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HIV prevention barriers in transgender women: a qualitative study

Authors:	Mehrdad Eftekhar Ehsan Mostafavi Mohammad Mehdi Gouya Noushin Fahimfar Abbas Sedaghat Mahnaz Shoghi

Institution:	1. Mental Health Research Center, Tehran Institute of Psychiatry–School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran;2. Department of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran;3. The Center for Communicable Disease Control, Ministry of Health and Medical Education, Tehran, Iran;4. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;5. HIV/STI Surveillance Research Center, and WHO Collaborative Center for HIV Surveillance, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran;6. Nursing Care Research Center, Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

Abstract:	Abstract Sexual contact is still one of the most important routes of HIV transmission. The aim of this study was identify the factors that underlie the higher prevalence of high-risk sexual behaviors in a sample of transgender women in Iran. The qualitative study used face-to-face, semi-structured, in-depth interviews in a sample of 15 transgender women. Our participants used sexual practices as a way to be approved/accepted as a woman. Using sex for this purpose led them to engage in high-risk sexual relationships. It is essential to consider these issues in consulting and education about high-risk behaviors.

Keywords:	gender dysphoria HIV sexual qualitative identity

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