A Mixed Methods Study of the Sexual Health Needs of New England Transmen Who Have Sex with Nontransgender Men

The Fenway Institute, Fenway Health, Boston, Massachusetts 02215, USA.
AIDS patient care and STDs (Impact Factor: 3.5). 08/2010; 24(8):501-13. DOI: 10.1089/apc.2010.0059
Source: PubMed

ABSTRACT The sexual health of transmen--individuals born or assigned female at birth and who identify as male--remains understudied. Given the increasing rates of HIV and sexually transmitted diseases (STDs) among gay and bisexual men in the United States, understanding the sexual practices of transmen who have sex with men (TMSM) may be particularly important to promote sexual health or develop focused HIV prevention interventions. Between May and September 2009, 16 transmen who reported sexual behavior with nontransgender men completed a qualitative interview and a brief interviewer-administered survey. Interviews were conducted until redundancy in responses was achieved. Participants (mean age, 32.5, standard deviation [SD] = 11.1; 87.5% white; 75.0% "queer") perceived themselves at moderately high risk for HIV and STDs, although 43.8% reported unprotected sex with an unknown HIV serostatus nontransgender male partner in the past 12 months. The majority (62.5%) had used the Internet to meet sexual partners and "hook-up" with an anonymous nontransgender male sex partner in the past year. A lifetime STD history was reported by 37.5%; 25.0% had not been tested for HIV in the prior 2 years; 31.1% had not received gynecological care (including STD screening) in the prior 12 months. Integrating sexual health information "by and for" transgender men into other healthcare services, involving peer support, addressing mood and psychological wellbeing such as depression and anxiety, Internet-delivered information for transmen and their sexual partners, and training for health care providers were seen as important aspects of HIV and STD prevention intervention design and delivery for this population. "Embodied scripting" is proposed as a theoretical framework to understand sexual health among transgender populations and examining transgender sexual health from a life course perspective is suggested.

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Available from: Sari L Reisner, Sep 28, 2015
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    • "This qualitative analytic approach incorporates elements from phenomenological (Giorgi, 1985), grounded theory (Strauss & Corbin, 1998), and comprehensive process analysis (Elliott, 1989). Responses to open-ended qualitative questions were thematically grouped and double-coded by two independent coders, as in previous qualitative research with transmasculine adults (Reisner et al., 2010). "
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    ABSTRACT: There is a dearth of health research about transgender people. This mixed-methods study sought to formatively investigate the health and perceived health needs of female-to-male transmasculine adults. A cross-sectional quantitative needs assessment (n = 73) and qualitative open-ended input (n = 19) were conducted in June 2011. A latent class analysis modeled six binary health indicators (depression, alcohol use, current smoking, asthma, physical inactivity, overweight status) to identify clusters of presenting health issues. Four clusters of health indicators emerged: (a) depression; (b) syndemic (all indicators); (c) alcohol use, overweight status; and (d) smoking, physical inactivity, overweight status. Transphobic discrimination in health care and avoiding care were each associated with membership in the syndemic class. Qualitative themes included personal health care needs, community needs, and resilience and protective factors. Findings fill an important gap about the health of transmasculine communities, including the need for public health efforts that holistically address concomitant health concerns.
    Journal of the American Psychiatric Nurses Association 08/2013; 19(5). DOI:10.1177/1078390313500693 · 0.98 Impact Factor
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    • "Previously reported demographic estimates from Trans PULSE are similar to Ontario population estimates, highlighting the strength of our RDS method in reaching a broad sample of trans people across Ontario (Bauer et al., 2012). In comparison to smaller studies that have explicitly recruited sexually active gay, bisexual, or queer-identified trans men in urban centers (Myers et al., 2007; Reisner et al., 2010; Sevelius, 2009), this sample may better reflect the diversity of trans GB-MSM in urban, suburban , and rural areas in Canada's most populous province. It is important to note that while RDS has been demonstrated to produce statistically unbiased estimates (Salganik, 2006), CI are wide. "
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    ABSTRACT: Recent reports have addressed the sexual health of female-to-male transgender or transsexual people who are gay, bisexual, and/or have sex with men (trans GB-MSM) using urban convenience samples. The Trans PULSE Project conducted a multimode, respondent-driven sampling survey in Ontario, Canada, in 2009-2010. Weighted estimates were calculated for trans GB-MSM (n = 173) for sexual orientation, behavior, partners, and HIV-related risk, as well as for psychosocial stressors and sexual satisfaction. An estimated 63.3% (95% CI [50.4, 73.5]) of trans men were GB-MSM (173/227). Results indicate great diversity in sexual behavior and experiences. Implications for sexual health promotion, counseling, and medical care are addressed.
    International Journal of Transgenderism 04/2013; 14(2):66-74. DOI:10.1080/15532739.2013.791650
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    • "In addition, transgender individuals tend to have an earlier onset of mental disorders (Hellman, Sudderth, & Avery, 2002; Kidd et al., 2011). This increased prevalence of mental disorders among transgender individuals may contribute to maladaptive coping strategies, including substance abuse and sexual risk taking (Mustanski, Garofalo & Emerson, 2010; Reisner, Perkovich, & Mimiaga, 2010). Alarming rates of suicidality also occur among this population (Clements-Nolle et al., 2006; Nuttbrock et al., 2010). "
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    ABSTRACT: Transgender is an umbrella term that includes individuals whose sense of gender identity does not match the sex assigned at birth. Transgender students with physical or psychiatric disabilities face additional barriers on college campuses due to the compounded effects of prejudice towards transgender identity (transphobia) and prejudice towards disability (ableism). Transgender individuals with disabilities often experience double stigma that may involve institutional barriers such as unemployment, educational discrimination, or residential segregation (Mizock & Lewis, 2008). In addition, transgender individuals with disabilities report ableism, such as being stared at, avoided, infantilized, harassed, threatened, or ignored (Clare, 2001). Experiences of mistreatment may vary depending on the degree to which a student’s transgender identity, or physical or psychiatric disability, is visibly discernible to others.
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