IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i23p16161-d991917.html
   My bibliography  Save this article

Psychosocial Problems and Condomless Anal Sex among Transgender Women in Two Cities of China: Study Based on the Syndemic Framework

Author

Listed:
  • Danni Xia

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
    These authors contributed equally to this work.)

  • Yingjie Chen

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China
    These authors contributed equally to this work.)

  • Ruijie Chang

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Chen Xu

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Xiaoyue Yu

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Yujie Liu

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Hui Chen

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Rongxi Wang

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Shangbin Liu

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Xin Ge

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Yuxuan Wang

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Ajuan Liang

    (Reproductive Medical Center, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China)

  • Fan Hu

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Yong Cai

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

  • Ying Wang

    (School of Public Health, School of Medicine, Shanghai Jiao Tong University, No. 227, South Chongqing Road, Shanghai 200025, China)

Abstract

Studies examining the association between psychosocial problems and condomless anal sex (CAS) among transgender women (TGW) are rare. In this study, close attention was paid to the effect of co-occurring psychosocial problems on sexual risk behaviors. A cross-sectional study, including 247 TGW, was conducted in Kunming and Shenyang, China. The prevalence of condomless anal sex among TGW in the previous 6 months was 30.8%. Most of the psychosocial factors were associated with one another in bivariate logistic regression models. Low self-esteem (ORm = 2.99, 95% CI = 1.25–7.18), sexual compulsivity (ORm = 2.13, 95% CI = 1.13–4.00), and intimate partner violence (ORm = 2.21, 95% CI = 1.19–4.11) were discovered to be related to condomless anal sex in the multivariate regression model. No significant interactive effects of the syndemic factors on condomless anal sex were detected. More programmatic and effective HIV prevention interventions targeting psychosocial problems are required to reduce HIV infection within the population.

