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Wainipitapong S, Oon-arom A, Wiwattarangkul T, Vadhanavikkit P, Wiwattanaworaset P, Srifuengfung M, Chiddaycha M. Sexual Behaviors Among Lesbian, Gay, Bisexual, Transgender, and Other Sexual and Gender Diverse Medical Students: A National Study of Thai Medical Schools. INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2023; 35:352-362. [PMID: 38601729 PMCID: PMC10903562 DOI: 10.1080/19317611.2023.2214801] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 05/05/2023] [Accepted: 05/12/2023] [Indexed: 04/12/2024]
Abstract
Objective This study aims to investigate sexual behaviors among gender diverse (LGBT and other sexual/gender minorities) and nongender-diverse medical students. Methods In 2021 academic year, medical students from five Thai medical schools completed questionnaires identifying demographic data, psychosexual factors, sexual experiences, and risks. Results Among 1,322 students, 32.1% were gender-diverse students who had lower age at first sexual intercourse and more experiences in solitary and partnered sexual activity. Conclusions Use of hookup applications was more frequent among gay and bisexual males. Risky sexual behaviors were significantly higher among bisexual females. Gender-diverse medical students showed higher involvement in sexual activities. Future studies should be addressing sexual health in Thai medical education.
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Affiliation(s)
- Sorawit Wainipitapong
- Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
- Center of Excellence in Transgender Health, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Awirut Oon-arom
- Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Teeravut Wiwattarangkul
- Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
| | - Papan Vadhanavikkit
- Department of Psychiatry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | | | - Maytinee Srifuengfung
- Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Mayteewat Chiddaycha
- Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
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Catelan RF, Saadeh A, Lobato MIR, Gagliotti DAM, Nardi HC, Costa AB. Depression, Self-Esteem, and Resilience and its Relationship with Psychological Features of Sexuality among Transgender Men and Women from Brazil. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:1993-2002. [PMID: 35414149 DOI: 10.1007/s10508-021-02189-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Revised: 10/09/2021] [Accepted: 10/11/2021] [Indexed: 05/23/2023]
Abstract
This cross-sectional study investigated whether depression, self-esteem, and resilience (mental health indicators) are associated with some psychological features of sexuality (sexual fear, sexual anxiety, sexual dissatisfaction, and sexual body image worries) in a sample of 462 transgender men and women from Brazil. Pearson's correlations were performed between all continuous variables in the study. Those that were significantly associated with the psychological features of sexuality in previous analyses were tested as independent variables in multiple linear regression models. Sexual fear, sexual anxiety, sexual dissatisfaction, and sexual body image worries were negatively related to self-esteem and resilience, while positively related to depression. Higher levels of depression were associated with sexual fear, while higher levels of depression and lower self-esteem were associated with sexual anxiety. In addition, higher levels of depression and lower levels of resilience were associated with sexual dissatisfaction. Depression and resilience were associated with the composite score of sexual dissatisfaction and sexual anxiety. Our results suggest that negative mental health indicators may impair the sexual life of transgender individuals. Clinical interventions should be developed and tested to address the psychological features of sexuality.
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Affiliation(s)
- Ramiro Figueiredo Catelan
- Department of Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Ipiranga Avenue, 6681, Porto Alegre, 90619-900, Brazil.
