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.

scholarly journals Setting Up Psychosexual Medicine Unit: Insights From a Private University-Based Medical College Hospital

2020 ◽  
Vol 2 (2) ◽  
pp. 179-185
Author(s):  
Sathish Raju Nilakantam ◽  
Shivanand Manohar ◽  
Suman S. Rao ◽  
M. Dayananda ◽  
Supriya Mathur ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Professionals ◽  
Private University ◽  
Well Being ◽  
Academic Program ◽  
Sexual Disorders ◽  
Sexual Medicine ◽  
Sexual Health Care ◽  
Medical College

Introduction: Sexual health issues are highly prevalent but are underdiagnosed and underrecognized in day-to-day clinical practice. The lack of awareness of the specific health care needs of the patients with sexual dysfunctions and resource limitations might be certain reasons why many hospitals are not been equipped with the sexual health care units. There is paucity of specialized psychosexual health care services across the country. Trained interdisciplinary team with prepared environment in sexual medicine is the need of the hour. We started this psychosexual medicine unit with an emphasis on sexual wellness to deliver comprehensive sexual health care which will be a primary care linkage to patients presenting with symptoms of sexual disorders, so also treatment emergent sexual dysfunction in psychiatry and other medical and surgical branches. Aim: To portray the methods, opportunities, and challenges that we experienced in establishing a specialty psychosexual medicine facility as a different unit in a private university-based medical college and hospital in Mysuru, India. Methods: This triweekly psychosexual medicine unit is situated in the Outpatient Division of Psychiatry and is staffed with a multidisciplinary group of health care professionals. Structured survey tools and proforma are utilized to assess all patients. Case conclusions are made according to International Classification of Diseases, Tenth Revision, symptomatic/clinical explanations and diagnostic recommendations, and furthermore Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) when required. Patient care included interventions in the form of psychotherapy and pharmacotherapy. Results: It is possible to set up a functional psychosexual medicine facility as a different unit with a trained interdisciplinary group of professionals. Patient-centered approach is vital in our care plan and management. Postgraduate students and internees posted in psychiatry division have been undertaking rotations respectively as per their duty rota. There is also a robust academic program that includes once-weekly seminars pertaining to topics of psychosexual health and monthly journal club gatherings interchanging with seminars on sexual health and well-being appraisal devices. Conclusion: By investing on improving infrastructure and available human resources, the specialty psychosexual medicine unit was established. The psychosexual medicine unit not only gave chances for a more comprehensive assessment of individuals with sexual disorders but also improved training and education for residents with focused interdisciplinary research in the field of sexual medicine. It portrays a versatile model that can be replicated in settings of similar type.

Family Relationships and the Health and Well-Being of Transgender and Gender-Diverse Youth: A Critical Review

LGBT Health ◽  
2020 ◽  
Vol 7 (8) ◽  
pp. 407-419
Author(s):  
Camille Brown ◽  
Carolyn M. Porta ◽  
Marla E. Eisenberg ◽  
Barbara J. McMorris ◽  
Renee E. Sieving
Keyword(s):  
Family Relationships ◽  
Critical Review ◽  
Well Being ◽  
Gender Diverse ◽  
And Gender ◽  
Health And Well Being ◽  
Diverse Youth

scholarly journals The 2011 WPATH Standards of Care and Penile Reconstruction in Female-to-Male Transsexual Individuals

2012 ◽  
Vol 2012 ◽  
pp. 1-13 ◽  
Author(s):  
Gennaro Selvaggi ◽  
Cecilia Dhejne ◽  
Mikael Landen ◽  
Anna Elander
Keyword(s):  
Health Care ◽  
Surgical Technique ◽  
Free Flaps ◽  
Daily Practice ◽  
Well Being ◽  
Standards Of Care ◽  
Reconstruction Procedure ◽  
The World ◽  
And Gender ◽  
Health And Well Being

