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Prevalence and correlates of substance use and associations with HIV-related outcomes among trans women in the San Francisco Bay Area
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Prevalence and correlates of substance use and associations with HIV-related outcomes among trans women in the San Francisco Bay Area
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Prevalence and correlates of substance use and associations with HIV-related outcomes among trans women in the San Francisco Bay Area
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Journal Article
Prevalence and correlates of substance use and associations with HIV-related outcomes among trans women in the San Francisco Bay Area
2022
Overview
Background
Trans women face tremendous social inequities as well as disproportionate rates of HIV and substance use, yet disaggregated substance use data specific to trans women remain limited.
Methods
We conducted a secondary analysis of baseline data from the Trans*National Study (2016–2017) surveying trans women in the San Francisco Bay Area (n = 629). Multivariable logistic regression was used to analyze socio-demographic and environmental correlates of substance use, and bivariate associations between substance use and HIV-associated outcomes are presented alongside prevalence data.
Results
Over half (52.9%) reported using substances in the prior year, most frequently marijuana, methamphetamine, and crack/cocaine. Those with unmet gender-affirming health care needs, lack of insurance, or a history of experiencing racial violence, transphobic violence, adult housing instability, or extreme poverty had higher odds of substance use. Sex work and condomless anal sex were also independently associated with substance use.
Conclusions
Among this sample of trans women, substance use and substance use concurrent with sex were highly prevalent, and associated with a number of socioeconomic and health care needs. These findings corroborate the need for holistic and intersectional efforts to reduce substance use and HIV risk.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Alcohol
/ Anal sex
/ Cannabis
/ Cocaine
/ Drug use
/ Female
/ HIV
/ HIV Infections - complications
/ HIV Infections - epidemiology
/ Human immunodeficiency virus
/ Humans
/ Medicine
/ Poverty
/ Race
/ San Francisco - epidemiology
/ Sex
/ Sexually transmitted diseases
/ Social determinants of health
/ STD
/ Substance-Related Disorders - complications
/ Substance-Related Disorders - epidemiology
/ Violence
