Male to female and female to male transgender persons have different sexual risk behaviors yet similar rates of STDs and HIV

AIDS Behav. 2011 Apr;15(3):683-6. doi: 10.1007/s10461-010-9773-1.


The epidemiology of STDs and HIV among male-to-female (MTF) and female-to-male (FTM) transgender persons is limited, which makes prevention for transgender populations challenging. We examined data collected at visits for all self-identified MTF and FTM patients at the municipal STD clinic in San Francisco from January 1, 2006 to December 31, 2009. We compared demographic and socio-behavioral characteristics, as well as STD and HIV positivity and history of previous STD. Despite demographic and behavioral risk differences, there were no differences in STD positivity or HIV prevalence between MTF and FTM. A more complete understanding of the prevention needs for transgender persons is needed.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / prevention & control
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Risk-Taking*
  • San Francisco / epidemiology
  • Sex Work
  • Sexual Behavior / psychology*
  • Sexually Transmitted Diseases / epidemiology*
  • Sexually Transmitted Diseases / prevention & control
  • Socioeconomic Factors
  • Transsexualism*
  • Young Adult