title: Men who have sex with transgender women: challenges to category-based HIV prevention.
abstract: Although transgender women are acknowledged as a priority population for HIV prevention, there is little knowledge on men who have sex with transgender women (MSTGWs). MSTGWs challenge conventional sexual orientation categories in public health and HIV prevention research, and warrant increased attention from the public health community. This paper used qualitative techniques to analyze how MSTGWs describe their sexual orientation identities, and to explore the correspondence between men's identities and sexual behaviors with transgender women. We conducted in-depth semi-structured individual interviews with 46 MSTGWs in San Francisco. We observed a diversity in the ways participants identified and explained their sexual orientation, and found no consistent patterns between how men described their sexual orientation identity versus their sexual behavior and attraction to transgender women. Findings from this qualitative study question the utility of category-based approaches to HIV prevention with MSTGWs and offer insights into developing HIV interventions for these men.
authors: Department of Social Policy and Social Work, University of Oxford, 32 Wellington Square, Oxford, OX1 2ER, UK. don.operario@socres.ox.ac.uk
authors: Don
authors: D
authors: Operario
authors: Jennifer
authors: J
authors: Burton
authors: Kristen
authors: K
authors: Underhill
authors: Jae
authors: J
authors: Sevelius
mesh_terms: D005260:Female; D005783:Gender Identity; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D012495:San Francisco; D012725:Sexual Behavior; D012747:Sexual Partners; D014189:Transsexualism