Official websites use. Share sensitive information only on official, secure websites. Author Contributions: TP conceived and planned the analyses.
RHW conducted the analyses. NG reviewed and contributed to the analyses. SWB contributed to interpretation of results. TP took the lead in writing the manuscript. All authors provided critical feedback and helped shape the final manuscript. This study examined the correlates of laboratory-confirmed STIs among a cohort of 62 TFSW followed over the course of one year and explored associations between specimen site and self-reported engagement in insertive and receptive anal intercourse.
Participants completed an interviewer-administered computer assisted personal interview at baseline, 3-, 6-, 9-, and month visits where self-administered anal swabs and urine samples for gonorrhea, chlamydia, and trichomonas were also collected.
HIV testing was conducted at baseline, 6-, and month visits. Baseline HIV prevalence was Baseline prevalence of gonorrhea, chlamydia, and trichomonas was 9. In the multivariable regression modeling, recent arrest was significantly associated with testing positive for any STI aRR 1. Insertive anal sex with clients was associated with increased risk of testing positive for an STI via urine specimen RR 3.
Our findings confirm a high prevalence of STIs among TFSW and highlight the importance of addressing structural drivers such as criminal justice involvement as well as the need to ensure screening for STIs at all anatomical sites regardless of self-reported sites of potential exposure.
