Evidence map›Paper›PMID 40819042›Full record

ArticleBMC public health2025

Structural disadvantage and HIV risk - comparing risk factors between trans women's partnerships with cis men and trans women sexual partners.

Erin C Wilson, Bow Suprasert, Dillon Trujillo, Sofia Sicro, Christopher J Hernandez, Caitlin M Turner, Willi McFarland, Sean Arayasirikul

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Erin C WilsonSan Francisco Department of Public Health, Trans Research Unit for Equity, Center for Public Health Research, 25 Van Ness Ave Ste.710, San Francisco, CA, 94102, USA. erincwilson@gmail.com.
Bow SuprasertSan Francisco Department of Public Health, Trans Research Unit for Equity, Center for Public Health Research, 25 Van Ness Ave Ste.710, San Francisco, CA, 94102, USA.
Dillon TrujilloSan Francisco Department of Public Health, Trans Research Unit for Equity, Center for Public Health Research, 25 Van Ness Ave Ste.710, San Francisco, CA, 94102, USA.
Sofia SicroSan Francisco Department of Public Health, Trans Research Unit for Equity, Center for Public Health Research, 25 Van Ness Ave Ste.710, San Francisco, CA, 94102, USA.
Christopher J HernandezDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, USA.
Caitlin M TurnerSan Francisco Department of Public Health, Trans Research Unit for Equity, Center for Public Health Research, 25 Van Ness Ave Ste.710, San Francisco, CA, 94102, USA.
Willi McFarlandSan Francisco Department of Public Health, Trans Research Unit for Equity, Center for Public Health Research, 25 Van Ness Ave Ste.710, San Francisco, CA, 94102, USA.
Sean ArayasirikulDepartment of Health, Society, and Behavior, University of California Irvine, Irvine, USA.

Funding

NIMH NIH HHS # R21MH118062
6 · The paper itself

Abstract

introductionLittle is known about differences in HIV risk for trans women by partner gender, particularly with respect to social determinants of health and partner-level factors that affect behavior. We examined differences in demographic, social determinants, and HIV-related risk behaviors for trans women with cisgender men and trans women sexual partners. MATERIALS AND

methodsData are from a cross-sectional survey of trans women and their sexual partners conducted between April 2020 and January 2021. Interviews were held remotely via videoconference during shelter-in-place ordinances due to the Covid-19 pandemic. This analysis characterized associations between HIV risk and preventive behaviors comparing trans women with cisgender men partners to trans women with trans women partners.

resultsA total of 336 sexual partners were identified from 156 trans women. Trans women with cisgender men partners were significantly more likely to be from racial/ethnic minority populations and all Black/African American and Latina trans women participants had cisgender men partners only. Trans women with cisgender men partners had significantly less education and employment and more incarceration and recidivism than trans women with trans women partners. Trans women and their cisgender men partners had shared experiences of unstable housing, incarceration, and HIV. Trans women with cisgender men partners reported significantly more sex exchange partners, receptive condomless sex, and HIV compared to trans women with trans women partners.

conclusionsTrans women with cisgender men sexual partners faced higher HIV risk than trans women with trans women sexual partners. These risks may be related to the social and economic drivers that both trans women and their cisgender men partners faced, namely structural racism that may explain barriers to education and employment, along with incarceration and recidivism. Interventions focused on economic stability, workforce development and post incarceration re-entry housing and employment support for trans women and their cisgender men partners may have the most impact on reducing HIV risk and incidence.

Indexed as

HIV InfectionsSexual PartnersTransgender PersonsAdultCOVID-19Cross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsRisk-TakingSocial Determinants of HealthYoung AdultHIV riskSexual partnersSocial determinants of healthStigmaStructural disadvantageTrans women

Identifiers

PMID40819042
PMCPMC12357390

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.