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1.
Prax Kinderpsychol Kinderpsychiatr ; 69(6): 541-553, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32988299

RESUMO

TransIdentity - Identity Development Among Adolescent Trans*people Identity development is one of the most important developmental tasks of adolescence. Adolescents whose gender identity does not correspond to the gender assigned at birth (trangender people) are also faced with this challenge, as are cis-gender adolescents of the same age. This study is the first to examine the personality function of identity in transgender adolescents. Based on the self report of a population of 69 adolescents from the outpatient unit for gender dysphoria the extent of identity diffusion measured by AIDA (Assessment of Identity Development in Adolescence) was compared with the values of the normative sample consisting of German-speaking pupils. Both the overall construct of identity diffusion and the areas of continuity and coherence showed average values in the examined young people, which speaks against pathological identity development. Nevertheless, identity diffusion was found in over a third (36 %). Most notably the aspect of stabilising relationships and roles was above average, which suggests that positive role identification from the areas of culture, family and body-self is present to a lesser extent than in the norm sample. The identity-stabilizing feeling of social anchoring appears to be impaired in the young transidents studied.


Assuntos
Disforia de Gênero/psicologia , Identidade de Gênero , Pessoas Transgênero/psicologia , Adolescente , Feminino , Humanos , Masculino , Personalidade
2.
Prax Kinderpsychol Kinderpsychiatr ; 69(6): 524-540, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32988302

RESUMO

"If One Feels Better Like That …". Adolescent Sibling Relationship in the Context of Transgender Development A transgender development in youth can influence the relationship of concerned youth and their siblings. While in most surveys, the focus lies on transgender adolescents, both sides shall be interviewed here to capture the situation of siblings and to relate the results. For this purpose, guide interviews with ten transgender adolescents and twelve of their siblings were analysed in accordance to Grounded Theory. In most cases, participants were satisfied with the sibling relationship. After the coming-out of the transgender adolescent they showed both positive and negative reactions that, however, changed to respect and acceptance by time without exception. Doubt, compassion and grief were short lived and often replaced by joy for the transgender adolescent. Transgender youth were mostly satisfied with the reaction of their sibling though the amount of support varied. The time of coming-out and transition often led to an improvement in sibling relationship, more closeness and family cohesion. In general, siblings seem to be immediately concerned by transgenderism in adolescence. In clinical practice, they should thus be included from the beginning. By taking into account their situation, negative developments can be prevented, and the sibling relationship become usable as a resource.


Assuntos
Relações entre Irmãos , Irmãos/psicologia , Pessoas Transgênero/psicologia , Adolescente , Pesar , Humanos , Inquéritos e Questionários
3.
AIDS Educ Prev ; 32(3): 212-228, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32749880

RESUMO

Pre-exposure prophylaxis (PrEP) can efficaciously avert HIV acquisition for individuals at risk, including transgender individuals (trans) in the Philippines. We conducted multivariate logistic regression procedures in an online sample of Filipina trans women (n = 139) to examine associations of PrEP awareness. In this sample, 53% of Filipina trans women were unaware of PrEP, but almost all (93%) expressed interest in taking PrEP once learning about it. Greater odds of PrEP awareness was associated with discussion of HIV services with their health care providers, higher HIV knowledge, and discussion of PrEP among trans friends. Lower odds of PrEP awareness was associated with reporting being currently unemployed. The findings underscore a subset of trans women who might be early adopters of PrEP, and highlight PrEP inequities among trans women most marginalized, including those who are unemployed and have engaged in sex work.


Assuntos
Fármacos Anti-HIV/administração & dosagem , Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Acesso aos Serviços de Saúde/estatística & dados numéricos , Profilaxia Pré-Exposição/métodos , Pessoas Transgênero/psicologia , Adolescente , Adulto , Fármacos Anti-HIV/uso terapêutico , Estudos Transversais , Feminino , Disparidades em Assistência à Saúde , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Filipinas , Indicadores de Qualidade em Assistência à Saúde
4.
Nat Commun ; 11(1): 3959, 2020 08 07.
Artigo em Inglês | MEDLINE | ID: mdl-32770077

