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.

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 =...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Shoshana Rosenberg, Denton Callander, Martin Holt, Liz Duck-Chong, Mish Pony, Vincent Cornelisse, Amir Baradaran, Dustin T Duncan, Teddy Cook
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3d8e091e7aa348f7950989bbb9e05934
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3d8e091e7aa348f7950989bbb9e05934
record_format	dspace
spelling	oai:doaj.org-article:3d8e091e7aa348f7950989bbb9e059342021-12-02T20:06:46ZCisgenderism 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.1932-620310.1371/journal.pone.0253589https://doaj.org/article/3d8e091e7aa348f7950989bbb9e059342021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253589https://doaj.org/toc/1932-6203Transgender 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.Shoshana RosenbergDenton CallanderMartin HoltLiz Duck-ChongMish PonyVincent CornelisseAmir BaradaranDustin T DuncanTeddy CookPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0253589 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shoshana Rosenberg Denton Callander Martin Holt Liz Duck-Chong Mish Pony Vincent Cornelisse Amir Baradaran Dustin T Duncan Teddy Cook 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.
description	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.
format	article
author	Shoshana Rosenberg Denton Callander Martin Holt Liz Duck-Chong Mish Pony Vincent Cornelisse Amir Baradaran Dustin T Duncan Teddy Cook
author_facet	Shoshana Rosenberg Denton Callander Martin Holt Liz Duck-Chong Mish Pony Vincent Cornelisse Amir Baradaran Dustin T Duncan Teddy Cook
author_sort	Shoshana Rosenberg
title	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.
title_short	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.
title_full	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.
title_fullStr	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.
title_full_unstemmed	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.
title_sort	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.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/3d8e091e7aa348f7950989bbb9e05934
work_keys_str_mv	AT shoshanarosenberg cisgenderismandtransphobiainsexualhealthcareandassociationswithtestingforhivandothersexuallytransmittedinfectionsfindingsfromtheaustraliantransgenderdiversesexualhealthsurvey AT dentoncallander cisgenderismandtransphobiainsexualhealthcareandassociationswithtestingforhivandothersexuallytransmittedinfectionsfindingsfromtheaustraliantransgenderdiversesexualhealthsurvey AT martinholt cisgenderismandtransphobiainsexualhealthcareandassociationswithtestingforhivandothersexuallytransmittedinfectionsfindingsfromtheaustraliantransgenderdiversesexualhealthsurvey AT lizduckchong cisgenderismandtransphobiainsexualhealthcareandassociationswithtestingforhivandothersexuallytransmittedinfectionsfindingsfromtheaustraliantransgenderdiversesexualhealthsurvey AT mishpony cisgenderismandtransphobiainsexualhealthcareandassociationswithtestingforhivandothersexuallytransmittedinfectionsfindingsfromtheaustraliantransgenderdiversesexualhealthsurvey AT vincentcornelisse cisgenderismandtransphobiainsexualhealthcareandassociationswithtestingforhivandothersexuallytransmittedinfectionsfindingsfromtheaustraliantransgenderdiversesexualhealthsurvey AT amirbaradaran cisgenderismandtransphobiainsexualhealthcareandassociationswithtestingforhivandothersexuallytransmittedinfectionsfindingsfromtheaustraliantransgenderdiversesexualhealthsurvey AT dustintduncan cisgenderismandtransphobiainsexualhealthcareandassociationswithtestingforhivandothersexuallytransmittedinfectionsfindingsfromtheaustraliantransgenderdiversesexualhealthsurvey AT teddycook cisgenderismandtransphobiainsexualhealthcareandassociationswithtestingforhivandothersexuallytransmittedinfectionsfindingsfromtheaustraliantransgenderdiversesexualhealthsurvey
_version_	1718375355423653888

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.

Ejemplares similares