Perceived Barriers to HIV Prevention Services for Transgender Youth
Perceived Barriers to HIV Prevention Services for Transgender Youth
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DOI：
10.1089/lgbt.2017.0098
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发表时间：
2018-09-01
期刊：
影响因子：
4.8
通讯作者：
Mustanski, Brian
中科院分区：
文献类型：
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作者：
Fisher, Celia B.;Fried, Adam L.;Mustanski, Brian
目的：许多跨性别青年缺乏获得变性人确认护理的机会，这可能使他们面临感染艾滋病毒的风险。本研究探讨了跨性别青年对与性别和性少数群体（GSM）身份和性健康相关的初级保健提供者（pcp）接触的看法。方法：年龄在14-21岁的青少年（N=228, 45%为跨性别男性，41%为跨性别女性，14%为非二元性别）完成了一项关于GSM身份披露和接受、性别肯定服务、性健康态度和行为、与涉及GSM身份的pcp的互动以及对耻辱和保密的担忧的调查。结果：因子分析产生了三个量表：GSM耻辱、保密问题和GSM性健康信息。GSM耻辱量表的项目显示，由于担心不接受PCP，近一半的受访者没有向PCP透露他们的GSM身份。四分之一的年轻人不太愿意与他们的私人医生讨论GSM身份和性健康，因为他们担心医生会向父母透露这些信息；这些担忧在青少年中更为严重
Purpose: Many transgender youth lack access to transgender affirming care, which may put them at risk for HIV. This study explored transgender youth's perceptions regarding encounters with primary care providers (PCPs) related to gender and sexual minority (GSM) identity and sexual health. Methods: Youth ages 14-21 (N=228; 45% trans masculine, 41% trans feminine, 14% gender nonbinary) completed a survey on GSM identity disclosure and acceptance, gender-affirming services, sexual health attitudes and behaviors, and interactions with PCPs involving GSM identity and concerns about stigma and confidentiality. Results: A factor analysis yielded three scales: GSM Stigma, Confidentiality Concerns, and GSM-Sexual Health Information. Items from the GSM Stigma scale showed that nearly half of respondents had not disclosed their GSM identity to their PCP due to concern about an unaccepting PCP. One-quarter of youth were less inclined to discuss GSM identity and sexual health with their PCP due to concern that their provider would disclose this information to parents; these concerns were greater among adolescents