Journal article
Sexually transmitted infection testing among transgender and non-binary persons: results of a community-based cross-sectional survey
Sexual health, v 20(1), pp 87-91
Feb 2023
PMID: 36347262
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Studies show higher rates of sexually transmitted infections (STIs) among transgender (trans) and non-binary (TNB) persons compared with the general population. Scant studies have examined non-HIV STI testing (henceforth referred to as STI testing); fewer inclusive of trans men and non-binary persons. We characterised the prevalence of STI testing and time since last STI test and gender-based differences in these outcomes among TNB persons.
Data were analysed from a 2018 community-based participatory cross-sectional survey (n =528). Prevalence of lifetime STI testing history and time since last STI test were reported overall and compared across genders (trans men, trans women, non-binary assigned female at-birth, non-binary assigned male at-birth) using Chi-squared, then bivariable and multivariable logistic regression analyses to compare lifetime STI testing history (ever vs never) across sociodemographic and health care characteristics.
Most (n =425; 80.5%) participants reported having ever had an STI test; over half (59.8%) ever tested had tested within the past year. Bivariate analyses showed no significant gender differences in lifetime STI testing history (P =0.298) or time since last STI test (P =0.118). In a multivariable model, higher age, reporting multiple committed partners (vs single/divorced), known HIV status, and ever receiving information about pre-exposure prophylaxis (PrEP) were positively associated with ever having had an STI test, whereas Latinx race/ethnicity (vs white) was negatively associated.
Findings showed high rates of lifetime STI testing and recent testing, with no gender-based differences. Never testing rates were concerning considering screening recommendations. Broad based (non-gender specific) TNB-focused interventions may be warranted to increase uptake.
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Details
- Title
- Sexually transmitted infection testing among transgender and non-binary persons: results of a community-based cross-sectional survey
- Creators
- Ashley Lacombe-Duncan - University of Michigan, School of Social Work, Ann Arbor, MI, USAShanna K KattariLeonardo Kattari - Michigan State UniversityAyden I Scheim - Drexel UniversityBrayden A Misiolek - Transcend the Binary, Ferndale, MI, USA
- Publication Details
- Sexual health, v 20(1), pp 87-91
- Grant note
- R03 AI159298 / NIAID NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000883635500001
- Scopus ID
- 2-s2.0-85142681314
- Other Identifier
- 991020099162104721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Infectious Diseases
- Public, Environmental & Occupational Health