The World Professional Association for Transgender Health (WPATH) currently publishes the Standards of Care (SOC), to provide clinical guidelines for health care of transsexual, transgender and gender non-conforming persons in order to maximize health and well-being by revealing gender dysphoria. An updated version (7th version, 2011) of the WPATH SOC is currently available. Differences between the 6th and the 7th versions of the SOC are shown; the SOC relevant to penile reconstruction in female-to-male (FtM) persons are emphasized, and we analyze how the 2011 WPATH SOC is influencing the daily practice of physicians involved in performing a penile reconstruction procedure for these patients. Depending by an individual’s goals and expectations, the most appropriate surgical technique should be performed: the clinic performing penile reconstruction should be able to offer the whole range of techniques, such as: metoidioplasty, pedicle and free flaps phalloplasty procedures. The goals that physicians and health care institutions should achieve in the next years, in order to improve the care of female-to-male persons, consist in: informing in details the individuals applying for penile reconstruction about all the implications; referring specific individuals to centers capable to deliver a particular surgical technique; implementing the surgery with the most updated refinements.

Latina Sexual Health Care the US: Community-based Participatory Research and Her Lived Experience

2020 ◽  
Vol 32 (1-2) ◽  
pp. 76-96
Author(s):  
Angela L. Lamson ◽  
Rebekah J. Clark ◽  
Roberta W. Bellamy ◽  
Jennifer L. Hodgson ◽  
Sharon M. Knight ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Lived Experience ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Community Based ◽  
Sexual Health Care ◽  
The Us

Learnings from a decade experience of a community-based HIV and STI testing and counseling center in Lisbon – Portugal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Fernandes ◽  
P Meireles ◽  
M Rocha ◽  
M Duque ◽  
H Barros
Keyword(s):  
Sexual Health ◽  
Sexual Behaviors ◽  
Community Based ◽  
Sexually Transmitted ◽  
Sexual Health Care ◽  
Sti Testing ◽  
Free Service ◽  
History Of ◽  
Hiv And Sti Testing ◽  
Sex With Men

Abstract Background In the context of an increased number of men who have sex with men (MSM) being diagnosed with HIV infection in many European countries, it became a matter of maximum priority to consider new strategies to monitor and tackle the epidemic. In this scenario, CheckpointLX and a cohort study were projected as a sexual health and research center oriented towards MSM in Portugal. Methods In 2011 CheckpointLX was launched in Lisbon as a community-based center for anonymous and free rapid HIV and other sexually transmitted diseases (STI) testing with a strong component of counseling for sexual health, specially targeted at MSM. In the case of a reactive test, a medical appointment is proposed and scheduled. The Lisbon Cohort of MSM is an ongoing observational prospective study conducted at CheckpointLX. Collected data include sexual behaviors, preventive strategies, and history of STI. Results Until July 2019, 7,351 HIV-negative MSM chose to participate in the Lisbon Cohort of MSM. 3,523 had at least one follow-up visit. The median age was 29 (IQR 25 - 37), and 27% were born in a foreign country, including 15% born in Africa and South America. HIV incidence increased up until 2015, reaching 5 reactive tests per 100 tested annually. There has been a sustained decrease in HIV observed since 2015. The use of HIV prevention tools was provided: 31% used condoms consistently, 3% reported PrEP, and 4% PEP. Conclusions A decade since the beginning of this experience shows positive results, such as increased access and testing. We promoted a stigma-free service that facilitated MSM's and other key population's access to sexual health care. We contribute unique data for assisting in the monitoring of the Dublin Declaration in Portugal.

Community-based sexual health care works: a review of the ACT outreach program

Sexual Health ◽  
2007 ◽  
Vol 4 (3) ◽  
pp. 201 ◽  
Author(s):  
Christine J. Sturrock ◽  
Marian J. Currie ◽  
Hassan Vally ◽  
Elissa J. O'Keefe ◽  
Ruth Primrose ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Sex Workers ◽  
Outreach Program ◽  
Community Based ◽  
Sexual Health Care ◽  
Outreach Services ◽  
Increased Risk ◽  
Sexually Transmissible Infections ◽  
Sex With Men

