HIV prevention barriers in transgender women: a qualitative study*

Eftekhar, Mehrdad; Mostafavi, Ehsan; Gouya, Mohammad Mehdí; Fahimfar, Noushin; Sedaghat, Abbas; Shoghi, Mahnaz; Ranjbar, Hadi

doi:10.1080/10538720.2019.1686675

Cited by 7 publications

(5 citation statements)

References 48 publications

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“…25 Fear of HIV/AIDS. Eleven studies revealed that the most critical obstacles preventing presence in health clinics are the fear of a positive HIV/AIDS test, 24,26 misconception about HIV/AIDS and sexually transmitted infection (STI), 27 low perceived susceptibility to HIV/AIDS and STI, and anxiety about HIV/AIDS acquisition. 20,28,29 Trans people are not biologically different from cisgender people, so it is better to understand the risk of HPV and other sexually transmitted diseases (STDs) and get the relevant tests.…”

Section: Individual Levelmentioning

confidence: 99%

“…42,44 Low-income individuals, especially trans women, are more prone to prostitution and high-risk STDs. 26,42,44 On the other hand, being excluded from family translates into a loss of financial support, forcing individuals to sell their bodies and resort to survival sex. 42,45 Because of their identity, trans people have difficulty getting a home and a steady job.…”

Section: Attitude Toward Fertility Preservationmentioning

confidence: 99%

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Barriers and Facilitators to Accessing Sexual and Reproductive Health Services Among Transgender People: A Meta-Synthesis

Saadat

Keramat

Jahanfar³

et al. 2023

International Journal of Social Determinants of Health and Heal

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The availability and accessibility of sexual and reproductive health (SRH) services for transgender individuals are crucial. This population is deprived of health care due to rejection, stigma, gender-based discrimination, confidentiality, and violence. This review attempts to provide readers with an account of the fundamental problems that the transgender population faces regarding experiences of SRH. This meta-synthesis review applied the Social–Ecological Model (SEM) to address trans individuals’ SRH factors. The databases were searched using “SRH” and “transgender” keywords. Fifty studies were finally selected. All studies were qualitative, including 36 semi-structured/ in-depth interviews, two focus group studies, and 12 interviews and focus group studies. The Social–Ecological Model application illustrates the impact of individual, interpersonal, institutional, and social factors on the condition of SRH among transgender individuals. This meta-synthesis reinforces multiple levels of factors that influence the SRH of transgender individuals. These include limited information, lack of awareness, low socioeconomic status, stigma and discrimination, and social deprivation. Interventions are urgently needed to provide better sexual and reproductive well-being for transgender individuals.

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Section: Individual Levelmentioning

confidence: 99%

Section: Attitude Toward Fertility Preservationmentioning

confidence: 99%

Barriers and Facilitators to Accessing Sexual and Reproductive Health Services Among Transgender People: A Meta-Synthesis

Saadat

Keramat

Jahanfar³

et al. 2023

International Journal of Social Determinants of Health and Heal

Self Cite

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“…They described using high-risk and unprotected sexual relationships as a way to be accepted aswomen, to make money, for protection, and to obtain shelter. In evaluating the risks of unprotected sex, participants noted that the risk of HIV was less important than their other problems, such as depression and hopelessness ( Eftekhar et al., 2020 ). Notably, there were no studies of pre-exposure prophylaxis use or knowledge among transgender people, despite their engagement in high-risk behaviors.…”

Section: Resultsmentioning

confidence: 99%

Sexual and gender minority health in the Middle East and North Africa Region: A scoping review

Abboud¹,

Veldhuis

Ballout

et al. 2022

International Journal of Nursing Studies Advances

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“…In a study by Fernandez-Rouco ( 37 ), the transsexual subjects had been victims of sexual violence and child abuse, which disrupted their close relationships and caused feelings of shame and guilt, anxiety, and anger among the victims. Eftekhar et al ( 10 ) said that transgender people in Iran engage in risky sexual relations, which causes them to become infected with AIDS and hepatitis. Katz-wise et al ( 39 ) reported uncertainty about the future, concerns about their physical and emotional security, and the problems faced by young transgender people.…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, Afrasiabi and Junbakhsh ( 9 ) stated that these individuals attempt to save their desired identity through daydreaming and performing identity roles in solitude. Moreover, Eftekhar et al ( 10 ) postulated that transgender women would use sexual practices to be approved/accepted as women, and the use of sex for this purpose led them to engage in high-risk sexual relationships.…”

Section: Introductionmentioning

confidence: 99%

Young transgender individuals' lived experiences of facing life's challenges: a qualitative study in Iran

Mohammadi

Tehranineshat

Masoumi

et al. 2023

Front. Public Health

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IntroductionIn recent years, several studies have addressed the challenges and psychological issues that transgender individuals face. However, only a few studies have explored the experiences of this population in Iran. Life experiences are heavily influenced by the dominant religious and cultural conditions and common beliefs in a society. The present study aimed to investigate transgender individuals' lived experiences of facing life's challenges in Iran.MethodsThis is a qualitative study with a descriptive and phenomenological design conducted from February to April 2022. Data were collected using semi-structured, in-depth interviews with 23 transgender individuals (13 AFAB and 10 AMAB). The collected data were analyzed using Colaizzi's method.ResultsAnalysis of the qualitative data resulted in the emergence of three themes and 11 subthemes. The three main themes included mental health disparities (fear of having one's secret revealed, depression and despair, suicidal thoughts, and secrecy in the family), gender dysphoria (contradictory gender identity and contradictory behaviors), and stigma and insecurity (sexual abuse, social discrimination, disrupted occupational performance, a lack of support, disrepute, and disgrace).ConclusionsThe findings of the study indicated that transgender people in Iran are exposed to considerable mental health disparities. In addition to disrepute, infamy, and stigma, transgender people face sexual abuse, social discrimination, and a lack of family social support. The results of the present study can help mental health experts and the healthcare system as a whole to adjust their mental and physical health programs according to the needs and experiences of transgender people and their families. It is recommended that future research address the problems and psychological challenges that transgender people's families have to confront.

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HIV prevention barriers in transgender women: a qualitative study*

Cited by 7 publications

References 48 publications

Barriers and Facilitators to Accessing Sexual and Reproductive Health Services Among Transgender People: A Meta-Synthesis

Barriers and Facilitators to Accessing Sexual and Reproductive Health Services Among Transgender People: A Meta-Synthesis

Sexual and gender minority health in the Middle East and North Africa Region: A scoping review

Young transgender individuals' lived experiences of facing life's challenges: a qualitative study in Iran

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