Characteristics of Transgender Residents of Massachusetts Cities with High HIV Prevalence

Geographic context can influence individual risk in populations disproportionately susceptible to HIV infection, such as transgender people. 

We examined factors associated with residing in Massachusetts cities with the highest HIV prevalence (geographic "hotspots") in a 2013 sample of 433 transgender adults who were not infected with HIV. 

Residing in hotspots was associated with 

• older age, 
• non-White race/ethnicity, 
• low income, 
• incarceration history, 
• polydrug use, 
• smoking, 
• binge drinking, and 
• condomless receptive anal sex during one's most recent sexual encounter with a partner who was assigned male sex at birth. 

Future research to understand the interpersonal and socio-structural factors that drive localized epidemics among transgender people is warranted.

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By: White Hughto JM1, Reisner SL1, Mimiaga MJ1.

1The authors are with The Fenway Institute, Boston, MA. Jaclyn M. White Hughto is also with the Yale School of Public Health, New Haven, CT. Sari L. Reisner and Matthew J. Mimiaga are also with the Harvard T. H. Chan School of Public Health, Boston

  

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