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. 2004 Dec;80(6):541–545. doi: 10.1136/sti.2004.010769

Changes in regular condom use among immigrant transsexuals attending a counselling and testing reference site in central Rome: a 12 year study

M Zaccarelli 1, L Spizzichino 1, S Venezia 1, A Antinori 1, P Gattari 1
PMCID: PMC1744926  PMID: 15572632

Abstract

Objective: To analyse data from male to female transsexuals attending between 1992 and 2003 an outpatient clinic considered the main HIV counselling and testing site in Rome for foreign people.

Methods: Data collected between 1992 and 2003, from a routine anti-HIV testing and counselling activity, were analysed. A brief standard interview was performed at each test. A cross sectional analysis to assess the association of regular condom use with demographic and behavioural variables using multiple logistic regression was performed. A follow up analysis to define the effect of single factors on the occurrence of new anti-HIV seroconversions was also performed. The incidence of anti-HIV seroconversion was calculated in person years of observation.

Results: Overall, 473 transsexuals sex workers were tested. Most of them (99%) were from South America (mainly Columbia and Brazil). Anti-HIV prevalence was 32%, but a progressive decrease over time was observed (from 57% in 1993 to12% in 2003). The proportion of patients reporting regular condom use at enrolment was 75%. A progressive increase in regular condom use was reported over time (from 43% in 1992–3 to 79% in 2002–3). 15 new HIV infections were observed during follow up (incidence 2.1 per 100 person years). Though the proportion of patients reporting regular condom use increased over time, 10 out of the 15 new infections occurred in patients reporting unprotected sex during follow up (rate 8.4 per 100 person years).