| | - Alexandre Saadeh
- Transdisciplinary Gender Identity and Sexual Orientation Service (AMTIGOS-NUFOR), Hospital de Clínicas da Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Maria Inês Rodrigues Lobato
- Gender Identity Program (PROTIG), Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Daniel Augusto Mori Gagliotti
- Transdisciplinary Gender Identity and Sexual Orientation Service (AMTIGOS-NUFOR), Hospital de Clínicas da Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
| | - Henrique Caetano Nardi
- Department of Social Psychology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Angelo Brandelli Costa
- Department of Psychology, Pontifícia Universidade Católica do Rio Grande do Sul, Ipiranga Avenue, 6681, Porto Alegre, 90619-900, Brazil
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Influence of Internet Language Violence on Young Students' Mental Health and Intervention Countermeasures. JOURNAL OF HEALTHCARE ENGINEERING 2021; 2021:1603117. [PMID: 34804445 PMCID: PMC8598337 DOI: 10.1155/2021/1603117] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 10/04/2021] [Accepted: 10/22/2021] [Indexed: 01/31/2023]
Abstract
With the development of the Internet, it has increasingly become an indispensable product in people's lives, but many problems have arisen with it. Internet language violence is one of them. At present, the main Internet users in my country are young people, and online language violence brings extremely serious psychological problems to young students. In order to understand the current mental health of young students and the impact of online language violence on them, this article investigates the students in the city's no. 1 middle school, filters the data through decision tree analysis, and judges online language through the psychological symptoms self-rating scale. The mental health symptom self-rating scale has the characteristics of large capacity, abundant symptoms, and more accurate description of the subject's conscious symptoms. It contains a wide range of psychiatric symptoms, from feelings, emotions, thinking, consciousness, and behavior to life habits, interpersonal relationships, eating, and sleeping, and it uses 10 factors to reflect the psychological symptoms in 10 aspects. It has good distinguishing ability for people with psychological symptoms (that is, they may be on the edge of psychological disorder or mental disorder). The chi-square statistical method is used to analyze the basic characteristics of different youth groups of verbal violence. For the research content, the school surveys all schools and adopts questionnaire surveys and case studies to analyze the factors that influence youths' attribution of online violence behaviors and make recommendations. The impact of violence on young students will be analyzed later through psychological intervention. The results of the study found that online language violence caused serious harm to young people's psychology and caused students' depression, anxiety, and other mental illnesses. Active psychological interventions can effectively alleviate students' mental health. The improvement of students' mental health is the most obvious. The score improved by nearly 10%.
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4
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Richardson D, Nambiar KZ, Nadarzynski T. Understanding the diverse sexual repertoires of men who have sex with men, trans and gender-diverse groups is important for sexually transmitted infection prevention. BMJ SEXUAL & REPRODUCTIVE HEALTH 2021; 47:e3. [PMID: 32972922 DOI: 10.1136/bmjsrh-2020-200804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Revised: 09/14/2020] [Accepted: 09/16/2020] [Indexed: 06/11/2023]
Affiliation(s)
- Daniel Richardson
- Sexual Health & HIV, Brighton and Sussex Medical School, Brighton, UK
- Sexual Health & HIV, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
| | - Kate Z Nambiar
- Sexual Health & HIV, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
- Gender Identity Clinic, Tavistock and Portman NHS Foundation Trust, London, UK
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5
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Martins A, Canavarro MC, Pereira M. Multidimensional factors associated with perceived risk of HIV among sexually experienced individuals in Portugal. PSYCHOLOGY & SEXUALITY 2021. [DOI: 10.1080/19419899.2021.1933146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Alexandra Martins
- Faculty of Psychology and Educational Sciences, University of Coimbra, Center for Research in Neuropsychology and Cognitive-Behavioral Intervention (CINEICC), Coimbra, Portugal
| | - Maria Cristina Canavarro
