The survey queried males who want to be female.
"Despite the abundant resources available and used to prevent the spread of HIV, the survey provided insight into why the infection rate was so high. To begin with, around 36 percent of respondents self-reported engaging in high-risk sexual activities without using a condom and 34 percent reported engaging in prostitution. Around 60 percent engaged in substance abuse, which increases the risk of HIV infection, according to the CDC."
To Combat HIV, LGBT Americans Need To Wrestle With Some Hard Truths
Perpetuating victim-messaging and highlighting meaningless disparities will do nothing to lessen the spread of HIV amongst LGBT Americans.
https://thefederalist.com/2021/04/28/to-combat-hiv-lgbt-americans-need-to-wrestle-with-some-hard-truths/