The Safer Sex Communication of Transgender Adults: Processes and Problems

摘要

As HIV continues to devastate marginalized communities, organizations have prioritized the development of evidence-based HIV prevention programs. Although the transgender community is disproportionately affected by HIV/AIDS, no effective HIV prevention interventions have been identified for this group. The few published interventions focus on communication skills and community-building efforts, necessitating greater understanding of the sexual communication experiences of a broad segment of the trans-community. To explore the transgender experience with safer sex communication, 41 transgender adults were interviewed. Participants described safer sex communication as a complicated endeavor, involving privacy management, uncertainty reduction, and discussion of various approaches to sexual safety. Understanding the process of (and associated problems with) safer sex communication for transgender adults suggests implications for theory, research, and practice.