Unevenness in Health at the Intersection of Gender and Sexuality: Sexual Minority Disparities in Alcohol and Drug Use Among Transwomen in the San Francisco Bay Area

doi:10.1080/00918369.2017.1310552

. 2018;65(1):66-79.

doi: 10.1080/00918369.2017.1310552. Epub 2017 Mar 23.

Unevenness in Health at the Intersection of Gender and Sexuality: Sexual Minority Disparities in Alcohol and Drug Use Among Transwomen in the San Francisco Bay Area

Sean Arayasirikul^{1

2}, W Andres Pomart¹, H Fisher Raymond^{1

3}, Erin C Wilson^{1

3}

Affiliations

¹ a Center for Public Health Research , San Francisco Department of Public Health , San Francisco , California , USA.
² b Medical Sociology, Department of Social and Behavioral Sciences , University of California San Francisco , San Francisco , California , USA.
³ c Department of Epidemiology and Biostatistics , University of California San Francisco , San Francisco , California , USA.

PMID: 28332945
PMCID: PMC5683394
DOI: 10.1080/00918369.2017.1310552

Unevenness in Health at the Intersection of Gender and Sexuality: Sexual Minority Disparities in Alcohol and Drug Use Among Transwomen in the San Francisco Bay Area

Sean Arayasirikul et al. J Homosex. 2018.

. 2018;65(1):66-79.

doi: 10.1080/00918369.2017.1310552. Epub 2017 Mar 23.

Authors

Sean Arayasirikul^{1

2}, W Andres Pomart¹, H Fisher Raymond^{1

3}, Erin C Wilson^{1

3}

Affiliations

¹ a Center for Public Health Research , San Francisco Department of Public Health , San Francisco , California , USA.
² b Medical Sociology, Department of Social and Behavioral Sciences , University of California San Francisco , San Francisco , California , USA.
³ c Department of Epidemiology and Biostatistics , University of California San Francisco , San Francisco , California , USA.

PMID: 28332945
PMCID: PMC5683394
DOI: 10.1080/00918369.2017.1310552

Abstract

Research on the health of transwomen is largely focused on heterosexual HIV risk. Little is known about the health of sexual minority transwomen. We conducted a secondary cross-sectional analysis of data from a HIV risk and resilience study of transwomen aged 16 to 24 years in the San Francisco Bay Area (N = 259). Prevalence and demographic characteristics of sexual minority transwomen was assessed and logistic regression models were used to examine the relationship between sexual minority status and alcohol and drug use. In logistic regression models, sexual minority transwomen had greater fold odds of heavy episodic drinking and illicit prescription drug use compared to their heterosexual counterparts, controlling for race/ethnicity, age, income, nativity, hormone status, and history of feminization procedures. These results suggest that sexual minority status may be an important social determinant of health among gender minorities. Populations of transwomen are heterogeneous; effective interventions must consider sexual minority status.

Keywords: Alcohol use; LGBT health; health disparities; substance use; transgender; transwomen; young adults.

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References

1. Andrinopoulos K, Hembling J, Guardado ME, de Maria Hernandez F, Nieto AI, Melendez G. Evidence of the negative effect of sexual minority stigma on HIV testing among MSM and transgender women in San Salvador, El Salvador. AIDS Behav. 2015;19(1):60–71. doi: 10.1007/s10461-014-0813-0. - DOI - PubMed
1. Arayasirikul S, Chen YH, Jin H, Wilson E. A Web 2.0 and Epidemiology Mash-Up: Using Respondent-Driven Sampling in Combination with Social Network Site Recruitment to Reach Young Transwomen. AIDS Behav. 2015 doi: 10.1007/s10461-015-1234-4. - DOI - PMC - PubMed
1. Baral S, Holland CE, Shannon K, Logie C, Semugoma P, Sithole B, Beyrer C. Enhancing benefits or increasing harms: community responses for HIV among men who have sex with men, transgender women, female sex workers, and people who inject drugs. J Acquir Immune Defic Syndr. 2014;66(Suppl 3):S319–328. doi: 10.1097/QAI.0000000000000233. - DOI - PubMed
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[1] Andrinopoulos K, Hembling J, Guardado ME, de Maria Hernandez F, Nieto AI, Melendez G. Evidence of the negative effect of sexual minority stigma on HIV testing among MSM and transgender women in San Salvador, El Salvador. AIDS Behav. 2015;19(1):60–71. doi: 10.1007/s10461-014-0813-0. - DOI - PubMed

[2] Andrinopoulos K, Hembling J, Guardado ME, de Maria Hernandez F, Nieto AI, Melendez G. Evidence of the negative effect of sexual minority stigma on HIV testing among MSM and transgender women in San Salvador, El Salvador. AIDS Behav. 2015;19(1):60–71. doi: 10.1007/s10461-014-0813-0. - DOI - PubMed

[3] Arayasirikul S, Chen YH, Jin H, Wilson E. A Web 2.0 and Epidemiology Mash-Up: Using Respondent-Driven Sampling in Combination with Social Network Site Recruitment to Reach Young Transwomen. AIDS Behav. 2015 doi: 10.1007/s10461-015-1234-4. - DOI - PMC - PubMed

[4] Arayasirikul S, Chen YH, Jin H, Wilson E. A Web 2.0 and Epidemiology Mash-Up: Using Respondent-Driven Sampling in Combination with Social Network Site Recruitment to Reach Young Transwomen. AIDS Behav. 2015 doi: 10.1007/s10461-015-1234-4. - DOI - PMC - PubMed

[5] Baral S, Holland CE, Shannon K, Logie C, Semugoma P, Sithole B, Beyrer C. Enhancing benefits or increasing harms: community responses for HIV among men who have sex with men, transgender women, female sex workers, and people who inject drugs. J Acquir Immune Defic Syndr. 2014;66(Suppl 3):S319–328. doi: 10.1097/QAI.0000000000000233. - DOI - PubMed

[6] Baral S, Holland CE, Shannon K, Logie C, Semugoma P, Sithole B, Beyrer C. Enhancing benefits or increasing harms: community responses for HIV among men who have sex with men, transgender women, female sex workers, and people who inject drugs. J Acquir Immune Defic Syndr. 2014;66(Suppl 3):S319–328. doi: 10.1097/QAI.0000000000000233. - DOI - PubMed

[7] Bernhard LA. Lesbian health and health care. Annu Rev Nurs Res. 2001;19:145–177. - PubMed

[8] Bernhard LA. Lesbian health and health care. Annu Rev Nurs Res. 2001;19:145–177. - PubMed

[9] Blosnich J, Jarrett T, Horn K. Disparities in smoking and acute respiratory illnesses among sexual minority young adults. Lung. 2010;188(5):401–407. doi: 10.1007/s00408-010-9244-5. - DOI - PubMed

[10] Blosnich J, Jarrett T, Horn K. Disparities in smoking and acute respiratory illnesses among sexual minority young adults. Lung. 2010;188(5):401–407. doi: 10.1007/s00408-010-9244-5. - DOI - PubMed

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Unevenness in Health at the Intersection of Gender and Sexuality: Sexual Minority Disparities in Alcohol and Drug Use Among Transwomen in the San Francisco Bay Area

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Unevenness in Health at the Intersection of Gender and Sexuality: Sexual Minority Disparities in Alcohol and Drug Use Among Transwomen in the San Francisco Bay Area

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