Gender Non-affirmation from Cisgender Male Partners: Development and Validation of a Brief Stigma Scale for HIV Research with Transgender Men Who Have Sex with Men (Trans MSM)
Some transgender men who have sex with men (trans MSM) are vulnerable to HIV infection and face stigma from sexual partners. We evaluated a brief 4-item measure of gender non-affirmation from cisgender male partners. A non-probability sample of American trans MSM (n = 843) reporting past 6-month sexual contact with a cisgender male completed a cross-sectional survey. Psychometric analyses assessed the scale and modeled HIV risk associations. Overall, 78% experienced past 6-month gender non-affirmation from cisgender male partners. The scale demonstrated good reliability (α = 0.78). Convergent validity was supported in associations with psychological distress and anxiety (p < 0.05). Lower frequency of cisgender male partner stigma was associated with increased odds of past 6-month HIV testing and decreased odds of past 6-month condomless receptive sex (all p < 0.01). The gender non-affirmation from cisgender male sexual partners scale found negative associations with protective health behaviors and can be used to better understand the context of trans MSM risk behavior.
KeywordsHIV prevention Transgender Stigma MSM
Funding was provided by Gilead Sciences (Grant No. CO-US-276-4389)
- 1.Centers for Disease Control and Prevention (CDC). HIV Surveillance Report, 2016, vol. 28. November 2017; http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Accessed 10 Nov 2018.
- 2.Centers for Disease Control and Prevention (CDC). Estimated HIV incidence and prevalence in the United States, 2010–2015. HIV Surveillance Supplemental Report 2018. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Accessed 11 Nov 2018.
- 14.Goffman E. Stigma: notes on the management of spoiled identity. Englewood Cliffs: Prentice Hall; 1963.Google Scholar
- 25.DeVellis RF. Scale development: theory and applications. 2nd ed. Thousand Oaks: Sage Publications Inc; 2003.Google Scholar
- 27.James SE, Herman JL, Rankin S, Keisling M, Mottet L, Anafi M. The report of the 2015 US transgender survey. Washington, DC: National Center for Transgender Equality; 2016.Google Scholar