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M9490542.TXT
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1994-09-24
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Document 0542
DOCN M9490542
TI The social organization of transvestite prostitution and AIDS.
DT 9411
AU Boles J; Elifson KW; Department of Sociology, Georgia State University,
Atlanta 30303.
SO Soc Sci Med. 1994 Jul;39(1):85-93. Unique Identifier : AIDSLINE
MED/94345427
AB This paper reports on the social organization of 53 transvestite
prostitutes in Atlanta (GA), U.S.A. The central focus of the paper is on
the relationship between social organization, social networks, and HIV
risk behaviors in three geographic areas. In one of the areas the HIV
infection rate was significantly higher than in the other two areas
(81.1% vs 62.5% and 12.5%). Transvestites from the high prevalence area
are strongly committed to transvestism and, consequently, are socially
isolated. They report the lowest income, engaged in passive anal sex,
have a history of syphilis and report inconsistent condom use with
paying sex partners. Transvestite prostitutes in the other two areas are
less committed to transvestism and more integrated into non-transvestite
networks. In the area with the lowest HIV rate the transvestites are
integrated into the non-transvestite male prostitute social organization
so are discouraged from engaging in receptive anal sex, especially
without condoms. The differences in HIV seroprevalence as well as
related behavioral differences are linked to social organization among
the transvestite prostitutes and to their participation in risky sex
such as receptive anal intercourse.
DE Adolescence Adult Condoms/UTILIZATION Georgia/EPIDEMIOLOGY Health
Behavior Health Status Human HIV Seropositivity/*EPIDEMIOLOGY *HIV
Seroprevalence Income *Interpersonal Relations Male Motivation
Prostitution/*PSYCHOLOGY Risk Factors Risk-Taking Sampling Studies
Social Isolation Support, U.S. Gov't, P.H.S. Transvestism/*PSYCHOLOGY
Urban Population Workplace JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).