HIV and trans and non-binary people in the UK

Jaspal, Rusi; Nambiar, Kate; Delpech, Valérie; Tariq, Shema

doi:10.1136/sextrans-2018-053570

Cited by 24 publications

(22 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The questionnaire covered three areas: demographics, sexual health and drug use, and psychological well-being. An adapted version of a two-stage gender monitoring question was used to identify participants’ gender, which was revised through discussions between Public Health England and community organisations for HIV monitoring in England 16. Participants were asked which of the following best describes how you think of yourself: male (including trans man); female (including trans woman); non-binary; in another way, please specify; and prefer not to say.…”

Section: Methodsmentioning

confidence: 99%

“…Conversely, a USA study found gender-specific discrimination was associated with sexual risk behaviours, but not HIV testing among trans people 14. A literature review on trans women and HIV identified a lack of UK data and research,15 which is concerning considering trans people in England are twice as likely to be diagnosed with HIV at a late stage than cisgender people 16. Research into barriers and psychosocial factors affecting access to sexual healthcare and HIV testing for trans people is needed to inform health promotion.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Psychosocial and sexual factors associated with recent sexual health clinic attendance and HIV testing among trans people in the UK

Hibbert

Wolton

Weeks³

et al. 2019

BMJ Sex Reprod Health

View full text Add to dashboard Cite

ObjectivesTrans people remain an understudied population in the UK, with unmet sexual health needs. The aim of this research was to identify possible barriers and facilitators for sexual health clinic attendance and HIV testing among trans people.MethodsLesbian, gay, bisexual and transgender (LGBT) participants from across the UK were invited to take part in a cross-sectional online survey through Facebook advertising (April–June 2018). Psychosocial and sexual factors associated with recent sexual health clinic attendance, and ever having an HIV test were examined using multivariate logistic regression.ResultsA total of 3007 cisgender and 500 trans participants completed the survey. Trans participants were less likely to attend a sexual health clinic than cisgender participants (27% vs 36%, p<0.001) and report ever having an HIV test (49% vs 64%, p<0.001). One trans participant reported living with HIV and three reported currently taking pre-exposure prophylaxis. Factors associated with trans sexual health clinic attendance were: living in London, having a relationship with multiple partners, engaging in condomless anal intercourse, greater life satisfaction, and having alcohol and/or drugs before sex. Being a person of colour, aged 25–49 years, in a relationship with multiple partners, condomless anal intercourse, lower body dissatisfaction, and having drugs before sex were associated with ever having an HIV test among trans participants.ConclusionsTrans people were less likely to attend sexual health services than cisgender people, and half of trans participants who reported condomless anal intercourse had never had an HIV test. Further research is needed to understand and improve uptake of sexual health services among trans people.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychosocial and sexual factors associated with recent sexual health clinic attendance and HIV testing among trans people in the UK

Hibbert

Wolton

Weeks³

et al. 2019

BMJ Sex Reprod Health

View full text Add to dashboard Cite

show abstract

“…The issue of invisibility is also pertinent to policy making and practice settings. For instance, where health monitoring systems use gender binary categories, NBGQ people are rendered invisible (see Jaspal et al, 2018).…”

mentioning

confidence: 99%

Non-binary and genderqueer: An overview of the field

Monro

2019

International Journal of Transgenderism

106

View full text Add to dashboard Cite

“…HIV surveillance has been criticized for failing to record trans status in the USA [ 39 ] and in Europe [ 40 ]. The proportion of men living with diagnosed HIV in this survey was lower in the three minority groups (AMB men, 10.5%; AMB trans men, 7.1%; AFB trans men, 1.0%; AFB men, 3.5%).…”

Section: Discussionmentioning

confidence: 99%

Sexual and Mental Health Inequalities across Gender Identity and Sex-Assigned-at-Birth among Men-Who-Have-Sex-with-Men in Europe: Findings from EMIS-2017

Hickson

Appenroth

Koppe

et al. 2020

IJERPH

View full text Add to dashboard Cite

Some men who have sex with men (MSM) were assigned female at birth (AFB) and/or identify as trans men. Little is known about how these men differ from other MSM. We compared sexual and mental health indicators from the European MSM Internet Survey (EMIS-2017), comparing men AFB and/or currently identifying as trans men with those assigned male at birth (AMB) who identified as men. EMIS-2017 was an opportunistic 33-language online sexual health survey for MSM recruiting throughout Europe. We used regression models adjusting for age, country of residence and employment status to examine differences across groups. An analytic sample of 125,720 men living in 45 countries was used, of which 674 (0.5%) were AFB and 871 (0.7%) identified as trans men. The two sub-groups were not coterminous, forming three minority groups: AFB men, AFB trans men and AMB trans men. Minority groups were younger and more likely unemployed. Anxiety, depression, alcohol dependence and sexual unhappiness were more prevalent in sex/gender minority men. Conversely HIV and STI diagnoses were less common. AMB trans men were most likely to have sexual risk behavior with steady partners and to have unmet health promotion needs, and were least likely to be reached by interventions. Sex assigned at birth and trans identification were associated with different sexual and mental health needs. To facilitate service planning and to foster inclusion, sex-assigned-at-birth and current gender identity should be routinely collected in health surveys.

show abstract

HIV and trans and non-binary people in the UK

Cited by 24 publications

References 10 publications

Psychosocial and sexual factors associated with recent sexual health clinic attendance and HIV testing among trans people in the UK

Psychosocial and sexual factors associated with recent sexual health clinic attendance and HIV testing among trans people in the UK

Non-binary and genderqueer: An overview of the field

Sexual and Mental Health Inequalities across Gender Identity and Sex-Assigned-at-Birth among Men-Who-Have-Sex-with-Men in Europe: Findings from EMIS-2017

Contact Info

Product

Resources

About