Sexually transmitted infection testing among transgender and non-binary persons: results of a community-based cross-sectional survey.
Sexually transmitted infection testing among transgender and non-binary persons: results of a community-based cross-sectional survey.
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跨性别者和非二元性别者的性传播感染检测：基于社区的横断面调查结果。
DOI：
10.1071/sh22128
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发表时间：
2023
期刊：
影响因子：
1.6
通讯作者：
Misiolek,BraydenA
中科院分区：
文献类型：
--
作者：
Lacombe-Duncan,Ashley;Kattari,ShannaK;Kattari,Leonardo;Scheim,AydenI;Misiolek,BraydenA
背景研究表明，与一般人群相比，跨性别者 (trans) 和非二元性别者 (TNB) 的性传播感染 (STI) 发病率更高。很少有研究检验非 HIV STI 检测（以下简称 STI 检测）；跨性别者和非二元性别者的包容性较少。我们对 TNB 人群中 STI 检测的流行率、自上次 STI 检测以来的时间以及这些结果中基于性别的差异进行了描述。方法数据分析来自 2018 年基于社区的参与性横断面调查 (n=528)。总体报告终生 STI 检测史和自上次 STI 检测以来的时间，并使用卡方进行跨性别（跨性别男性、跨性别女性、出生时非二元分配的女性、出生时非二元分配的男性）的比较，然后使用双变量和多变量逻辑回归分析来比较跨社会人口统计学和医疗保健特征的终生 STI 检测历史（曾经与从未）。 结果 大多数（n=425；80.5%）参与者报告曾经进行过 STI 检测；超过一半（59.8%）的测试者在过去一年内进行过测试。双变量分析显示，终生 STI 检测史 (P=0.298) 或自上次 STI 检测以来的时间 (P=0.118) 没有显着的性别差异。在多变量模型中，较高的年龄、报告多个忠诚伴侣（相对于单身/离婚）、已知的 HIV 状况以及曾经接受过暴露前预防 (PrEP) 的信息与曾经进行过 STI 检测呈正相关，而拉丁裔种族/族裔（相对于白人）则呈负相关。 结论 调查结果显示，终生 STI 检测和近期检测率较高，没有性别差异。考虑筛查建议时从来没有考虑过检测率。可能需要以 TNB 为重点的广泛（非性别特定）干预措施来增加采用率。
Background 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.Methods 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.Results 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.Conclusions 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.