Gender-based differences in non-HIV STI testing among sexually active transgender and nonbinary persons: Bridging gaps in STI research

性活跃的跨性别者和非二元性别者中非艾滋病毒性传播感染检测中基于性别的差异：弥合性传播感染研究中的差距

• 批准号: 10334537
• 负责人: Shanna Katz Kattari
• 金额: $ 7.8万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-01 至 2023-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10334537
• 关键词: Address; Affect; Birth; Centers for Disease Control and Prevention (U.S.); Clinic; Data; Direct Costs; Discrimination; Ecology; Ethnic Origin; Female; Focus Groups; Future; Gender; Gender Identity; General Population; Goals; HIV; HIV risk; Health; Health Care Costs; Health Insurance; Health Services Accessibility; Health Surveys; Healthcare Systems; Human immunodeficiency virus test; Individual; Intervention; Knowledge; Label; Left; Literature; Malignant Neoplasms; Medical; Methods; Michigan; Morbidity - disease rate; Outcome; Participant; Persons; Population; Prevalence; Provider; Public Health; Publishing; Qualitative Research; Race; Recording of previous events; Reporting; Reproductive Health; Research; Respondent; Risk; STI prevention; Sexually Transmitted Diseases; Surveys; Testing; Time; United States; Woman; Women' s Group; base; community transmission; hormone therapy; infection burden; infection rate; male; men; minority stress; programs; sex; sexually active; social; social expectations; social stigma; social structure; testing uptake; theories; transgender; transgender men; transgender women; transmission process

PROJECT ABSTRACT Research suggests that transgender (trans) populations, a diverse group of persons whose gender identity and/or expression differ from societal expectations associated with their sex labelled at-birth, have high rates of non-HIV sexually transmitted infections (STIs). Untreated non- HIV STIs can contribute to negative health outcomes and community transmission. Therefore, access to non-HIV STI testing is of critical importance to mitigate morbidity and promote public health. Of the published research focused on non-HIV STI testing among trans people, studies are limited in population focus (almost exclusively trans women). Notably absent are nonbinary persons (those who do not identify exclusively as men or women), though this group comprises 1/3 of all trans people in the U.S. Scant literature has examined gender-based differences in non- HIV STI testing among trans and nonbinary (TNB) populations. Moreover, information gaps also exist regarding barriers and facilitators to non-HIV STI testing among TNB populations, and how these barriers and facilitators may differ by gender. To address these gaps, our team will examine whether sexually active TNB populations are characterized by gender-based differences (trans women/trans men/nonbinary people) in their rates of non-HIV STI testing and barriers and facilitators to non-HIV STI testing. We will conduct an explanatory sequential mixed-methods study using secondary quantitative data from the 2018 Michigan Trans Health Survey (MTHS) and a primary qualitative study of TNB persons using online focus groups. First, we will determine gender-based differences in a) rates of lifetime non-HIV STI testing history (never, ever) and b) time since last non-HIV STI test (never, past year, 1-5 years, >5 years) among sexually active TNB persons. Then, informed by an integrated conceptual framework drawing on social ecology, minority stress, and gender affirmation, we will examine whether individual (e.g., race/ethnicity), medical (e.g., hormone therapy); social (e.g., provider discrimination based on gender identity); and structural (e.g., clinic gender affirmation) factors are uniquely associated with lifetime non- HIV STI testing history, and whether gender identity moderates the association between lifetime non-HIV STI testing history and statistically significantly associated independent variables. Finally, we will collect and analyze primary qualitative data from TNB persons to further understand their barriers and facilitators to non-HIV STI testing. This study will inform future research focused on developing, evaluating, and implementing interventions which increase non-HIV STI testing among TNB populations, filling critical gaps in research specifically to the needs of overlooked groups of trans men and nonbinary people.

项目摘要

项目成果

HIV testing among transgender and nonbinary persons in Michigan, United States: results of a community-based survey.

• DOI: 10.1002/jia2.25972
• 发表时间: 2022-10
• 期刊: Journal of the International AIDS Society
• 影响因子: 6

Sexually transmitted infection testing among transgender and non-binary persons: results of a community-based cross-sectional survey.

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
• 发表时间: 2023
• 期刊: Sexual health
• 影响因子: 1.6
• 作者: Lacombe-Duncan,Ashley;Kattari,ShannaK;Kattari,Leonardo;Scheim,AydenI;Misiolek,BraydenA
• 通讯作者: Misiolek,BraydenA