Risk Behaviors and Psychosocial Stressors in the New York City House Ball Community: A Comparison of Men and Transgender Women Who Have Sex with Men

Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, M/S E-46, Atlanta, GA 30333, USA.
AIDS and Behavior (Impact Factor: 3.49). 09/2009; 14(2):351-8. DOI: 10.1007/s10461-009-9610-6
Source: PubMed


The New York City House Ball community consists of social networks of racial/ethnic minority gay, lesbian or bisexual men and women, and transgender persons. HIV seroprevalence and interview data were obtained from a sample of community members to identify statistical differences in HIV prevalence, risk behavior, and psychosocial stressors between men who have sex with men (MSM) and transgender women. Of 301 MSM and 60 transgender women, 20% were HIV-infected and 73% were unaware of their infection, but rates did not differ by gender. Risk behavior and stressors were common in both groups, but transgender women were more likely to report exchange sex, stigmatization, and stressful life events. High rates of risk behavior and HIV in this special community warrant relevant HIV testing and prevention services. Transgender women in the community may be at even greater risk for HIV infection due to behaviors compounded by substantial psychosocial stressors.

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    • "clude two different modes of data collection ( i . e . , in person and via phone inter - view ) , and it may be that the in - person interviews allowed for more depth of meaning due to having access to nonverbal communication . Research suggests that gay families in other regions may include more ethnic= racial diversity , such as Latino members ( Sanchez et al . , 2010 ) . We focused only on African American family members , although gay families may be impor - tant community structures for other ethnic minority groups . It could be useful for future researchers to investigate the role of older family members and founding members of families . Our study was limited to family members between the ages o"
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    • "While a small percentage of participants in the quantitative phase of this study were from outside Southern California their presence at Los Angeles Ballroom events makes them a part of the extended Los Angeles community. Thus, generalizability of our study findings may not extend to House and Ball communities throughout the United States, especially because demographic and HIV testing patterns of our sample differed from previously studied House and Ball communities in other cities (Murill et al., 2008; Sanchez et al., 2010). "
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