{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T16:26:18Z","timestamp":1783700778297,"version":"3.55.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T00:00:00Z","timestamp":1484179200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:p>This study assessed the prevalence of self-reported HIV infection among a community sample of transgender women and identified associated contextual, experiential, and behavioral factors. Ninety-two transgender women completed a self-administered interview. Recruitment occurred through an LGBT service organization, a transgender support group, transgender advocates, and informal communications. Eighty-two percent were African American\/Black. Of 83 who knew their status, 60% reported being HIV infected. High rates of childhood sexual abuse (52%), rape (53%), intimate partner violence (56%), and incarceration (57%) were reported. Many did not have health insurance (53%), were not employed full-time nor in school (63%) and had been recently homeless (49%). HIV-infected transgender women as compared to HIV-uninfected transgender women were more likely to be African American\/Black ( P\u2009=\u20090.04), and older than 34 years ( P\u2009=\u20090.01), unemployed\/not in school ( P\u2009&lt;\u20090.001). HIV-infected transgender women also experienced less trans-related discrimination ( P\u2009=\u20090.03), perceived less negative psychosocial impact due to trans status ( P\u2009=\u20090.04) and had greater happiness with their physical appearance ( P\u2009=\u20090.01). HIV-infected transgender women may experience relatively less trans-related stress compared to their HIV-uninfected counterparts. High rates of HIV, trauma, and social marginalization raise concerns for this population and warrant the development of structural and policy-informed interventions.<\/jats:p>","DOI":"10.1177\/0956462416686722","type":"journal-article","created":{"date-parts":[[2017,1,14]],"date-time":"2017-01-14T00:57:43Z","timestamp":1484355463000},"page":"1059-1066","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":48,"title":["Contextual, experiential, and behavioral risk factors associated with HIV status: a descriptive analysis of transgender women residing in Atlanta, Georgia"],"prefix":"10.1177","volume":"28","author":[{"given":"Laura F","family":"Salazar","sequence":"first","affiliation":[{"name":"Department of Health Promotion & Behavior, School of Public Health, Georgia State University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A","family":"Crosby","sequence":"additional","affiliation":[{"name":"Department of Health Promotion, College of Public Health, University of Kentucky, Lexington, KY, USA"},{"name":"Kinsey Institute for Research on Sex, Gender, and Reproduction, Indiana University, Bloomington, IN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamal","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Health Promotion & Behavior, School of Public Health, Georgia State University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna","family":"Kota","sequence":"additional","affiliation":[{"name":"Department of Health Promotion & Behavior, School of Public Health, Georgia State University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Hill","sequence":"additional","affiliation":[{"name":"Center for Interdisciplinary Inquiry and Innovation in Sexual and Reproductive Health, University of Chicago, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine E","family":"Masyn","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Georgia State University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,1,12]]},"reference":[{"key":"bibr1-0956462416686722","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70315-8"},{"key":"bibr2-0956462416686722","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-007-9299-3"},{"key":"bibr3-0956462416686722","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181ab6ed8"},{"key":"bibr4-0956462416686722","doi-asserted-by":"publisher","DOI":"10.1300\/J485v08n02_11"},{"key":"bibr5-0956462416686722","doi-asserted-by":"publisher","DOI":"10.1080\/09540129850124028"},{"key":"bibr6-0956462416686722","doi-asserted-by":"publisher","DOI":"10.1080\/19317611.2012.715120"},{"key":"bibr7-0956462416686722","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300433"},{"key":"bibr8-0956462416686722","doi-asserted-by":"publisher","DOI":"10.1300\/J485v08n02_03"},{"key":"bibr9-0956462416686722","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2009.06.005"},{"key":"bibr10-0956462416686722","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2010.07.021"},{"key":"bibr11-0956462416686722","unstructured":"Centers for Disease Control and Prevention.\n                      HIV\/AIDS surveillance report, 2011\n                      , vol. 23. 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