Purpose

We sought to explore characteristics and risk factors associated with transactional sex in a sample of young black and Latinx sexual minority cisgender men and transgender women of age 15 to 24 years who were living with or at high risk for HIV infection and whether these associations vary by gender identity and HIV status.

Methods

A total of 454 black and Latinx sexual minority cisgender men and transgender women from Baltimore, MD; Philadelphia, PA; Washington, DC; and St. Petersburg/Tampa, Fl, were recruited to participate in a multisite study that included a 45-minute baseline Web-based survey and HIV-1 rapid testing. Bivariate analysis was used to explore factors associated with transactional sex. Factors significant at p-value <.20 in bivariate analysis were entered into a final logistic regression models; and models were further stratified by gender identity and HIV status.

Results

The mean age was 21.3 (standard deviation = 2.5), with 14.7% (n = 65) identifying as transgender, and 103 youth (22.7%) reporting lifetime transactional sex. Transactional sex was associated with transgender identity, recent unstable housing in the last 12 months, poorer perceived financial well-being, coerced sex, and marijuana use. Differences were noted by gender identity and HIV status, with marijuana use associated with transactional sex in cisgender men and unstable housing and sexual coercion in youth living with HIV.

Conclusions

Young black and Latinx cisgender men and transgender women are at a high risk for engaging in transactional sex. Transactional sex may create a syndemic for HIV risk exposure through co-occurring and reinforcing conditions of unstable housing, violence, and substance use.

中文翻译：

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年轻黑人和拉丁裔性少数顺性别男性和跨性别女性样本中交易性行为的社会决定因素

目的

我们试图在年轻的黑人和拉丁裔性少数顺性别男性和 15 至 24 岁的跨性别女性样本中探索与性交易相关的特征和风险因素，这些女性感染艾滋病毒或感染艾滋病毒的风险很高，以及这些关联是否因人而异性别认同和艾滋病毒状况。

方法

共有 454 名来自马里兰州巴尔的摩的黑人和拉丁裔性少数顺性别男性和跨性别女性；宾夕法尼亚州费城；华盛顿特区; 和圣彼得堡/佛罗里达州坦帕市被招募参加一项多站点研究，其中包括 45 分钟的基于 Web 的基线调查和 HIV-1 快速检测。双变量分析用于探索与性交易相关的因素。将双变量分析中p值 <.20 的显着因素输入最终逻辑回归模型；模型根据性别认同和艾滋病毒状况进一步分层。

结果

平均年龄为 21.3 岁（标准差 = 2.5），其中 14.7%（n = 65）确定为跨性别者，103 名青年（22.7%）报告终生性交易。性交易与跨性别身份、最近 12 个月内不稳定的住房、较差的财务状况、强迫性行为和吸食大麻有关。性别认同和艾滋病毒状况存在差异，大麻使用与顺性别男性的交易性行为以及感染艾滋病毒的青年的不稳定住房和性胁迫有关。

结论

年轻的黑人和拉丁裔顺性别男性和跨性别女性从事性交易的风险很高。交易性性行为可能通过同时发生和强化的不稳定住房、暴力和物质使用条件，造成 HIV 风险暴露的流行。