- Faculty of Psychology and Educational Sciences, University of Coimbra, Center for Research in Neuropsychology and Cognitive-Behavioral Intervention (CINEICC), Coimbra, Portugal
| | - Marco Pereira
- Faculty of Psychology and Educational Sciences, University of Coimbra, Center for Research in Neuropsychology and Cognitive-Behavioral Intervention (CINEICC), Coimbra, Portugal
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Wang M, Lim SH, Gibson BA, Azwa I, Guadamuz TE, Altice FL, Kamarulzaman A, Wickersham JA. Correlates of newly diagnosed HIV infection among cisgender women sex workers and transgender women sex workers in Greater Kuala Lumpur, Malaysia. Int J STD AIDS 2021; 32:609-619. [PMID: 33752518 DOI: 10.1177/0956462420970417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Globally, cisgender women sex workers (CWSWs) and transgender women sex workers (TWSWs) experience increased vulnerabilities to HIV infection. Unfortunately, there is limited data on the drivers of HIV infection in these two understudied populations, particularly in Southeast Asia. To better understand factors associated with HIV infection, we evaluated correlates of newly diagnosed HIV infection in these two populations in Greater Kuala Lumpur, Malaysia. A total of 469 women (CWSW: n = 283; TWSW: n = 186) were included in this study. Most participants who tested HIV+ were unaware of their infection (59.6%; n = 34/57). Separate binary and multivariable logistic regressions were conducted to identify correlates of newly diagnosed HIV in CWSWs and TWSWs. Among CWSWs, Chlamydia trachomatis (aOR = 5.66; p = 0.007) and lifetime use of ecstasy/MDMA (aOR = 5.34; p = 0.03) were associated with newly diagnosed HIV, while condomless vaginal sex with clients was associated with lower likelihood of HIV infection (aOR = 0.98; p = 0.01). Among TWSWs, being single (aOR = 6.76; p = 0.03), using mobile application to solicit clients (aOR = 25.33; p = 0.006), and having C. trachomatis infection (aOR = 88.22, p = 0.02) were associated with newly diagnosed HIV. Expansion of HIV/sexually transmitted infection screening is needed to increase detection of HIV and linkage to care for sex workers. Interventions to reduce HIV infection among CWSWs and TWSWs should be tailored to these populations' unique vulnerabilities.
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Affiliation(s)
- Melinda Wang
- Department of Internal Medicine, Section of Infectious Diseases, AIDS Program, 12228Yale University School of Medicine, New Haven, CT, USA
| | - Sin How Lim
- Faculty of Medicine, Centre of Excellence for Research in AIDS (CERiA), 37447University of Malaya, Kuala Lumpur, Malaysia.,Faculty of Medicine, Department of Social and Preventive Medicine, 37447University of Malaya, Kuala Lumpur, Malaysia
| | - Britton A Gibson
- Frank H. Netter MD School of Medicine, 472529Quinnipiac University, North Haven, CT, USA
| | - Iskandar Azwa
- Infectious Diseases Unit, Faculty of Medicine, 37447University of Malaya, Kuala Lumpur, Malaysia
| | - Thomas E Guadamuz
- Department of Society and Health, Faculty of Social Sciences and Humanities, 26685Mahidol University, Nakhon Pathom, Thailand
| | - Frederick L Altice
- Department of Internal Medicine, Section of Infectious Diseases, AIDS Program, 12228Yale University School of Medicine, New Haven, CT, USA.,Faculty of Medicine, Centre of Excellence for Research in AIDS (CERiA), 37447University of Malaya, Kuala Lumpur, Malaysia.,Department of Epidemiology of Microbial Diseases, Yale University School of Public Health, New Haven, CT, USA
| | - Adeeba Kamarulzaman
- Department of Internal Medicine, Section of Infectious Diseases, AIDS Program, 12228Yale University School of Medicine, New Haven, CT, USA.,Faculty of Medicine, Centre of Excellence for Research in AIDS (CERiA), 37447University of Malaya, Kuala Lumpur, Malaysia
| | - Jeffrey A Wickersham
- Department of Internal Medicine, Section of Infectious Diseases, AIDS Program, 12228Yale University School of Medicine, New Haven, CT, USA.,Faculty of Medicine, Centre of Excellence for Research in AIDS (CERiA), 37447University of Malaya, Kuala Lumpur, Malaysia
