Sexual Behaviors, Referral to Sexual Health Services, and Use of Sexual Health Services Among Transgender High School Students
Autor: | Sanjana Pampati, Catherine A. Lesesne, Michelle M. Johns, Jack Andrzejewski, Catherine N. Rasberry, Ganna Sheremenko |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Sexually transmitted disease
Male medicine.medical_specialty Adolescent Sexual Behavior education Human sexuality HIV Infections Transgender Persons Article Education law.invention 03 medical and health sciences 0302 clinical medicine Risk-Taking Condom Acquired immunodeficiency syndrome (AIDS) law 030225 pediatrics Surveys and Questionnaires Transgender medicine Humans 030212 general & internal medicine Students Contraception Behavior Referral and Consultation At-risk students Reproductive health Sexual identity Schools business.industry Public Health Environmental and Occupational Health Health Services medicine.disease Philosophy Adolescent Behavior Family medicine Florida Female Sexual Health Psychology business |
Zdroj: | J Sch Health |
Popis: | BACKGROUND: Transgender adolescents are at increased risk for negative sexual health outcomes compared to their cisgender peers. METHODS: Using data from 10,231 students from 7 high schools in a large, urban school district, our analysis compared sexual behaviors, referral to sexual health services by school staff, and use of sexual health services between transgender and cisgender students. We used propensity score matching to create a comparable sample of transgender and cisgender students and logistic regression models to examine how gender identity was associated with aforementioned outcomes. RESULTS: Transgender students were more likely to have ever had sex, less likely to have used a condom at last sex, and more likely to have been referred for human immunodeficiency virus (HIV) testing, sexually transmitted disease (STD) testing, and other sexual health services than cisgender students. Transgender students were no more likely than cisgender students to have tested for HIV or STDs. CONCLUSIONS: These findings underscore the need for understanding the risk perceptions held by transgender students and for prevention efforts that are inclusive for all gender identities. Research is needed to understand if school-based sexual health interventions such as staff referrals for sexual health services are effective for transgender students. |
Databáze: | OpenAIRE |
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