RESUMO

It is unclear whether transgender and gender-diverse individuals have elevated rates of autism diagnosis or traits related to autism compared to cisgender individuals in large non-clinic-based cohorts. To investigate this, we use five independently recruited cross-sectional datasets consisting of 641,860 individuals who completed information on gender, neurodevelopmental and psychiatric diagnoses including autism, and measures of traits related to autism (self-report measures of autistic traits, empathy, systemizing, and sensory sensitivity). Compared to cisgender individuals, transgender and gender-diverse individuals have, on average, higher rates of autism, other neurodevelopmental and psychiatric diagnoses. For both autistic and non-autistic individuals, transgender and gender-diverse individuals score, on average, higher on self-report measures of autistic traits, systemizing, and sensory sensitivity, and, on average, lower on self-report measures of empathy. The results may have clinical implications for improving access to mental health care and tailoring adequate support for transgender and gender-diverse individuals.


Assuntos
Transtorno Autístico/diagnóstico , Transtorno Autístico/psicologia , Pessoas Transgênero/psicologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Intervalos de Confiança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Razão de Chances , Autorrelato , Adulto Jovem
5.
PLoS One ; 15(7): e0234743, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32609754

RESUMO

OBJECTIVES: Lesbian, gay, bisexual, and transgender (LGBT) adolescents have specific health care needs and are susceptible to health care disparities. Lack of skills and knowledge on the part of health care providers have a negative effect on their access to care and health outcomes. This study 1) explores the knowledge and attitudes of medical students regarding LGBT people, and 2) assesses the impact of a one-hour lecture targeting adolescent LGBT health needs. METHODS: Fourth-year medical students attended a compulsory one-hour lecture on sexual orientation and gender identity development in adolescence, highlighting health issues. We created a questionnaire with items to elicit students' knowledge and attitudes about LGBT health issues. Students were invited to complete this questionnaire online anonymously one week before the lecture and one month after the lecture. RESULTS: Out of a total of 157 students, 107 (68.2%) responded to the pre-intervention questionnaire and 96 (61.1%) to the post-intervention questionnaire. A significant proportion-13.7% of all respondents-identified as LGBT or questioning. Our results show that most medical students already show favorable attitudes towards LGBT people and a certain degree of knowledge of LGBT health needs. They demonstrated a large and significant increase in knowledge of LGBT health issues one month after the lecture. DISCUSSION: A single one-hour lecture on sexual orientation and LGBT health issues may increase knowledge among medical students. Medical students and professionals should receive such training to increase their knowledge about LGBT patients as it, together with favorable attitudes, has the potential to improve health outcomes among this vulnerable population.


Assuntos
Educação de Graduação em Medicina/métodos , Minorias Sexuais e de Gênero/educação , Estudantes de Medicina/psicologia , Atitude do Pessoal de Saúde , Currículo , Feminino , Identidade de Gênero , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/educação , Pessoal de Saúde/psicologia , Disparidades em Assistência à Saúde/tendências , Humanos , Conhecimento , Masculino , Comportamento Sexual/psicologia , Inquéritos e Questionários , Suíça , Pessoas Transgênero/psicologia , Adulto Jovem
9.
AIDS Educ Prev ; 32(2): 83-101, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32539480

RESUMO

Transgender women ("trans women") are disproportionately impacted by HIV; yet there are few interventions tailored for trans women. This study employed qualitative methods to better understand how trans women's social networks and technology-based networking platforms may be leveraged in developing health promotion strategies for this high-priority population. Qualitative data from five focus groups (N = 39) revealed three key themes: (1) Social network structure and composition; (2) Technology use patterns; and (3) Accessing transgender health resources online. Participants used technology to establish affiliation with other trans women, build networks of support, and exchange health information and advice. Policymakers and practitioners can invest in the knowledge and expertise of trans women in using technology to organize health resources and support the development of peer-led, technology-based HIV prevention and care interventions.


Assuntos
Infecções por HIV/tratamento farmacológico , Infecções por HIV/prevenção & controle , Promoção da Saúde/métodos , Rede Social , Telemedicina , Pessoas Transgênero/psicologia , Adulto , Feminino , Grupos Focais , Identidade de Gênero , Humanos , Los Angeles , Masculino , Pesquisa Qualitativa , Transexualidade
11.
BMC Infect Dis ; 20(1): 402, 2020 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-32513134

