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Transsexual STI

Giuseppe Loverro, Edoardo Di Naro, Anna Maria Caringella, Anna Lisa De Robertis, Daniela Loconsole, Maria Chironna
OBJECTIVES: Detectable human papillomavirus (HPV) DNA is the most common sexually transmitted infection. Reports on the prevalence of detectable HPV DNA among transsexuals (not sex workers) are scarce. The objective of the study was to determine the prevalence of detectable HPV DNA in a clinic sample of transsexuals and to assess the relationship between detectable HPV DNA and cytological outcomes. METHODS: Clinical samples (oral, anal, vaginal, cervicovaginal and penile scraped cells) from 35 transsexuals (surgically treated and surgically untreated) who attended the outpatient Clinic of Gender Identity Dysphoria of the Department of Obstetrics and Gynecology of Policlinico Hospital (Bari, Italy) were collected for cytological analysis and HPV DNA detection and typing...
February 2016: Sexually Transmitted Infections
Cristina Hernando Rovirola, Gaby Ortiz-Barreda, Juan Carlos Galán Montemayor, Meritxell Sabidó Espin, Jordi Casabona Barbarà
BACKGROUND: Migration flows have the ability to disperse infectious agents and alter local epidemiologies. The aim of the study is to describe the socio-epidemiological, clinical and microbiology / molecular epidemiology of HIV / AIDS infection in the immigrant population. METHODS: Review of the literature following the methodology Scoping review. A literature search in Medline and MEDES, original items made in Spain, published between 1998-2012, with people from Latin America, sub-Saharan Africa, North Africa, Asia and / or Eastern Europe was conducted...
November 2014: Revista Española de Salud Pública
Sonia Fernández-Balbuena, María José Belza, Elena Urdaneta, Ramón Esteso, M Elena Rosales-Statkus, Luis de la Fuente
OBJECTIVES: We assess the contribution of a rapid-HIV testing program run by Médicos del Mundo and oriented to vulnerable populations reluctant to attend conventional settings. METHODS: We compare the program outcomes with a network of 20 HIV/STI clinics (EPIVIH) and the Spanish National Surveillance System (SNHSS). RESULTS: 33.3% of the new diagnoses were women (8.6% EPIVIH and 17.7% SNHSS). Transsexuals were 6.9% (1.9% EPIVIH), female sex workers 23...
January 2015: International Journal of Public Health
Tooru Nemoto, Birte Bödeker, Mariko Iwamoto, Maria Sakata
It is urgent to develop efficacious HIV prevention programs to curb the reported extremely high HIV prevalence and incidence among transgender women (male-to-female transgender persons) who reside in large cities in the USA. This study aimed to describe unprotected receptive anal sex (URAS) and unprotected insertive anal sex (UIAS) among high-risk transgender women in relation to partner types, psychosocial factors, and background variables. Based on purposive sampling from the targeted communities and AIDS service organizations in San Francisco and Oakland, a total of 573 transgender women who had a history of sex work were recruited and individually interviewed using a structured survey questionnaire...
April 2014: AIDS Care
Mauricio Carobene, Federico Bolcic, María Sol Dos Ramos Farías, Jorge Quarleri, María Mercedes Avila
Commercial sex work is frequent among male-to-female transvestites, transsexuals and transgenders in Argentina, leading to high susceptibility to HIV, HBV, and HCV among other sexually transmitted infections. In a global context of scarce data on the trans sex workers population, this study was aimed to study the genomic characterization of these viruses. Plasma presence of HIV, HBV, and HCV genomic material was evaluated in samples from 273 trans sex workers. Genomic sequences of HIV-gag, pol, and vif-vpu genes, HBV-S gene, and HCV-5'UT and NS5B genes were obtained...
January 2014: Journal of Medical Virology
Sue Campbell
Lesbian, gay, bisexual and trans (LGBT) individuals have particular vulnerabilities to sexually transmitted infections and HIV infection. Globally, reasons for this include physiological factors, discrimination and poor understanding of their sexual health needs. In many countries LGBT individuals are not able to exercise fully their rights to health care. This raises public health concerns for the LGBT community and the wider population. This article explores these issues, and makes recommendations for the healthcare profession to address health inequalities and promote improved health outcomes for LGBT populations...
April 10, 2013: Nursing Standard
Ana Clara Zoni, Mónica Alonso González, Helena Werin Sjögren
OBJECTIVE: To describe syphilis prevalence in men who have sex with men (MSM), the transgender population, and sex workers and their clients, identifying critical geographical areas, trends, and data gaps in Latin America and the Caribbean. METHODS: A systematic review of syphilis prevalence was conducted by searching PubMed, LILACS, EMBASE, conference records, and other sources (2000-2010). RESULTS: Forty-eight articles were included in the review, from which 84 data points were identified relating to MSM and female sex workers and only 10 relating to the transgender population, male sex workers, and clients of sex workers...
