Holt Martin, Broady Timothy, Callander Denton, Pony Mish, Duck-Chong Liz, Cook Teddy, Rosenberg Shoshana
Centre for Social Research in Health, UNSW Sydney, Sydney, New South Wales, Australia.
The Kirby Institute, UNSW Sydney, Sydney, New South Wales, Australia.
Int J Transgend Health. 2022 Jan 5;24(1):38-48. doi: 10.1080/26895269.2021.2016540. eCollection 2023.
Sexual and romantic satisfaction are important aspects of sexual health and wellbeing, but they have not been thoroughly investigated among transgender and gender diverse ('trans') people in Australia. To address this gap and improve sexual health and wellbeing, we assessed the sexual behavior and relationships of a national sample of trans people in Australia, and factors associated with sexual and romantic satisfaction. We conducted a national survey of trans people from Australia in October-November 2018. The sample included 1,613 trans participants, of whom 353 (21.9%) were men, 397 (24.6%) were women and 863 (53.5%) were non-binary. Over 70% of the sample had been sexually active in the previous year, and 56.9% were in a relationship, but only 32.4% were satisfied with the sexual aspects and 47.1% with the romantic aspects of their lives. Sexual satisfaction was associated with younger age, being asexual, having more trans friends, more frequent sex, and using illicit drugs in the context of sexual activity. Anxiety or fear about sex was associated with less sexual satisfaction, as was being in an open relationship. Romantic satisfaction was associated with younger age, having non-binary partners, and being in a current relationship (particularly a monogamous one). Recent distress, anxiety, or fear about sex were associated with less romantic satisfaction. Participants reported a broad range of sexual relationships, but low levels of satisfaction with the sexual and romantic aspects of their lives. The findings underscore the importance of supportive partners, access to social support and peer networks of trans people, as well as access to mental health support and sex-positive, trans affirming counseling in sexual health services.
性和浪漫满意度是性健康和幸福的重要方面，但在澳大利亚的跨性别者和性别多样化（“跨性别”）人群中，尚未对此进行过全面调查。为了填补这一空白并改善性健康和幸福状况，我们评估了澳大利亚全国范围内跨性别者样本的性行为和关系，以及与性和浪漫满意度相关的因素。我们于2018年10月至11月对澳大利亚的跨性别者进行了全国性调查。样本包括1613名跨性别参与者，其中353人（21.9%）为男性，397人（24.6%）为女性，863人（53.5%）为非二元性别。超过70%的样本在过去一年中有过性活动，56.9%处于恋爱关系中，但只有32.4%对其生活的性方面感到满意，47.1%对浪漫方面感到满意。性满意度与年龄较小、无性恋、有更多跨性别朋友、更频繁的性行为以及在性活动中使用非法药物有关。对性的焦虑或恐惧与较低的性满意度有关，开放式关系也是如此。浪漫满意度与年龄较小、有非二元性别伴侣以及处于当前恋爱关系（特别是一夫一妻制关系）有关。最近对性的困扰、焦虑或恐惧与较低的浪漫满意度有关。参与者报告了广泛的性关系，但对其生活的性和浪漫方面满意度较低。研究结果强调了支持性伴侣、获得跨性别者的社会支持和同伴网络的重要性，以及在性健康服务中获得心理健康支持和积极肯定跨性别的性咨询的重要性。