RESUMO

BACKGROUND: Men who have sex with men (MSM) and transgender people are disproportionately affected by HIV and sexually transmitted infections. MSM and transgender people in Nepal experience considerable discrimination and marginalisation, they are subject to abuse from legal authorities and suffer from mental health issues. These social and structural factors can lead to increased sexual risk behaviour, barriers to accessing health care and result in adverse health outcomes. This study aims to assess the prevalence of HIV and syphilis, and how individual and socio-structural factors influence sexual risk behaviour and health care service uptake, among MSM and transgender women in the Terai highway districts of Nepal. METHODS: A cross-sectional survey was conducted in June 2016 in eight Terai highway districts of Nepal, recruiting 340 MSM and transgender women through respondent driven sampling. The primary outcome variables were HIV and syphilis prevalence. The secondary outcome variables were sexual risk behaviour and health care service uptake. Logistic regression models were used to assess the individual and socio-structural determinants of sexual risk behaviour and health care service uptake. RESULTS: The prevalence of HIV among MSM was 5%, whereas it was 13% in transgender women. The prevalence of active syphilis was 4% in MSM and 11% among transgender women. Among transgender women, 76% were involved in sex work, and 51% had experienced discrimination in one or more settings. In multivariable analysis, having visited an outreach centre was positively associated with condom use in the last sexual encounter among both MSM (AOR: 5.37, 95% CI: 2.42-11.94, p < 0.001) and transgender women (AOR: 2.37, 95% CI: 1.12-5.02, p = 0.025). Moreover, transgender women who reported being open towards family about sexual identity/behaviour were 2.4 more likely to have visited an outreach centre (AOR: 2.40, 95% CI: 1.04-5.57, p = 0.041). CONCLUSIONS: The high prevalence of HIV and syphilis, as well as indicators of marginalisation and discrimination among transgender women, highlights the increased burden transgender women in Nepal are facing and the need for tailored interventions. Moreover, since health care service uptake is an important factor in determining sexual risk behaviour among MSM and transgender women in Nepal, outreach services should be scaled up.


Assuntos
Infecções por HIV/diagnóstico , Homossexualidade Masculina/psicologia , Sífilis/diagnóstico , Pessoas Transgênero/psicologia , Adolescente , Adulto , Estudos Transversais , Feminino , Infecções por HIV/epidemiologia , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Nepal , Aceitação pelo Paciente de Cuidados de Saúde , Prevalência , Fatores de Risco , Trabalho Sexual , Comportamento Sexual , Inquéritos e Questionários , Sífilis/epidemiologia , Adulto Jovem
12.
Interv. psicosoc. (Internet) ; 29(2): 91-101, mayo 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-190389

RESUMO

Discrimination and prejudice against LGBTI people in Spain are much lower than they used to be; however, negative attitudes towards them may still persist. The purpose of this study was to analyze whether LGBTI individuals perceive the existence of prejudice or discrimination due to their sexual orientation in the workplace. To assess these perceptions in relative terms, we compared them with those of heterosexual individuals. We also analyzed whether perceived discrimination was associated with work stress, the presence of common mental disorders, and depression. Results revealed that LGBTI employees reported experiencing greater discrimination in the workplace because of their sexualorientation, which in turn led to a greater incidence of work stress, mental disorders, and depression. Our findings confirm that job discrimination against LGBTI people is still present, along with some of its harmful consequences, and highlight the need for interventions to reduce prejudice against LGBTI persons in the workplace


A pesar de que la discriminación y el prejuicio hacia el colectivo LGTBI en España hayan disminuido, es posible que aún pervivan actitudes negativas hacia estas personas. En la presente investigación analizamos si las personas LGTBI perciben la existencia de prejuicio o discriminación hacia ellas en el ámbito laboral debido a su orientación sexual. Para analizar en términos relativos dichas percepciones, las comparamos con las que tienen las personas de orientación heterosexual. Después se examinó si la percepción de discriminación está relacionada con el estrés laboral, la presencia de trastornos mentales y la depresión. Los resultados mostraron que las personas LGTBI experimentaban mayor discriminación en su trabajo en virtud de su orientación sexual, produciéndoles mayor estrés laboral, trastornos mentales y depresión. Estos resultados confirman la pervivencia de discriminación hacia las personas LGTBI en el ámbito laboral y algunas de sus perniciosas consecuencias y muestran la necesidad de intervenciones para la reducción del prejuicio hacia los trabajadores LGTBI


