scholarly journals O11.4 Trans and gender diverse people’s experiences of sexual health care are associated with sexual health screening uptake

2019 ◽  
Author(s):  
Denton Callander ◽  
Teddy Cook ◽  
Vincent Cornelisse ◽  
Mish Pony ◽  
Dustin Duncan ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Screening ◽  
Sexual Health Care ◽  
Screening Uptake ◽  
Gender Diverse ◽  
And Gender

scholarly journals Cisgenderism and transphobia in sexual health care and associations with testing for HIV and other sexually transmitted infections: Findings from the Australian Trans & Gender Diverse Sexual Health Survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253589
Author(s):  
Shoshana Rosenberg ◽  
Denton Callander ◽  
Martin Holt ◽  
Liz Duck-Chong ◽  
Mish Pony ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Well Being ◽  
Community Based ◽  
Sexual Health Care ◽  
Sti Testing ◽  
Gender Diverse ◽  
And Gender ◽  
Community Based Services ◽  
Health And Well Being

Transgender and gender diverse people have unique risks and needs in the context of sexual health, but little is known about sexual health care for this population. In 2018, a national, online survey of sexual health and well-being was conducted with trans and gender diverse people in Australia (n = 1,613). Data from this survey were analysed to describe uptake of sexual health care and experiences of interpersonal and structural cisgenderism and transphobia. Experiences of cisgenderism and transphobia in sexual health care were assessed using a new, four-item scale of ‘gender insensitivity’, which produced scores ranging from 0 (highly gender sensitive) to 4 (highly gender insensitive). Logistic and linear regression analyses were conducted to determine if experiences of gender insensitivity in sexual health care were associated with uptake and frequency of HIV/STI testing in the 12 months prior to participation. Trans and gender diverse participants primarily accessed sexual health care from general practice clinics (86.8%), followed by publicly funded sexual health clinics (45.6%), community-based services (22.3%), and general hospitals (14.9%). Experiences of gender insensitivity were common overall (73.2% of participants reported ≥2 negative experiences) but most common in hospitals (M = 2.9, SD = 1.3) and least common in community-based services (M = 1.3, SD = 1.4; p<0.001). When controlling for sociodemographic factors, social networks, general access to health care, and sexual practices, higher levels of gender insensitivity in previous sexual health care encounters were associated with a lower likelihood of recent HIV/STI testing (adjusted prevalence ratio = 0.92, 95% confidence interval [CI]:091,0.96, p<0.001) and less-frequent HIV/STI testing (B = -0.07, 95%CI:-0.10,-0.03, p = 0.007). Given the high rates of HIV and other STIs among trans and gender diverse people in Australia and overseas, eliminating cisgenderism and transphobia in sexual health care may help improve access to diagnostic testing to reduce infection rates and support the overall sexual health and well-being of these populations.

‘Most young men think you have to be naked in front of the GP’: a qualitative study of male university students’ views on barriers to sexual health

Sexual Health ◽  
2016 ◽  
Vol 13 (2) ◽  
pp. 124 ◽  
Author(s):  
Cameron Ewert ◽  
Archibald Collyer ◽  
Meredith Temple-Smith
Keyword(s):  
Health Care ◽  
General Practice ◽  
Sexual Health ◽  
University Students ◽  
Health Information ◽  
Young Men ◽  
Sexual Health Education ◽  
Sexual Health Care ◽  
Sexual Health Information ◽  
Male University Students

Background In Australia, 15- to 29-year-olds account for 75% of all sexually transmissible infection (STI) diagnoses. STI rates among young men are rising, with most diagnosed in general practice. Young men less frequently attend general practice than young women, and rarely present with sexual health issues, making it difficult for general practitioners (GPs) to offer opportunistic STI education and screening. Little is known of the barriers preventing male university students accessing general practice for sexual health care, or what would facilitate this. Methods: Semi-structured interviews were conducted with young men aged 18–24 years attending university between 2012 and 2014. Interviews were recorded, transcribed and analysed using content and thematic analysis. Results: Twenty-eight interviews of 26–50 min duration found self-imposed views of masculinity, privacy and embarrassment as key barriers to accessing GPs for sexual health care. This was compounded by poor STI knowledge and not knowing when or where to go for care. Participants, except if they were international students, acknowledged school as an important source of sexual health education. The need for sexual health education at university was identified. While the Internet was a popular source, there were mixed views on the benefits of social media and text messaging for sexual health promotion. Conclusions: Current expectations of young male university students to seek sexual health care or acquire sexual health information from medical care may be misplaced. Universities have an excellent opportunity to provide young men with appropriate sexual health information and could offer novel strategies to help young men look after their sexual health.

scholarly journals Barriers to sexual health care: a survey of Iranian-American physicians in California, USA

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Mitra Rashidian ◽  
Victor Minichiello ◽  
Synnove F. Knutsen ◽  
Mark Ghamsary
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Sexual Health Care ◽  
Iranian American

Real Men Do…Real Men Don’t: Young Latino and African American Men’s Discourses Regarding Sexual Health Care Utilization

2009 ◽  
Vol 4 (3) ◽  
pp. 218-230 ◽  
Author(s):  
Debra Kalmuss ◽  
Karen Austrian
Keyword(s):  
Health Care ◽  
African American ◽  
Sexual Health ◽  
African American Men ◽  
The United States ◽  
Care Utilization ◽  
Care Seeking ◽  
Sexual Health Care ◽  
New Directions ◽  
The Relationship

There is growing recognition that men as well as women need sexual health care (SHC) services. Despite this, male friendly sexual health services are not readily available in the United States, and men are underutilizing the services that are available. This situation needs to be rectified to improve sexual health outcomes for men and women. In this study we conducted 10 focus groups with young adult Latino and African American men to examine their perceptions of the factors influencing SHC utilization among the men they know, with an emphasis on how notions of what it means to be a man affects health care seeking. The findings both amplify and complicate the relationship between masculinity and SHC seeking. They suggest new directions for public health efforts to enhance men’s SHC utilization.

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