Sexual risk behaviors and psychosocial health concerns of female-to-male transgender men screening for STDs at an urban community health center
Sexual risk behaviors and psychosocial health concerns of female-to-male transgender men screening for STDs at an urban community health center
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DOI：
10.1080/09540121.2013.855701
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发表时间：
2014-07-03
影响因子：
1.7
通讯作者：
Mimiaga, Matthew J.
中科院分区：
文献类型：
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作者：
Reisner, Sari L.;White, Jaclyn M.;Mimiaga, Matthew J.
女变男 (FTM) 跨性别男性的性健康仍未得到充分研究。对 2007 年 7 月至 12 月期间在马萨诸塞州波士顿地区卫生中心进行性传播疾病 (STD) 筛查的 23 名 FTM（平均年龄为 32 岁，48% 为少数族裔）的去识别化电子病历进行了分析。近一半 (48%) 服用睾酮，39% 接受过胸部手术；没有人接受过生殖器重建。大多数 (57%) 是双性恋，30% 的人仅在过去三个月内与非跨性别男性发生过性行为。 1 人感染 HIV（4.3%），2 人（8.7%）有 STD 病史（均经实验室确诊）。总体而言，26% 的人在过去三个月内有过危险性行为（即与非跨性别男性进行无保护的性行为、安全套破裂或匿名性行为）。大多数人 (61%) 有 DSM-IV（精神障碍诊断与统计手册，第四版）诊断（52% 为抑郁症，52% 为焦虑症，26% 为适应障碍），经常饮酒也很常见 (65%)。饮酒、心理社会困扰史以及仅与男性发生性行为（相对于男性和女性）与过去三个月的性风险相关。跨性别男性伴随着社会心理健康脆弱性，这可能会导致性危险行为。未来的研究需要了解导致 FTM 易感染艾滋病毒和性病的众多社会、行为和生物因素。
The sexual health of female-to-male (FTM) transgender men remains understudied. De-identified electronic medical records of 23 FTMs (mean age = 32, 48% racial/ethnic minority) who screened for sexually transmitted diseases (STDs) between July and December 2007 at a Boston, Massachusetts area health center were analyzed. Almost half (48%) were on testosterone and 39% had undergone chest surgery; none had undergone genital reconstruction. The majority (57%) were bisexual, and 30% reported sex with nontransgender males only in the prior three months. One individual was HIV-infected (4.3%) and two (8.7%) had a history of STDs (all laboratory-confirmed). Overall, 26% engaged in sexual risk behavior in the prior three months (i.e., unprotected sex with a nontransgender male, condom breakage, or anonymous sex). The majority (61%) had a DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition) diagnosis (52% depression, 52% anxiety, and 26% adjustment disorder), and regular alcohol use was common (65%). Alcohol use, psychosocial distress histories, and sex with males only (versus with males and females) were associated with sexual risk in the past three months. Transgender men have concomitant psychosocial health vulnerabilities which may contribute to sexual risk behaviors. Future research is needed to understand the myriad social, behavioral, and biological factors that contribute to HIV and STD vulnerability for FTMs.