Assuntos
Humanos , Grupos Minoritários/psicologia , Pessoas Transgênero/psicologia , Discriminação Psicológica , Esgotamento Profissional/psicologia , Condições de Trabalho , Psicometria/métodos , Espanha , Homofobia/psicologia , Homofobia/estatística & dados numéricos , Transtornos Mentais/psicologia
13.
Transfusion ; 60(5): 965-973, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32359217

RESUMO

BACKGROUND: Men who have sex with men in Australia are currently ineligible to donate blood (are "deferred") for 12 months since last oral or anal sexual contact with another man. In Australia and overseas, there has been limited research on attitudes and perceptions related to blood donation in this population. STUDY DESIGN AND METHODS: Questions on blood donation histories and attitudes toward the deferral policy were included in the questionnaire of an online prospective cohort of gay and bisexual men (GBM) living in Australia. RESULTS: In 2018, 1595 GBM responded to the survey. In this sample, 28.7% reported previously donating blood. Among the remaining men who had never donated blood, 64.5% expressed an interest in doing so. Nearly all men indicated they were not willing to abstain from sex with another man for 12 months in order to donate, and the vast majority believed the rule was unfair, too strict, and homophobic. Three-quarters (77.7%) said that if the policy changed, they would likely donate blood. Age and openness about one's sexuality were independently associated with one's willingness to donate blood in the absence of the deferral. CONCLUSION: There was a high level of willingness and desire to donate blood among GBM. However, rather than abstaining from sex in order to donate, many men comply with the deferral policy and do not donate. A less conservative deferral policy may increase donations from GBM.


Assuntos
Atitude , Bissexualidade/estatística & dados numéricos , Doadores de Sangue/psicologia , Doadores de Sangue/estatística & dados numéricos , Homossexualidade Masculina/estatística & dados numéricos , Percepção , Minorias Sexuais e de Gênero/estatística & dados numéricos , Adolescente , Adulto , Austrália/epidemiologia , Bissexualidade/psicologia , Estudos Transversais , Seleção do Doador/legislação & jurisprudência , Seleção do Doador/normas , Seleção do Doador/estatística & dados numéricos , Seguimentos , Política de Saúde , Homossexualidade Masculina/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Participação do Paciente/psicologia , Participação do Paciente/estatística & dados numéricos , Minorias Sexuais e de Gênero/psicologia , Pessoas Transgênero/psicologia , Pessoas Transgênero/estatística & dados numéricos , Volição , Voluntários/estatística & dados numéricos , Adulto Jovem
14.
AIDS Patient Care STDS ; 34(5): 237-246, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32396475

RESUMO

The sexual partnerships of transmasculine adults-who were assigned female at birth and identify on the masculine gender continuum-remain understudied. This includes characteristics of transmasculine adults' sexual partnerships associated with engaging in HIV/sexually transmitted infection (STI) sexual risk behavior. This study examined individual- and partnership-level factors of transmasculine adults' sexual partnerships associated with using a protective barrier during sexual activity. Data came from cross-sectional surveys administered to 141 transmasculine adults. Participants provided demographic and sexual health information for up to three sexual partners from the past 12 months (n = 259 partnerships). Generalized estimating equations (GEEs) were used to investigate individual- and partnership-level factors associated with any use of a protective barrier during five sexual behaviors. Transmasculine participants engaged in an array of sexual behaviors with diverse sexual partners. Individual- and partnership-level factors of transmasculine adults' sexual partnerships were associated with their protective barrier use; however, these associations varied in statistical significance across the five sexual behaviors. At the individual level, younger participants had lower odds of protective barrier use during fingering or fisting. At the partnership level, protective barrier use was associated with a sexual partnership's configuration and the gender identity of a sexual partner. Relative to participants with cisgender female partners, those with cisgender male partners generally had lower odds of using a protective barrier. Study findings highlight the importance of studying factors associated with HIV/STI risk behavior located beyond the individual. These findings may have implications for improving measurements of HIV/STI-related risk for transmasculine adults.