Conclusions: Our data suggest that counselling may lead to an increase in safe sex practices among immigrant transsexuals. However, the incidence of new HIV infections is still high and mainly related to non-regular condom use, which still remains the primary objective of prevention.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baqi S., Shah S. A., Baig M. A., Mujeeb S. A., Memon A. Seroprevalence of HIV, HBV, and syphilis and associated risk behaviours in male transvestites (Hijras) in Karachi, Pakistan. Int J STD AIDS. 1999 May;10(5):300–304. doi: 10.1258/0956462991914159. [DOI] [PubMed] [Google Scholar]
  2. Belza M. J., Llácer A., Mora R., Morales M., Castilla J., de la Fuente L. Sociodemographic characteristics and HIV risk behaviour patterns of male sex workers in Madrid, Spain. AIDS Care. 2001 Oct;13(5):677–682. doi: 10.1080/09540120120063296. [DOI] [PubMed] [Google Scholar]
  3. Browning Mary R., Evans Meirion R., Rees Clive M. Continued high-risk sexual behaviour among HIV-positive people in Wales. Int J STD AIDS. 2003 Nov;14(11):737–739. doi: 10.1258/09564620360719769. [DOI] [PubMed] [Google Scholar]
  4. Chen Sanny Y., Gibson Steven, Weide Darlene, McFarland Willi. Unprotected anal intercourse between potentially HIV-serodiscordant men who have sex with men, San Francisco. J Acquir Immune Defic Syndr. 2003 Jun 1;33(2):166–170. doi: 10.1097/00126334-200306010-00008. [DOI] [PubMed] [Google Scholar]
  5. Colby Donn J. HIV knowledge and risk factors among men who have sex with men in Ho Chi Minh City, Vietnam. J Acquir Immune Defic Syndr. 2003 Jan 1;32(1):80–85. doi: 10.1097/00126334-200301010-00012. [DOI] [PubMed] [Google Scholar]
  6. D'Antuono A., Cocci C., Carlà E., de Tommaso S. Prevalence of STDs and HIV infection among immigrant sex workers attending an STD centre in Bologna, Italy. Sex Transm Infect. 1999 Aug;75(4):273–274. [PubMed] [Google Scholar]
  7. Friedland G. H., Klein R. S. Transmission of the human immunodeficiency virus. N Engl J Med. 1987 Oct 29;317(18):1125–1135. doi: 10.1056/NEJM198710293171806. [DOI] [PubMed] [Google Scholar]
  8. Galli M., Esposito R., Antinori S., Cernuschi M., Moroni M., Giannelli F., Cargnel A., Quirino T., Innocenti M., Marozzi F. HIV-1 infection, tuberculosis, and syphilis in male transsexual prostitutes in Milan, Italy. J Acquir Immune Defic Syndr. 1991;4(10):1006–1007. [PubMed] [Google Scholar]
  9. Ghys Peter D., Diallo Mamadou O., Ettiègne-Traoré Virginie, Kalé Kouamé, Tawil Oussama, Caraël Michel, Traoré Moussa, Mah-Bi Guessan, De Cock Kevin M., Wiktor Stefan Z. Increase in condom use and decline in HIV and sexually transmitted diseases among female sex workers in Abidjan, Côte d'Ivoire, 1991-1998. AIDS. 2002 Jan 25;16(2):251–258. doi: 10.1097/00002030-200201250-00015. [DOI] [PubMed] [Google Scholar]
  10. Jones D. L., Irwin K. L., Inciardi J., Bowser B., Schilling R., Word C., Evans P., Faruque S., McCoy H. V., Edlin B. R. The high-risk sexual practices of crack-smoking sex workers recruited from the streets of three American cities. The Multicenter Crack Cocaine and HIV Infection Study Team. Sex Transm Dis. 1998 Apr;25(4):187–193. doi: 10.1097/00007435-199804000-00002. [DOI] [PubMed] [Google Scholar]
  11. Kamb M. L., Fishbein M., Douglas J. M., Jr, Rhodes F., Rogers J., Bolan G., Zenilman J., Hoxworth T., Malotte C. K., Iatesta M. Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases: a randomized controlled trial. Project RESPECT Study Group. JAMA. 1998 Oct 7;280(13):1161–1167. doi: 10.1001/jama.280.13.1161. [DOI] [PubMed] [Google Scholar]
  12. Miller D. ABC of AIDS. Counselling. Br Med J (Clin Res Ed) 1987 Jun 27;294(6588):1671–1674. doi: 10.1136/bmj.294.6588.1671. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Modan B., Goldschmidt R., Rubinstein E., Vonsover A., Zinn M., Golan R., Chetrit A., Gottlieb-Stematzky T. Prevalence of HIV antibodies in transsexual and female prostitutes. Am J Public Health. 1992 Apr;82(4):590–592. doi: 10.2105/ajph.82.4.590. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Padian N. S. Prostitute women and AIDS: epidemiology. AIDS. 1988 Dec;2(6):413–419. doi: 10.1097/00002030-198812000-00001. [DOI] [PubMed] [Google Scholar]
  15. Spizzichino L., Casella P., Zaccarelli M., Rezza G., Venezia S., Gattari P. HIV infection among foreign people involved in HIV-related risk activities and attending an HIV reference centre in Rome: the possible role of counselling in reducing risk behaviour. AIDS Care. 1998 Aug;10(4):473–480. doi: 10.1080/09540129850124000. [DOI] [PubMed] [Google Scholar]
  16. Spizzichino L., Zaccarelli M., Rezza G., Ippolito G., Antinori A., Gattari P. HIV infection among foreign transsexual sex workers in Rome: prevalence, behavior patterns, and seroconversion rates. Sex Transm Dis. 2001 Jul;28(7):405–411. doi: 10.1097/00007435-200107000-00008. [DOI] [PubMed] [Google Scholar]
  17. Verster A., Davoli M., Camposeragna A., Valeri C., Perucci C. A. Prevalence of HIV infection and risk behaviour among street prostitutes in Rome, 1997-1998. AIDS Care. 2001 Jun;13(3):367–372. doi: 10.1080/09540120120044017. [DOI] [PubMed] [Google Scholar]
  18. van Haastrecht H. J., Fennema J. S., Coutinho R. A., van der Helm T. C., Kint J. A., van den Hoek J. A. HIV prevalence and risk behaviour among prostitutes and clients in Amsterdam: migrants at increased risk for HIV infection. Genitourin Med. 1993 Aug;69(4):251–256. doi: 10.1136/sti.69.4.251. [DOI] [PMC free article] [PubMed] [Google Scholar]

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