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
Autor: | Martin Holt, Amir Baradaran, Mish Pony, Denton Callander, Dustin T. Duncan, Liz Duck-Chong, Teddy Cook, Shoshana Rosenberg, Vincent J Cornelisse |
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Rok vydání: | 2021 |
Předmět: |
RNA viruses
Male Cross-sectional study Social Sciences HIV Infections Human sexuality Surveys Pathology and Laboratory Medicine Health Services Accessibility Geographical Locations Sexual and Gender Minorities Medical Conditions 0302 clinical medicine Immunodeficiency Viruses Sociology Transgender Health care Medicine and Health Sciences Medicine 030212 general & internal medicine Uncategorized Virus Testing Reproductive health Aged 80 and over education.field_of_study Multidisciplinary HIV diagnosis and management Social Discrimination Middle Aged Transgender People Infectious Diseases Medical Microbiology Research Design Viral Pathogens Viruses Female Homophobia Pathogens 0305 other medical science Prejudice Transphobia Research Article Adult Adolescent Attitude of Health Personnel Science Sexual Behavior Oceania Sexism Population Sexually Transmitted Diseases Context (language use) Research and Analysis Methods Microbiology Transgender Persons Young Adult 03 medical and health sciences Diagnostic Medicine Retroviruses Humans education Microbial Pathogens Aged Survey Research 030505 public health business.industry Lentivirus Australia Organisms Biology and Life Sciences HIV Cross-Sectional Studies Gender Groupings Health Care Surveys People and Places Population Groupings business Delivery of Health Care Transsexualism Demography |
Zdroj: | PLoS ONE PLoS ONE, Vol 16, Iss 7, p e0253589 (2021) |
ISSN: | 1932-6203 |
Popis: | 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 |
Databáze: | OpenAIRE |
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