February 2013: International Journal of Infectious Diseases: IJID
Anup Gurung, Prakash Narayanan, Parimi Prabhakar, Anjana Das, Virupax Ranebennur, Saroj Tucker, Laxmi Narayana, Radha R, K Prakash, J Touthang, Collins Z Sono, Teodora Wi, Guy Morineau, Graham Neilsen
BACKGROUND: Avahan, the India AIDS Initiative, implemented a large HIV prevention programme across six high HIV prevalence states amongst high risk groups consisting of female sex workers, high risk men who have sex with men, transgenders and injecting drug users in India. Utilization of the clinical services, health seeking behaviour and trends in syndromic diagnosis of sexually transmitted infections amongst these populations were measured using the individual tracking data. METHODS: The Avahan clinical monitoring system included individual tracking data pertaining to clinical services amongst high risk groups...
2011: BMC Public Health
Peter A Newman, Sung-Jae Lee, Surachet Roungprakhon, Suchon Tepjan
High HIV prevalence among men who have sex with men (MSM) and transgender women in Thailand suggest a vital need for targeted interventions. We conducted a cross-sectional survey to examine and compare sexual risk behaviors, and demographic and behavioral correlates of risk, among MSM and transgender women recruited from gay entertainment venue staff and community-based organization (CBO) participants. We used venue-based sampling across nine sites in Bangkok and Chiang Mai. Among 260 participants (57.3% gay-identified, 26...
October 2012: Prevention Science: the Official Journal of the Society for Prevention Research
Vanessa Oliver, Rebecca Cheff
Recent statistics indicate limited condom use, high STI (sexually transmitted infection) rates, and a general lack of knowledge about reproductive and sexual health among homeless youth. This research focuses on the experiences of homeless female and transgendered youth, providing an insider's perspective on shaping sexual health interventions. This qualitative research is based on life history interviews and participant observation with eight homeless young women who reflect the diversity of the homeless population in Toronto, Ontario, Canada...
May 2012: Health Promotion Practice
Jason D P Bird, Lisa Kuhns, Robert Garofalo
PURPOSE: There is little research on the impact of role models on health outcomes for lesbian, gay, bisexual, and transgender (LGBT) youth. This exploratory study describes the presence and availability of LGBT-affirming role models, and examines the relationship between the accessibility of role models and health outcomes among a community-based sample of LGBT youth. METHODS: A convenience sample of 496 ethnically diverse, 16-24-year-old LGBT youth was recruited to complete a computer-assisted interview, using standardized instruments validated with adolescents...
April 2012: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Roger Detels, Annette M Green, Jeffrey D Klausner, David Katzenstein, Charlotte Gaydos, H Hunter Handsfield, Willo Pequegnat, Kenneth Mayer, Tyler D Hartwell, Thomas C Quinn
BACKGROUND: Asymptomatic Chlamydia trachomatis (chlamydia) and Neisseria gonorrhoeae (gonorrhea) infections pose diagnostic and control problems in developing countries. METHODS: Participants in China, India, Peru, Russia, and Zimbabwe were screened for C. trachomatis and N. gonorrhoeae infections and symptoms. RESULTS: A total of 18,014 participants were evaluated at baseline, 15,054 at 12 months, and 14,243 at 24 months. The incidence of chlamydia in men was 2...
June 2011: Sexually Transmitted Diseases
S C Hill, J Daniel, A Benzie, J Ayres, G King, A Smith
Previous studies have reported high HIV prevalence among transgender sex workers (TSWs). We performed a retrospective case-note review of known TSWs attending our unit. In all, 16/24 (66.7%) of patients were diagnosed with at least one sexually transmitted infection (STI) and 7/24 (29.2%) reported intentional unprotected anal or vaginal intercourse, which may explain the high prevalence of HIV in our cohort (37.5%). TSWs disclosed high rates of substance misuse, violence and sexual assault, which may also contribute to the increased prevalence of STI in this group...
November 2011: International Journal of STD & AIDS
Sushant Sahastrabuddhe, Amita Gupta, Elizabeth Stuart, Sheela Godbole, Manisha Ghate, Seema Sahay, Raman Gangakhedkar, Arun Risbud, Anand Divekar, Robert Bollinger, Sanjay M Mehendale
BACKGROUND: The objectives of this cross-sectional study were to determine the prevalence of HIV and sexually transmitted infections (STI) in Hijras (self-identified transgenders of South Asia), study associated risk factors, and compare the prevalence with that in heterosexual men and men having sex with men (MSM) in Pune, India, between 1993 and 2002. METHODS: After informed consent, individuals attending 3 STI clinics were administered a questionnaire regarding their demographic, socioeconomic, and sexual behaviors...