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Aggarwal NK, Consavage KE, Dhanuka I, Clement KW, Bouey JH. Health and Health Care Access Barriers Among Transgender Women Engaged in Sex Work: A Synthesis of U.S.-Based Studies Published 2005-2019. LGBT Health 2020; 8:11-25. [PMID: 33297834 DOI: 10.1089/lgbt.2019.0243] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Purpose: Transgender women (TW) are likely to experience job discrimination and engage in commercial sex transactions. As a group, they have the highest risk for HIV/AIDS. However, little is known about the health needs of transgender women sex workers (TWSW) in the United States and the structural and psychosocial barriers to their health care access. The objective of this systematic review was to systematically document these needs and barriers by using a framework approach. Methods: We searched PubMed, JSTOR, and Google Scholar for primary and secondary studies published in 2005-2019 that addressed the health of TWSW in the United States. We used a standardized data extraction form to gather data from eligible articles. The Strengthening the Reporting of Observational Studies in Epidemiology checklist was used to assess study quality. Results: Fifty-three articles met the inclusion criteria, including mentioning health-related topics among TWSW. More articles appeared in recent years. Most studies collected data with convenience samples in urban areas. Structural barriers reported included transphobia, lack of pre-exposure prophylaxis targeted at TW, and lack of health insurance coverage. Psychosocial barriers included distrust of the health care system, self-esteem, alcohol and substance use, and mental health. Conclusions: TWSW have unique health care needs that are not being addressed due to barriers to health care access. More research is required to identify non-HIV-related health burdens and details about psychosocial barriers to health care access.
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Affiliation(s)
- Neena K Aggarwal
- Department of International Health, School of Nursing and Health Studies, Georgetown University, Washington, District of Columbia, USA
| | - Katherine E Consavage
- Department of International Health, School of Nursing and Health Studies, Georgetown University, Washington, District of Columbia, USA
| | - Ida Dhanuka
- Department of Biology, Georgetown University, Washington, District of Columbia, USA
| | - Kesiah W Clement
- Department of International Health, School of Nursing and Health Studies, Georgetown University, Washington, District of Columbia, USA
| | - Jennifer H Bouey
- Department of International Health, School of Nursing and Health Studies, Georgetown University, Washington, District of Columbia, USA
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8
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Sun CJ, Anderson KM, Kuhn T, Mayer L, Klein CH. A Sexual Health Promotion App for Transgender Women (Trans Women Connected): Development and Usability Study. JMIR Mhealth Uhealth 2020; 8:e15888. [PMID: 32396131 PMCID: PMC7251477 DOI: 10.2196/15888] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 11/22/2019] [Accepted: 12/15/2019] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND HIV severely impacts the transgender communities in the United States, and transgender women have the highest HIV incidence rates among any identified risk group. Guided by formative research with transgender women and by an expert advisory panel of transgender women, we designed a prototype mobile app to promote HIV prevention among transgender women. OBJECTIVE This study aimed to develop and test the usability and acceptability of the prototype Trans Women Connected mobile app. METHODS We engaged in a 3-phase prototype development process. After conducting formative research about the health needs of this population, we outlined a theory-based app framework and developed three prototype activities (ie, a vision board, a pre-exposure prophylaxis [PrEP] education activity, and an interactive map). We then tested the usability and acceptability of the mobile app and activities with 16 transgender women using pre- and posttests, think-aloud protocols, and open-ended questions. RESULTS Participants reported high acceptability for the mobile app; the mean rating across all usability and likability questions was 5.9 out of 7. Service utilization intention, goal setting, and social support increased at posttest compared with pretest. Increases in self-efficacy in finding lesbian, gay, bisexual, transgender, and queer-friendly services; intention to seek online social support; and PrEP knowledge were statistically significant. Participants described the app as attractive and useful and perceived all three activities positively. CONCLUSIONS This study describes the development and usability and acceptability evaluation of a prototype mobile app designed for and with transgender women for HIV prevention. The usability testing findings provided important insights toward refining and the further development of the Trans Women Connected mobile app. The results suggest that a mobile health intervention can support positive changes. The remaining development and efficacy randomized trial of the Trans Women Connected mobile app is currently underway.