Background: Men who have sex with men, sex workers, youth and university students are at increased risk for sexually transmissible infections (STI) and blood-borne viruses (BBV) and are therefore targets for sexual health services. In recognition of this, a collaborative project offering sexual health care in various outreach settings frequented by these groups was developed. Methods: Data collected by clinicians during consultations in five outreach venues (a sex-on-premises venue, a community AIDS organisation, a university campus, brothels and a youth centre) between 2002 and 2005 were analysed. Results: During 119 clinics (~547 clinician hours), 313 individuals (205 males and 108 females) received education and/or testing. Of those screened, 6.0% (15/249) were positive for chlamydia and 12.7% (9/71) tested positive for hepatitis C (HCV) antibodies. No new cases of hepatitis B (HBV) or HIV were identified and 37.2% (71/191) of patients reported never having been previously tested for HIV. Seroprevalence of hepatitis A and HBV antibodies were 53.8% (91/169) and 52.1% (135/259), respectively. More than half of all four groups reported inconsistent use of condoms and 8.6% reported intravenous drug use. Conclusions: Collaborations between agencies to provide outreach services facilitate community-based sexual health education and screening for groups at higher risk of STI and BBV. The database audit showed that through these outreach services cases of chlamydia and HCV that may have remained undetected were identified. The results also highlight the need for continuing hepatitis vaccination, testing, health promotion and education in these populations.

scholarly journals Transgender and Gender Nonbinary Persons' Health and Well-Being: Reducing Minority Stress to Improve Well-Being

2020 ◽  
Vol 26 (2) ◽  
pp. 88-95
Author(s):  
Sheila K. Smith
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Minority Stress ◽  
Well Being ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Stress Theory ◽  
Health Care Experiences ◽  
And Gender ◽  
Health And Well Being

This article describes minority stress theory as applied to health disparities and health-care experiences of transgender and gender nonbinary (TGNB) persons. The combination of stigma, social and structural inequalities, and actual discrimination events result in mutually reinforcing dynamics that drive persistent and stubborn disparities in physical and mental health for TGNB persons (Halkitis, Kapadia, Ompad, & Perez-Figueroa, 2015). Together with distrust of the medical system and discomfort of health-care providers in caring for TGNB persons (Smith & Turell, 2017), minority stress contributes to poorer health outcomes and reduced quality of care for sexual and gender minority populations. Ways to reduce health-care-related minority stress for TGNB persons are proposed, with the goal of improving TGNB health and well-being.

scholarly journals Attitudes to sexual health in the United States: results from a national survey of youth aged 15–25 years

Sexual Health ◽  
2017 ◽  
Vol 14 (6) ◽  
pp. 540 ◽  
Author(s):  
Matthew Hogben ◽  
Christopher Harper ◽  
Melissa A. Habel ◽  
Kathryn Brookmeyer ◽  
Allison Friedman
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Social Connectedness ◽  
Online Survey ◽  
Well Being ◽  
The United States ◽  
Sexual Health Care ◽  
Sexual Behaviours ◽  
Health Related ◽  
Physical Intimacy

Background Several common global definitions of sexual health refer to physical, emotional and social well-being, with respect to sexuality, and also to the need for this well-being to be reflected for all individuals in relationships. How well sexual health definitions fit US youths’ attitudes to sexual health, and associations between these attitudes, sexual behaviours and sexual health care were assessed. Methods: In total, 4017 youth aged between 15 and 25 years via an online survey panel, weighted to be representative of the US population, were surveyed. Respondents reported their attitudes towards seven dimensions of sexual health that we abstracted from existing global definitions (emotional fulfillment, social connectedness, spirituality, overall pleasure, physical intimacy, mental fulfillment, reciprocal benefits). Respondents also reported on sexual health-related discussions with partners, sexual behaviours, and their use of sexual health care. Outcomes through weighted frequency estimates and ordinal regression models were reported. Results: Youth generally construed all seven dimensions as important to sexual health, with the emotional dimension rated most favourably. Attitudes to the dimensions of overall pleasure, physical intimacy and spirituality were most consistently related to sexual health discussions and behaviours. The behaviours most consistently related to sexual health attitudes were going for a sexual health check-up, discussing birth control/pregnancy and discussing risk before sex without a condom. Conclusions: Youth construal of sexual health fits well with global sexual health definitions. Attitudes to dimensions of sexual health were related to some sexual health-related behaviours, especially healthcare use and complex discussions.

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