A global research synthesis of HIV and STI biobehavioural risks in female-to-male transgender adults.
A global research synthesis of HIV and STI biobehavioural risks in female-to-male transgender adults.
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全球研究的艾滋病毒和STI Biobehavioural风险的全球研究综合。
DOI：
10.1080/17441692.2015.1134613
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发表时间：
2016-08
影响因子：
3.3
通讯作者：
Murchison GR
中科院分区：
文献类型：
--
作者：
Reisner SL;Murchison GR
全球对变性人感染艾滋病毒和性传播感染疾病的负担和风险越来越感兴趣;然而，大多数工作都是针对男变女（MTF）变性人群进行的。本研究综述全面回顾了女性到男性（FTM）变性成年人的艾滋病毒和性传播感染研究。关于艾滋病毒和性传播感染的研究很少。只有25篇同行评审论文（18篇定量，7篇定性）和11篇“灰色文献”报告被确定，大多数在美国或加拿大，其中包括确定FTM中艾滋病毒和性传播感染风险的数据（5篇完全实验室确认的艾滋病毒和/或性传播感染，5篇部分实验室确认）。对性行为和药物使用风险行为导致FTM中的艾滋病毒和性传播感染知之甚少。未来的方向提出，包括需要常规监测和监测艾滋病毒和性传播感染的跨性别身份，更标准化的性风险评估措施，有针对性的数据收集在低收入和中等收入国家，并明确考虑纳入/排除的理由FTM在基于类别的预防方法与男男性行为者和跨性别者。研究，政策，规划和干预措施的影响进行了讨论，包括需要解决不同的性身份，景点和行为，并参与当地FTM社区。
There is a growing interest in HIV infection and sexually transmitted infection (STI) disease burden and risk among transgender people globally; however, the majority of work has been conducted with male-to-female (MTF) transgender populations. This research synthesis comprehensively reviews HIV and STI research in female-to-male (FTM) transgender adults. A paucity of research exists about HIV and STIs in FTMs. Only 25 peer-reviewed papers (18 quantitative, 7 qualitative) and 11 ‘grey literature’ reports were identified, most in the U.S. or Canada, that include data identifying HIV and STI risks in FTMs (five with fully laboratory-confirmed HIV and/or STIs, and five with partial laboratory confirmation). Little is known about the sexual and drug use risk behaviors contributing to HIV and STIs in FTMs. Future directions are suggested, including the need for routine surveillance and monitoring of HIV and STIs globally by transgender identity, more standardized sexual risk assessment measures, targeted data collection in lower and middle income countries, and explicit consideration of the rationale for inclusion/exclusion of FTMs in category-based prevention approaches with MSM and transgender people. Implications for research, policy, programming, and interventions are discussed, including the need to address diverse sexual identities, attractions, and behaviors and engage local FTM communities.