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Affiliation(s)
- Christina J Sun
- School of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, United States
| | - Kirsten M Anderson
- School of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, United States
| | | | - Liat Mayer
- Department of Anthropology, Portland State University, Portland, OR, United States
| | - Charles H Klein
- Department of Anthropology, Portland State University, Portland, OR, United States
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King WM, Hughto JMW, Operario D. Transgender stigma: A critical scoping review of definitions, domains, and measures used in empirical research. Soc Sci Med 2020; 250:112867. [PMID: 32163820 PMCID: PMC7442603 DOI: 10.1016/j.socscimed.2020.112867] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2019] [Revised: 01/09/2020] [Accepted: 02/17/2020] [Indexed: 12/23/2022]
Abstract
RATIONALE A growing body of transgender (trans) health research has explored the relationship between stigma and health; yet, studies have conceptualized and operationalized anti-trans stigma in multiple ways. OBJECTIVE This scoping review aims to critically analyze quantitative measures of anti-trans stigma in the U.S. using a socioecological framework. METHOD We organized and appraised measures from 126 included articles according to socioecological level: structural, interpersonal, or individual. RESULTS Of the identified articles, 36 measured anti-trans stigma at the structural level (i.e., institutional structures and policies), 102 measured anti-trans at the interpersonal level (i.e., community interactions), and 44 measured anti-trans stigma at the individual level (i.e., internalized or anticipated stigma). Definitions of anti-trans stigma varied substantially across articles. Most measures were adapted from measures developed for other populations (i.e., sexual minorities) and were not previously validated for trans samples. CONCLUSIONS Studies analyzing anti-trans stigma should concretely define anti-trans stigma. There is a need to develop measures of anti-trans stigma at all socioecological levels informed by the lived experiences of trans people.
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Affiliation(s)
- Wesley M King
- University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA.
| | - Jaclyn M W Hughto
- Brown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA.
| | - Don Operario
- Brown University School of Public Health, 121 South Main Street, Providence, RI 02903, USA.
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Sun CJ, Anderson KM, Mayer L, Kuhn T, Klein CH. Findings from Formative Research to Develop a Strength-Based HIV Prevention and Sexual Health Promotion mHealth Intervention for Transgender Women. Transgend Health 2019; 4:350-358. [PMID: 32042925 PMCID: PMC6931010 DOI: 10.1089/trgh.2019.0032] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Purpose: Transgender women experience significant health disparities, including increased risk of HIV infection. In this study, we examined the sexual health needs of transgender women in the context of their overall health and well-being and to identify overarching content framing strategies and content for a mobile health intervention. Methods: We conducted four focus groups and 20 individual in-depth interviews in the United States with racially and geographically diverse transgender women. Results: Four key themes were identified: structural factors as a central part of health; prioritization of transition-related care and mental health; the need for sexual health beyond preventing sexually transmitted infections and HIV; and the importance of connection and community. Conclusions: These themes can help inform the development of HIV prevention and sexual health promotion interventions for transgender women. The results suggest that the HIV and sexual health needs of transgender women should be addressed within the context of structural factors with a focus on resilience, community connection, and social support.
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Affiliation(s)
- Christina J. Sun
- Oregon Health and Science University-Portland State University School of Public Health, Portland, Oregon
| | - Kirsten M. Anderson
- Oregon Health and Science University-Portland State University School of Public Health, Portland, Oregon
| | - Liat Mayer
- Department of Anthropology, Portland State University, Portland, Oregon
| | | | - Charles H. Klein
- Department of Anthropology, Portland State University, Portland, Oregon
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Morrison MA, Bishop CJ, Morrison TG. What is the best measure of discrimination against trans people?: A systematic review of the psychometric literature. PSYCHOLOGY & SEXUALITY 2018. [DOI: 10.1080/19419899.2018.1484798] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
| | - CJ Bishop
- Department of Psychology Saskatoon, University of Saskatchewan, SK, Canada
| | - Todd G. Morrison
- Department of Psychology Saskatoon, University of Saskatchewan, SK, Canada
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12
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McCann E, Brown M. Vulnerability and Psychosocial Risk Factors Regarding People who Identify as Transgender. A Systematic Review of the Research Evidence. Issues Ment Health Nurs 2018; 39:3-15. [PMID: 29286841 DOI: 10.1080/01612840.2017.1382623] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The aim of this systematic review was to identify the issues related to the vulnerability and psychosocial risk factors of people who identify as transgender. A search of relevant electronic databases from 2007 to 2017 was conducted. Included studies involved transgender people, vulnerability, and risk factors. Following the application of rigorous inclusion and exclusion criteria, a total of 21 papers were considered suitable for the review. The identified themes included sexual risks, substance use, psychological vulnerability risk factors, and protective factors and behaviors. Nurses are in a strong position to address pertinent concerns and to provide the necessary psychosocial supports to this population.
