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AJPH First Look, published online ahead of print Apr 26, 2007
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June 2007, Vol 97, No. 6 | American Journal of Public Health 1030-1033
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.097717

RESEARCH AND PRACTICE

Male-to-Female Transgender and Transsexual Clients of HIV Service Programs in Los Angeles County, California

Jordan W. Edwards, MA, Dennis G. Fisher, PhD and Grace L. Reynolds, Dpa

At the time of the study, Jordan W. Edwards was with California State University, Long Beach. Dennis G. Fisher and Grace L. Reynolds are with the Center for Behavioral Research and Services, California State University, Long Beach.

Correspondence: Requests for reprints should be sent to Dennis G. Fisher, PhD, Center for Behavioral Research and Services, 1090 Atlantic Ave, Long Beach, CA 90813 (e-mail: dfisher{at}csulb.edu).

Data on HIV risk were collected with the Countywide Risk Assessment Survey from 2126 participants; 92 were male-to-female transgender persons (i.e., cross-dressers, and those who identify with the opposite sex), and 9 were male-to-female transsexual individuals (i.e., those who have undergone gender-reassignment surgery or other procedures). Transgender-identified individuals were more likely than the rest of the sample to have received hormone injections, offensive comments, and HIV testing; injected hormones with a used needle; been Asian or American Indian; been paid for sexual intercourse; and lived in unstable housing but less likely to have used heroin. Transgender-identified individuals are at high risk for HIV infection because of reuse of needles and being paid for sexual intercourse.






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