Assuntos
Infecções por HIV/prevenção & controle , Comportamento Sexual/estatística & dados numéricos , Parceiros Sexuais , Doenças Sexualmente Transmissíveis/prevenção & controle , Pessoas Transgênero/psicologia , Adolescente , Adulto , Estudos Transversais , Feminino , Identidade de Gênero , Humanos , Masculino , Pessoa de Meia-Idade , Assunção de Riscos , Adulto Jovem
16.
Plast Reconstr Surg ; 145(6): 1343-1353, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32459763

RESUMO

BACKGROUND: A growing number of transgender women present to plastic surgeons seeking breast augmentation. Despite some advocating their technical similarity, the authors have found substantially different planning and techniques are needed to obtain aesthetic results in transgender patients versus cosmetic breast augmentation. The authors sought to develop an approach for operative planning and technique to elucidate these differences and obtain consistent results. METHODS: All patients who underwent breast augmentation at the Johns Hopkins Center for Transgender Health were included in this study. Anthropometric assessments were obtained and comparative statistics between operative and nonoperative cohorts were calculated. Outcomes were analyzed and a patient-reported survey was performed to evaluate patient satisfaction. RESULTS: Fifty-nine consecutive transfemale patients presented for evaluation. Anthropometric measurements included base width (median, 15.0 ± 2.1 cm), notch-to-nipple distance (median, 22.0 cm), nipple-to-midline distance (median, 12.0 cm), areolar diameter (median, 3.5 ± 1.5 cm), and upper pole pinch (mean, 1.8 ± 1.1 cm). Thirty-six patients underwent augmentation mammaplasty. Postoperative complications (8.3 percent) included a minor hematoma and grade III capsular contracture in two patients. Patients were asked to complete a brief outcomes survey and reported an improvement in psychosocial well-being and high satisfaction rate (100 percent) with the overall cosmetic result. CONCLUSIONS: Transgender female patients represent a unique patient population requiring special consideration of anatomical differences in key planning decisions. The authors delineate the first systematic algorithm that addresses these differences, emphasizing maneuvers such as routine inframammary fold lowering. This can allow experienced augmentation surgeons to obtain excellent aesthetic and patient-reported outcomes in this population. As with cosmetic breast augmentation, patient satisfaction rates are high. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.


Assuntos
Implante Mamário/métodos , Disforia de Gênero/cirurgia , Planejamento de Assistência ao Paciente , Satisfação do Paciente , Cirurgia de Readequação Sexual/métodos , Adulto , Algoritmos , Implante Mamário/efeitos adversos , Implante Mamário/instrumentação , Implantes de Mama/efeitos adversos , Procedimentos Clínicos , Estética , Feminino , Seguimentos , Disforia de Gênero/psicologia , Humanos , Masculino , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Cirurgia de Readequação Sexual/efeitos adversos , Pessoas Transgênero/psicologia , Resultado do Tratamento , Adulto Jovem
17.
Plast Reconstr Surg ; 145(6): 1499-1509, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32459779

RESUMO

BACKGROUND: No data exist on the prospective outcomes of facial feminization surgery. This study set out to determine the effects of facial feminization surgery on quality-of-life outcomes for gender-diverse patients. METHODS: A prospective, international, multicenter, cohort study with adult gender-diverse patients with gender dysphoria was undertaken. Facial feminization outcome score was calculated preoperatively and postoperatively (1-week to 1-month and >6 months). Photogrammetric cephalometries were measured at the same time points. Self-perceived preoperative masculinity and femininity were recorded. Externally rated gender appearance (scale of 1 to 5, with 1 being most feminine) and general aesthetics (scale of 1 to 10, with 10 being very good) for 10 facial feminization surgery patients were compared with those of five cisgender controls. Univariate linear regression analyses were used to predict outcomes from facial feminization surgery. RESULTS: Sixty-six consecutive patients were enrolled. Patients noted that their brows, jaws, and chins were the most masculine aspects of their faces (54.5 percent, 33.3 percent, and 30.3 percent, respectively). Median facial feminization outcome score increased from 47.2 preoperatively to 80.6 at 6 months or more postoperatively (p < 0.0001). Mean satisfaction was excellent (3.0 at both 1-month and ≥6-month follow-up; p = 0.46). Cephalometric values were significantly more feminine after surgery. Gender appearance was feminine to very feminine (1.83 ± 0.96) and general aesthetics were good (6.09 ± 2.01) but different from those of cisgender women controls (1.25 ± 0.49 and 7.63 ± 1.82, respectively; p < 0.001 for each). CONCLUSION: Facial feminization achieved improved quality of life, feminized cephalometries, feminine gender appearance, good overall aesthetics, and high satisfaction that were present at 1 month and stable at more than 6 months. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.