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Affiliation(s)
- Edward McCann
- a University of Dublin, Trinity College, School of Nursing and Midwifery , Dublin , Ireland
| | - Michael Brown
- b Queen's University Belfast, School of Nursing and Midwifery , Northern Ireland , United Kingdom
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13
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McFarland W, Wilson EC, Raymond HF. HIV Prevalence, Sexual Partners, Sexual Behavior and HIV Acquisition Risk Among Trans Men, San Francisco, 2014. AIDS Behav 2017; 21:3346-3352. [PMID: 28236144 DOI: 10.1007/s10461-017-1735-4] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
We surveyed 122 trans men using a hybrid sampling method that included randomly selected physical and online venues and peer referral to measure HIV prevalence and risk behaviors. HIV prevalence was 0% (one-sided 97.5% confidence interval 0-3.3%). Of 366 partnerships described, 44.8% were with cisgender women, 23.8% with cisgender men, 20.8% with trans men, and 10.7% with trans women. Condomless receptive anal and front hole/vaginal sex averaged one to three episodes per six months. HIV prevalence in trans men is likely closer to heterosexual cisgender men and women in San Francisco than trans women or MSM. Prevention prioritizing trans women and MSM, coupled with individualized and relevant sexual health education for trans men with partners from these populations, may best address the HIV prevention needs of trans men. Systematic collection of transgender status in Census and health data is needed to understand other health disparities among trans men.
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Affiliation(s)
- Willi McFarland
- San Francisco Department of Public Health, 25 Van Ness, San Francisco, CA, 94102, USA.
| | - Erin C Wilson
- San Francisco Department of Public Health, 25 Van Ness, San Francisco, CA, 94102, USA
| | - Henry F Raymond
- San Francisco Department of Public Health, 25 Van Ness, San Francisco, CA, 94102, USA
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14
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Abstract
One of the adverse effects arising among young people who engage in various social practices is the phenomenon of sexting. Sexting involves the production and delivery of sexual content voluntarily and freely and, in many cases, without the consent of the recipient. The aim of this study was to describe the presence of sexting in undergraduate students at the College of Nursing of the University of Almeria in Spain. It is a descriptive cross-sectional quantitative study. A total of 105 undergraduate nursing students completed the sexuality and technology questionnaire. The questionnaire consists of seven dimensions with 59 items. Depending on size, statistically significant differences between the use of social networks and the dimension "sexting actions completed" and the dimension "position on statements about sexting" were found. No statistically significant differences between gender and the practice of sexting were found. The three main reasons for sexting match in both genders, these being "to draw attention," "as a sexy gift," and "to feel sexy." Nursing students associated behaviors to show sexting, being a standard practice, common in both genders. Future research should consider the possible influence of this behavior on future professionals and on the field of nursing.
