(Q28020)
Statements
Trans and non-binary people are often discriminated against. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
Discrimination has a negative impact on health and may affect sexual health and behavior. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
We explored the relationship between discrimination based on gender identity and the perceived ability to make decisions about their sex life to feel as protected as desired from HIV and sexually transmitted infections (STI) among trans and non-binary people in Germany. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
Secondarily, we assessed whether feeling unable of making HIV/STI-protected sex decisions was associated with behaviors related to increased HIV/STI risk. (English)
BACKGROUND (English)
© 2024. The Author(s). (English)
2024
We conducted a cross-sectional study using data from the Sexual Health and HIV/STI in Trans and Non-Binary Communities (TASG) survey conducted online between March-July 2022 among trans and/or non-binary people aged 18 years and older living in Germany. (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
We described the prevalence of frequent discrimination based on gender identity. (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
We calculated prevalence ratios (PR) with 95% confidence intervals (95% CI) for the associations between frequent experienced discrimination based on gender identity and feeling unable of making HIV/STI-protected sex decisions, and between feeling unable of making HIV/STI-protected sex decisions and behaviors related to increased HIV/STI risk. (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
Among 3077 participants, 22% reported frequent discrimination based on gender identity. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
Participants experiencing such discrimination reported 1.4 times more often to feel unable to make HIV/STI-protected sex decisions (PR 1.4, 95% CI 1.1-1.8). (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
This perceived inability was associated with increased prevalence of sex under drug influence (PR 2.9, 95% CI 2.3-3.7) and condomless penetrative sex with multiple partners without PrEP (PR 2.0, 95% CI 1.4-2.9). (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
Feeling unable to make decisions to feel protected from HIV/STI among trans and non-binary people was associated with both frequent discrimination and behaviors that increase the HIV/STI risk. (English)
CONCLUSION (English)
© 2024. The Author(s). (English)
2024
Strategies for empowering trans and non-binary people to assert their sexual decision-making needs should be explored. (English)
CONCLUSION (English)
© 2024. The Author(s). (English)
2024
Mario (English)
Martín-Sánchez (English)
M
Kathleen (English)
Pöge (English)
K
Alexander (English)
Hahne (English)
A
Jonas (English)
Hamm (English)
J
Viviane (English)
Bremer (English)
V
Uwe (English)
Koppe (English)
U
Max (English)
Appenroth (English)
M
Mine Pleasure Bouvar (English)
Wenzel (English)
MPB
Né (English)
Fink (English)
N
Silvia (English)
Rentzsch (English)
S
Manuel Ricardo (English)
Garcia (English)
MR
Christoph (English)
Schuler (English)
C
Chris (English)
Spurgat (English)
C
Heinz-Jürgen (English)
Voß (English)
HJ
31 October 2024
31 October 2024