Transgender people attending a Sydney sexual health service over a 16-year period
| Autor: | Eleanor Freedman, Anna McNulty, Chris Bourne, Victoria L. Hounsfield |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Urban Population Health Status Population Sexually Transmitted Diseases Comorbidity Genital warts Risk-Taking Acquired immunodeficiency syndrome (AIDS) Surveys and Questionnaires Transgender medicine Humans Interpersonal Relations Substance Abuse Intravenous Psychiatry education Retrospective Studies Sex work Reproductive health Health Services Needs and Demand education.field_of_study business.industry Public Health Environmental and Occupational Health medicine.disease Sex Work Transvestism Transsexual Sexual Partners Infectious Diseases Female New South Wales business Psychosocial |
| Zdroj: | Sexual Health. 4:189 |
| ISSN: | 1448-5028 |
| DOI: | 10.1071/sh07020 |
| Popis: | Background: Previous studies have concluded that transgender people are a marginalised and stigmatised group, with high rates of sexually transmissible infections (STI), sex work, injecting drug use and multiple sexual partners. To our knowledge, this is the first study in Australia to focus on the sexual behaviour and sexual health needs of transgender people attending an urban sexual health clinic. Methods: A retrospective case note review was undertaken of the transgender attendees of the Sydney Sexual Health Centre between 1990 and 2006. Demographics, gender characteristics, risk behaviours, sexual health morbidity, psychosocial information and other significant features of the transgender population were assessed. Results: Forty clients were identified as transgender, of whom 36 (90%) were male-to-female and four (10%) were female-to-male. Seventeen (43%) had a history of sex work, 16 (40%) had injected drugs, 14 (35%) had had unprotected anal or vaginal sex in the past 3 months. Twenty (50%) clients had histories of a STI, including three (7.5%) that were HIV positive, and two were co-infected with hepatitis C. Genital warts and chlamydia were the most common diagnoses made during the study period. Physical examination was inadequately documented in 53% of first visits. Psychosocial morbidity was common. Conclusions: Transgender clients presented infrequently at this clinic. Although half reported few risks, the other half reported multiple risk behaviours and had most STI. These findings suggest that there needs to be improved sexual health service for transgender clients at our clinic. |
| Databáze: | OpenAIRE |
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