January 1, 2012: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Suwat Chariyalertsak, Natthapol Kosachunhanan, Pongpun Saokhieo, Radchanok Songsupa, Antika Wongthanee, Chonlisa Chariyalertsak, Surasing Visarutratana, Chris Beyrer
BACKGROUND: HIV prevalence among men who have sex with men (MSM) and transgender (TG) persons is high and increasing in Chiang Mai, northern Thailand. OBJECTIVES: To describe demographic, socioeconomic, sexual behavior and interest in future HIV prevention trials among gay and bisexual MSM and TG presenting for HIV testing (VCT) and pre-screening for the iPrEx pre-exposure chemoprophylaxis trail. METHODS: In 2008-09, MSM/TG participants attending VCT were interviewed and tested for HIV and STI...
2011: PloS One
Chongyi Wei, Amy Herrick, H Fisher Raymond, Andrew Anglemyer, Antonio Gerbase, Seth M Noar
BACKGROUND: Social marketing interventions have been shown to both promote and change many health-related behaviours and issues. As the HIV epidemic continues to disproportionately affect MSM and transgender women around the world, social marketing interventions have the potential to increase HIV/STI testing uptake among these populations. OBJECTIVES: To assess the impact of social marketing interventions on HIV/STI testing uptake among men who have sex with men and transgender women compared to pre-intervention or control group testing uptake in the same population...
September 7, 2011: Cochrane Database of Systematic Reviews
A Giami, J Le Bail
BACKGROUND: Based on the scarcity of existing data in France, the objective of this critical review of the literature is to assess the available data on HIV infection and STIs and their major risk factors among the transgender population around the world. METHODS: Papers published from 1986 to 2008 were selected in PubMed and Ovid using the following keywords in the title: "female-to-male", "male-to-female", "transsexualism", "Gender Identity Disorder", and the keywords "transsexualism", and "transgender"...
August 2011: Revue D'épidémiologie et de Santé Publique
María Sol Dos Ramos Farías, María Noé Garcia, Elena Reynaga, Marcela Romero, María Lucía Gallo Vaulet, Marcelo Rodríguez Fermepín, Mauro Fernández Toscano, Jorge Rey, Rubén Marone, Luis Squiquera, Joaquín V González, Jorge Basiletti, María Alejandra Picconi, María A Pando, María Mercedes Avila
OBJECTIVES: Due to the scarce data on the prevalence of sexually transmitted infections (STIs) among male-to-female trans-sex workers (TSW) and male sex workers (MSW) in Argentina, the present study aimed to estimate the incidence of human immunodeficiency virus (HIV), and the prevalence of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), and Treponema pallidum. Human papillomavirus (HPV) and Chlamydia trachomatis infections were tested among TSW. METHODS: Two hundred and seventy-three TSW and 114 MSW were recruited by nongovernmental organizations...
September 2011: International Journal of Infectious Diseases: IJID
John E Snyder
Although there are currently at least 6 million lesbian, gay, bisexual, and transgender (LGBT) persons in the United States, there are no prior studies analyzing how this group is represented in the medical literature. An examination of published LGBT topics over a 57-year period was performed using OvidSP. A total of 21,728 publications was analyzed for topic using information from the title, keywords, subject headings, and abstracts. Several trends became apparent. The largest proportion of LGBT publications (31...
2011: Journal of Homosexuality
Robert M Grant, Javier R Lama, Peter L Anderson, Vanessa McMahan, Albert Y Liu, Lorena Vargas, Pedro Goicochea, Martín Casapía, Juan Vicente Guanira-Carranza, Maria E Ramirez-Cardich, Orlando Montoya-Herrera, Telmo Fernández, Valdilea G Veloso, Susan P Buchbinder, Suwat Chariyalertsak, Mauro Schechter, Linda-Gail Bekker, Kenneth H Mayer, Esper Georges Kallás, K Rivet Amico, Kathleen Mulligan, Lane R Bushman, Robert J Hance, Carmela Ganoza, Patricia Defechereux, Brian Postle, Furong Wang, J Jeff McConnell, Jia-Hua Zheng, Jeanny Lee, James F Rooney, Howard S Jaffe, Ana I Martinez, David N Burns, David V Glidden
BACKGROUND: Antiretroviral chemoprophylaxis before exposure is a promising approach for the prevention of human immunodeficiency virus (HIV) acquisition. METHODS: We randomly assigned 2499 HIV-seronegative men or transgender women who have sex with men to receive a combination of two oral antiretroviral drugs, emtricitabine and tenofovir disoproxil fumarate (FTC-TDF), or placebo once daily. All subjects received HIV testing, risk-reduction counseling, condoms, and management of sexually transmitted infections...
December 30, 2010: New England Journal of Medicine
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