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Lifetime homelessness among young transgender women in Lima, Peru is associated with HIV vulnerability: Results from a cross-sectional survey

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  • Dorothy Apedaile
  • Alfonso Silva-Santisteban
  • Sari L Reisner
  • Leyla Huerta
  • Segundo R León
  • Amaya Perez-Brumer

Abstract

Transgender youth face disproportionately high rates of homelessness, which can increase vulnerability to HIV. In Peru, the incidence of HIV among transgender women has increased 19% since 2010 and young transgender women are a priority population for HIV prevention. We sought to estimate the proportion of young transgender women experiencing homelessness and associations between homelessness and HIV vulnerabilities. We recruited transgender women ages 16–24 years (N = 209) to participate in a biobehavioural survey and HIV and STI testing (chlamydia, syphilis, gonorrhea). Poisson regression models with robust standard errors were fit to estimate the association between past homelessness and past 6-month condomless sex, adjusted for potential confounding by age, education, sex work, non-injection drug use, post-traumatic stress disorder (PTSD), and violence. Among participants (median age 23 years), 68 (32.5%) had ever been homeless and 19 (9.1%) reported homelessness in the past 3 months. Overall, 51.5% of those who had been homeless reported past 6-month condomless sex compared to 29.1% of those who had never been homeless (p

Suggested Citation

  • Dorothy Apedaile & Alfonso Silva-Santisteban & Sari L Reisner & Leyla Huerta & Segundo R León & Amaya Perez-Brumer, 2025. "Lifetime homelessness among young transgender women in Lima, Peru is associated with HIV vulnerability: Results from a cross-sectional survey," PLOS Global Public Health, Public Library of Science, vol. 5(4), pages 1-18, April.
    • Handle: RePEc:plo:pgph00:0004351
    DOI: 10.1371/journal.pgph.0004351
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    References listed on IDEAS

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    1. Peitzmeier, Sarah M. & Wirtz, Andrea L. & Humes, Elizabeth & Hughto, Jaclyn M.W. & Cooney, Erin & Reisner, Sari L., 2021. "The transgender-specific intimate partner violence scale for research and practice: Validation in a sample of transgender women," Social Science & Medicine, Elsevier, vol. 291(C).
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