioritised.
We review the troubled history of the MSM category and
the problematic conflation of trans feminine individuals and MSM in much of the
existing HIV literature, and how this practice has stymied progress in slowing
the HIV epidemic in the most at-risk groups, including those who do not fit
neatly into binary notions of gender and sex. We draw from examples in the
field, specifically among trans feminine people in Beirut and
San Francisco, to illustrate the lived experiences of individuals whose
identities may not fit into Euro-Atlantic constructs of HIV prevention
categories.
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By:
- 1 Department of Obstetrics , Bixby Center for Global Reproductive Health, Gynecology, & Reproductive Sciences, University of California , San Francisco , CA , USA.
- 2 Department of Medicine , Center for AIDS Prevention Studies, Center of Excellence for Transgender Health, University of California , San Francisco , CA , USA.
- 3 CRESPPA-LabToP, Université Paris 8 , Villejuif , France.
- Glob Public Health. 2016 Jan 29:1-11.
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