Suggested Citation

  • Danni Xia & Yingjie Chen & Ruijie Chang & Chen Xu & Xiaoyue Yu & Yujie Liu & Hui Chen & Rongxi Wang & Shangbin Liu & Xin Ge & Yuxuan Wang & Ajuan Liang & Fan Hu & Yong Cai & Ying Wang, 2022. "Psychosocial Problems and Condomless Anal Sex among Transgender Women in Two Cities of China: Study Based on the Syndemic Framework," IJERPH, MDPI, vol. 19(23), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16161-:d:991917
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/23/16161/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/23/16161/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Tsai, Alexander C. & Burns, Bridget F.O., 2015. "Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept," Social Science & Medicine, Elsevier, vol. 139(C), pages 26-35.
    2. Pinkerton, Steven D. & Abramson, Paul R., 1997. "Effectiveness of condoms in preventing HIV transmission," Social Science & Medicine, Elsevier, vol. 44(9), pages 1303-1312, May.
    3. Stall, R. & Mills, T.C. & Williamson, J. & Hart, T. & Greenwood, G. & Paul, J. & Pollack, L. & Binson, D. & Osmond, D. & Catania, J.A., 2003. "Association of Co-Occurring Psychosocial Health Problems and Increased Vulnerability to HIV/AIDS among Urban Men Who Have Sex with Men," American Journal of Public Health, American Public Health Association, vol. 93(6), pages 939-942.
    4. Tomori, Cecilia & McFall, Allison M. & Solomon, Sunil S. & Srikrishnan, Aylur K. & Anand, Santhanam & Balakrishnan, P. & Mehta, Shruti H. & Celentano, David D., 2018. "Is there synergy in syndemics? Psychosocial conditions and sexual risk among men who have sex with men in India," Social Science & Medicine, Elsevier, vol. 206(C), pages 110-116.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ouafik, Maxence R. & Buret, Laetitia & Scholtes, Beatrice, 2022. "Mapping the current knowledge in syndemic research applied to men who have sex with men: A scoping review," Social Science & Medicine, Elsevier, vol. 306(C).
    2. Chakrapani, Venkatesan & Kaur, Manmeet & Tsai, Alexander C. & Newman, Peter A. & Kumar, Rajesh, 2022. "The impact of a syndemic theory-based intervention on HIV transmission risk behaviour among men who have sex with men in India: Pretest-posttest non-equivalent comparison group trial," Social Science & Medicine, Elsevier, vol. 295(C).
    3. Hatcher, Abigail M. & Gibbs, Andrew & McBride, Ruari-Santiago & Rebombo, Dumisani & Khumalo, Mzwakhe & Christofides, Nicola J., 2022. "Gendered syndemic of intimate partner violence, alcohol misuse, and HIV risk among peri-urban, heterosexual men in South Africa," Social Science & Medicine, Elsevier, vol. 295(C).
    4. Tomori, Cecilia & McFall, Allison M. & Solomon, Sunil S. & Srikrishnan, Aylur K. & Anand, Santhanam & Balakrishnan, P. & Mehta, Shruti H. & Celentano, David D., 2018. "Is there synergy in syndemics? Psychosocial conditions and sexual risk among men who have sex with men in India," Social Science & Medicine, Elsevier, vol. 206(C), pages 110-116.
    5. Brewis, Alexandra & Wutich, Amber & Galvin, Michael & Lachaud, James, 2022. "Localizing syndemics: A comparative study of hunger, stigma, suffering, and crime exposure in three Haitian communities," Social Science & Medicine, Elsevier, vol. 295(C).
    6. Shrestha, Shikhar & Bauer, Cici X.C. & Hendricks, Brian & Stopka, Thomas J., 2022. "Spatial epidemiology: An empirical framework for syndemics research," Social Science & Medicine, Elsevier, vol. 295(C).
    7. Quinn, Katherine G., 2022. "Applying an intersectional framework to understand syndemic conditions among young Black gay, bisexual, and other men who have sex with men," Social Science & Medicine, Elsevier, vol. 295(C).
    8. Snodgrass, Jeffrey G. & Lacy, Michael G. & Cole, Steven W., 2022. "Internet gaming, embodied distress, and psychosocial well-being: A syndemic-syndaimonic continuum," Social Science & Medicine, Elsevier, vol. 295(C).
    9. Thomas S. Dee, 2008. "Forsaking all others? The effects of same‐sex partnership laws on risky sex," Economic Journal, Royal Economic Society, vol. 118(530), pages 1055-1078, July.
    10. Sabina S Alistar & Douglas K Owens & Margaret L Brandeau, 2014. "Effectiveness and Cost Effectiveness of Oral Pre-Exposure Prophylaxis in a Portfolio of Prevention Programs for Injection Drug Users in Mixed HIV Epidemics," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-11, January.
    11. Stephanie Earnshaw & Katherine Hicks & Anke Richter & Amanda Honeycutt, 2007. "A linear programming model for allocating HIV prevention funds with state agencies: a pilot study," Health Care Management Science, Springer, vol. 10(3), pages 239-252, September.
    12. Jeremy Greenwood & Nezih Guner, 2010. "Social Change: The Sexual Revolution," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 51(4), pages 893-923, November.
    13. Jeremy Greenwood & Nezih Guner, 2006. "Social Change," 2006 Meeting Papers 79, Society for Economic Dynamics.
    14. Masunga K. Iseselo & Edith A. M. Tarimo & Eric Sandstrom & Asli Kulane, 2020. "Sexual Behaviours and Practices before and after Phase I/II HIV Vaccine Trial: A Qualitative Study among Volunteers in Dar es Salaam Tanzania," IJERPH, MDPI, vol. 17(19), pages 1-20, October.
    15. Tsai, Alexander C. & Burns, Bridget F.O., 2015. "Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept," Social Science & Medicine, Elsevier, vol. 139(C), pages 26-35.
    16. Kazumi Tsuchiya & Olivia Toles & Christopher Levesque & Kimberly Horner & Eric Ryu & Linus Chan & Jack DeWaard, 2021. "Perceived structural vulnerabilities among detained noncitizen immigrants in Minnesota," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-22, June.
    17. Francis, Andrew M., 2008. "The economics of sexuality: The effect of HIV/AIDS on homosexual behavior in the United States," Journal of Health Economics, Elsevier, vol. 27(3), pages 675-689, May.
    18. Dian-Jeng Li & Shiou-Lan Chen & Yu-Ping Chang & Cheng-Fang Yen, 2020. "Factors Affecting Painkillers, Sedatives/Hypnotics, Nicotine, and Unhealthy Alcohol Use Among Gay and Bisexual Men in Taiwan," IJERPH, MDPI, vol. 17(3), pages 1-13, January.
    19. Littleton, Judith & Park, Julie, 2009. "Tuberculosis and syndemics: Implications for Pacific health in New Zealand," Social Science & Medicine, Elsevier, vol. 69(11), pages 1674-1680, December.
    20. Shannon S. Gray & Kayla Marie Sizemore & H. Jonathon Rendina, 2023. "Coping Strategies as a Moderator for the Association between Intimate Partner Violence and Depression and Anxiety Symptoms among Transgender Women," IJERPH, MDPI, vol. 20(11), pages 1-15, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16161-:d:991917. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.