Assuntos
Face/cirurgia , Disforia de Gênero/cirurgia , Satisfação do Paciente , Qualidade de Vida , Cirurgia de Readequação Sexual/métodos , Adulto , Feminino , Feminilidade , Disforia de Gênero/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Estudos Prospectivos , Autoimagem , Pessoas Transgênero/psicologia
18.
BMC Public Health ; 20(1): 782, 2020 May 26.
Artigo em Inglês | MEDLINE | ID: mdl-32456674

RESUMO

BACKGROUND: Transgender women ("trans women"), particularly African-American and Latina trans women, have disproportionately high prevalence of HIV in the United States (U.S.). In order to decrease gender dysphoria and overcome discrimination, trans women affirm their gender through social and medical transition, often in contexts of economic hardship and sexual risk. This study qualitatively examined how gender-affirming behaviors enhance or diminish vulnerability to HIV in light of structural and economic barriers to gender transition. METHODS: We conducted individual interviews with 19 adult trans women in two U.S. cities (Richmond, VA and St. Louis, MO) who reported one or more sexual risk behaviors and recent economic hardship related to employment/income, housing, or food security. Interviews were recorded, transcribed, and analyzed using thematic content analysis. RESULTS: The majority (74%) of trans women were racial/ethnic minorities with mean age of 26.3 years. Gender-affirming behaviors varied with 58% of trans women having legally changed their name and gender marker; 79% having initiated hormone therapy; and 11% having not initiated any medical or legal changes. None had undertaken surgical changes. Findings suggested that the process of gender transitioning resulted in both increasing and decreasing HIV risk. The high need for gender affirmation by male sex partners contributed to trans women's exposure to sexual objectification, sexual risk behaviors, and conflicting interests in HIV prevention messaging. Loss of housing and employment due to transition along with the high costs of transition products and medical visits increased reliance on sex work and created new obstacles in accessing HIV services. Trans women experienced lower HIV risk as they acquired legal and medical transition services, reshaped interactions with sex partners, and received gender-affirming support by others, including health providers, employers, peers, and housing professionals. Sexual abstinence was viewed as a negative consequence of incomplete transition, although characterized as a period of low HIV risk. CONCLUSIONS: Structural and policy initiatives that promote safe gender transition and economic stability in trans women may play a critical role in reducing HIV in this population. Addressing the harmful pressures for U.S. trans women to conform to perceived feminine stereotypes may also serve an important role.


Assuntos
Identidade de Gênero , Infecções por HIV/epidemiologia , Pessoas Transgênero/psicologia , Pessoas Transgênero/estatística & dados numéricos , Populações Vulneráveis , Adolescente , Adulto , Cidades/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Pesquisa Qualitativa , Medição de Risco , Assunção de Riscos , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Fatores Socioeconômicos , Estados Unidos/epidemiologia , Adulto Jovem
20.
AIDS Behav ; 24(11): 3033-3043, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32239360

RESUMO

Men who have sex with men (MSM) and transgender women (TGW) are highly affected by HIV and need novel prevention strategies. Using HIV self-testing (HIVST) kits to screen sexual partners may represent a viable risk-reduction alternative; however, more research is needed on effective strategies for broaching HIVST with partners. In the ISUM study, 136 MSM and TGW were given ten HIVST kits for self- and partner-testing. After 3 months, they returned for a follow-up assessment; thirty participants were also selected for in-depth interviews about their experiences initiating HIVST with partners. Most found proposing HIVST to a diverse array of partners relatively easy. They employed strategies such as joint testing and integrating HIVST into larger discussions about protection and sexual health, with moderate success. Nonetheless, real or anticipated negative partner reactions were a significant barrier. Future research can inform best practices for safely and successfully broaching HIVST with sexual partners.


Assuntos
Infecções por HIV/diagnóstico , Infecções por HIV/psicologia , Homossexualidade Masculina , Programas de Rastreamento/métodos , Autoexame/estatística & dados numéricos , Parceiros Sexuais/psicologia , Pessoas Transgênero , Adulto , Feminino , Infecções por HIV/prevenção & controle , Homossexualidade Masculina/psicologia , Homossexualidade Masculina/estatística & dados numéricos , Humanos , Entrevistas como Assunto , Masculino , New York , Porto Rico , Pesquisa Qualitativa , Ensaios Clínicos Controlados Aleatórios como Assunto , Autocuidado , Testes Sorológicos , Pessoas Transgênero/psicologia , Pessoas Transgênero/estatística & dados numéricos , Adulto Jovem
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