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15
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De Santis JP, Hauglum SD, Deleon DA, Provencio-Vasquez E, Rodriguez AE. HIV Risk Perception, HIV Knowledge, and Sexual Risk Behaviors among Transgender Women in South Florida. Public Health Nurs 2016; 34:210-218. [PMID: 27921325 DOI: 10.1111/phn.12309] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Transgender women experience a variety of factors that may contribute to HIV risk. The purpose of this study was to explore links among HIV risk perception, knowledge, and sexual risk behaviors of transgender women. DESIGN AND SAMPLE A descriptive, correlational study design was used. Fifty transgender women from the South Florida area were enrolled in the study. MEASURES Transgender women completed a demographic questionnaire and standardized instruments measuring HIV risk perception, knowledge, and sexual risk behaviors. RESULTS Transgender women reported low levels of HIV risk perception, and had knowledge deficits regarding HIV risk/transmission. Some participants engaged in high-risk sexual behaviors. Predictors of sexual risk behaviors among transgender women were identified. CONCLUSIONS More research is needed with a larger sample size to continue studying factors that contribute to sexual risk behaviors in the understudied population of transgender women. Evidence-based guidelines are available to assist public health nurses in providing care for transgender women. Nurses must assess HIV perception risk and HIV knowledge and provide relevant education to transgender women on ways to minimize sexual risk.
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Affiliation(s)
- Joseph P De Santis
- University of Miami School of Nursing & Health Studies, Coral Gables, Florida
| | - Shayne D Hauglum
- University of Miami School of Nursing & Health Studies, Coral Gables, Florida
| | - Diego A Deleon
- University of Miami School of Nursing & Health Studies, Coral Gables, Florida
| | | | - Allan E Rodriguez
- Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, Florida
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Edmiston EK, Donald CA, Sattler AR, Peebles JK, Ehrenfeld JM, Eckstrand KL. Opportunities and Gaps in Primary Care Preventative Health Services for Transgender Patients: A Systemic Review. Transgend Health 2016; 1:216-230. [PMID: 28861536 PMCID: PMC5367473 DOI: 10.1089/trgh.2016.0019] [Citation(s) in RCA: 80] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Purpose: Transgender people face barriers to accessing healthcare, resulting in population-level disparities in health outcomes. Little research is available to better understand the receipt of primary healthcare among transgender patients or how the rate of receipt of preventive care may differ among transgender populations. Methods: The medical literature regarding U.S. adult transgender primary healthcare was reviewed using a keyword search strategy: transgender OR transsexual OR transvestite OR gender nonconforming for articles published between January 1, 2001 and June 15, 2015. Studies addressing the following topics as assessed by the Behavioral Risk Factor Surveillance System were extracted for qualitative review: colorectal cancer screenings, mammography or chest/breast tissue examinations, cholesterol and blood pressure screenings, tobacco use and smoking cessation, cervical cancer or human papillomavirus (HPV) screenings, human immunodeficiency virus (HIV), annual flu shot, and insurance coverage. Results: The search identified 1304 eligible records, of which 41 discussed transgender primary or preventive care. The majority of studies discussed HIV rates or risk behaviors, while fewer articles addressed pelvic examinations, tobacco use, insurance coverage, and cholesterol screenings. No studies addressed mammography or chest/breast tissue examinations, colorectal screenings, or flu shots. Conclusions: Findings from articles addressing five topics are discussed: HIV, cholesterol screenings, tobacco use, pelvic health, and insurance coverage. Gaps in the extant literature, including the lack of studies of nonbinary people, transgender men of color, and transgender people living outside of large coastal urban centers, are discussed. This review, coincident with other health disparity findings, suggests an urgent need for research that addresses the primary care needs of all transgender and gender nonconforming people.
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Affiliation(s)
| | - Cameron A. Donald
- Vanderbilt Program for LGBTI Health, Nashville, Tennessee
- Columbia University Program in Narrative Medicine, New York, New York
- University of California San Francisco School of Medicine, San Francisco, California
| | | | - J. Klint Peebles
- Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
| | - Jesse M. Ehrenfeld
- Vanderbilt Program for LGBTI Health, Nashville, Tennessee
- Vanderbilt University Medical Center, Nashville, Tennessee
| | - Kristen Laurel Eckstrand
- Vanderbilt Program for LGBTI Health, Nashville, Tennessee
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
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