{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:30:48Z","timestamp":1787023848559,"version":"build-2736575974"},"reference-count":44,"publisher":"American Public Health Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p>Objectives. We examined gender abuse and depressive symptoms as risk factors for HIV and other sexually transmitted infections (HIV\/STI) among male-to-female transgender persons (MTFs).<\/jats:p>\n                  <jats:p>Methods. We conducted a 3-year prospective study of factors associated with incident HIV, syphilis, hepatitis B, chlamydia, and gonorrhea among 230 MTFs from the New York Metropolitan Area. Statistical techniques included Cox proportional hazards analysis with time varying covariates.<\/jats:p>\n                  <jats:p>Results. Among younger MTFs (aged 19\u201330 years), gender abuse predicted depressive symptoms (Center for Epidemiologic Studies Depression score \u2265\u200920), and gender abuse combined with depressive symptoms predicted both high-risk sexual behavior (unprotected receptive anal intercourse) and incident HIV\/STI. These associations were independent of socioeconomic status, ethnicity, sexual orientation, hormone therapy, and sexual reassignment surgery.<\/jats:p>\n                  <jats:p>Conclusions. Gender abuse is a fundamental distal risk factor for HIV\/STI among younger MTFs. Interventions for younger MTFs are needed to reduce the psychological impact of gender abuse and limit the effects of this abuse on high-risk sexual behavior. Age differences in the impact of gender abuse on HIV\/STI suggest the efficacy of peer-based interventions in which older MTFs teach their younger counterparts how to cope with this abuse.<\/jats:p>","DOI":"10.2105\/ajph.2011.300568","type":"journal-article","created":{"date-parts":[[2012,6,14]],"date-time":"2012-06-14T16:34:07Z","timestamp":1339691647000},"page":"300-307","source":"Crossref","is-referenced-by-count":147,"title":["Gender Abuse, Depressive Symptoms, and HIV and Other Sexually Transmitted Infections Among Male-to-Female Transgender Persons: A Three-Year Prospective Study"],"prefix":"10.2105","volume":"103","author":[{"given":"Larry","family":"Nuttbrock","sequence":"first","affiliation":[{"name":"Larry Nuttbrock, Andrew Rosenblum, Sel Hwahng, Mona Mason, Monica Macri, and Jeffrey Becker are with the National Development and Research Institutes, New York, NY. Walter Bockting is with the Department of Family Medicine, University of Minnesota, Minneapolis."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"Bockting","sequence":"additional","affiliation":[{"name":"Larry Nuttbrock, Andrew Rosenblum, Sel Hwahng, Mona Mason, Monica Macri, and Jeffrey Becker are with the National Development and Research Institutes, New York, NY. Walter Bockting is with the Department of Family Medicine, University of Minnesota, Minneapolis."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Rosenblum","sequence":"additional","affiliation":[{"name":"Larry Nuttbrock, Andrew Rosenblum, Sel Hwahng, Mona Mason, Monica Macri, and Jeffrey Becker are with the National Development and Research Institutes, New York, NY. 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