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
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