摘要：Recent studies have reported high rates of HIV infection among male-to-female transgender persons, but little research has examined how male-to-female transgender persons manage living with HIV. We compared demographic and health characteristics of 59 male-to-female transgender persons who were HIV positive with 300 nontransgender control subjects who were HIV positive. We found several demographic differences between the groups but no significant differences in HIV-related health status. Male-to-female transgender persons were less likely than the control group to take highly active antiretroviral therapy. Research indicates high HIV prevalence and incidence among male-to-female trans-gender persons; 1 , 2 however, little is known about how male-to-female transgender persons manage living with HIV. Factors such as low self-esteem, economic necessity, and substance abuse are cited as obstacles to health services for male-to-female transgender persons. 3 Research has suggested that many male-to-female transgender persons prioritize obtaining medical care for gender reassignment procedures 4 and that many experience health care discrimination. 3 – 5 This study examined whether male-to-female transgender persons who are HIV positive face greater difficulties accessing health services than do non-transgender persons who are HIV positive.
