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阿根廷跨性别男性和非二元性别成年人在性行为期间使用针对艾滋病毒和其他性传播感染的防护屏障的相关因素

Factors Associated with Use of Protective Barriers Against HIV and Other Sexually Transmitted Infections During Sexual Behavior in Transmasculine and Nonbinary Adults from Argentina.

作者信息

Radusky Pablo D, Caballero Romina, Zalazar Virginia, Cardozo Nadir, Brunori Boris, Romero Marcela, Pelletti Caro Mattie Dumas, Aristegui Ines

机构信息

Research Department, Fundación Huésped, Av. Forest 345, C1427CEA, Buenos Aires, Argentina.

Faculty of Psychology, Universidad de Buenos Aires, Buenos Aires, Argentina.

出版信息

AIDS Behav. 2025 Jun 24. doi: 10.1007/s10461-025-04762-3.


DOI:10.1007/s10461-025-04762-3
PMID:40551068
Abstract

Evidence suggests a substantial burden of sexually transmitted infections (STIs) and high proportions of sexual behavior with no protective barriers in transmasculine and nonbinary individuals. However, research on this population's sexual health has been scarce, especially in the Latin American region. This study sought to determine the prevalence of self-reported STIs, and to explore correlates of use of protective barriers during sexual behavior among transmasculine and nonbinary individuals in Argentina. A sample of 304 participants responded to a questionnaire online to explore sociodemographic variables, history of HIV and other STIs, access to sexual and gender-affirming healthcare, and sexual behavior. Chi-square tests were calculated, and bivariate and multivariable logistic regression analyses were conducted to identify correlates of use of protective barriers during sexual behavior. Almost a quarter (23.4%) self-reported lifetime diagnosis of at least one STI and 63.8% did not use any protective barriers in their last sexual relation. Use of protective barriers during sexual behavior was negatively associated with insertive frontal/genital sexual behavior and with sex with cisgender women in the last month, and positively associated with ever attending a gynecologic examination, sex with cisgender men in the last month and lifetime transactional sex. Only these last two variables remained associated with use of protective barriers in the multivariable model. Use of protective barriers differs by type of sexual behavior and partner in transmasculine and nonbinary people. Sexual healthcare targeting this community should take this into consideration, and preventive interventions should be tailored to each individual's self-reported sexual behaviors.

摘要

有证据表明,跨性别男性和非二元性别人群中性传播感染(STIs)负担沉重,且很大比例的性行为未采取保护措施。然而,针对这一人群性健康的研究却很匮乏,尤其是在拉丁美洲地区。本研究旨在确定自我报告的性传播感染患病率,并探讨阿根廷跨性别男性和非二元性别人群性行为期间使用保护措施的相关因素。304名参与者通过在线问卷回答了社会人口统计学变量、艾滋病毒和其他性传播感染病史、获得性健康和性别确认医疗保健的情况以及性行为等问题。计算了卡方检验,并进行了双变量和多变量逻辑回归分析,以确定性行为期间使用保护措施的相关因素。近四分之一(23.4%)的人自我报告曾被诊断至少患有一种性传播感染,63.8%的人在最近一次性关系中未使用任何保护措施。性行为期间使用保护措施与插入式正面/生殖器性行为以及上个月与顺性别女性发生性行为呈负相关,与曾进行妇科检查、上个月与顺性别男性发生性行为以及一生中有过交易性行为呈正相关。在多变量模型中,只有最后这两个变量与使用保护措施有关。跨性别男性和非二元性别人群中,保护措施的使用因性行为类型和性伴侣而异。针对该群体的性健康保健应考虑到这一点,预防性干预措施应根据每个人自我报告的性行为进行调整。

相似文献

[1]
Factors Associated with Use of Protective Barriers Against HIV and Other Sexually Transmitted Infections During Sexual Behavior in Transmasculine and Nonbinary Adults from Argentina.

AIDS Behav. 2025-6-24

[2]
Population-based interventions for reducing sexually transmitted infections, including HIV infection.

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[3]
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[4]
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[5]
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JMIR Public Health Surveill. 2022-4-6

[6]
Epidemiology of male same-sex behaviour and associated sexual health indicators in low- and middle-income countries: 2003-2007 estimates.

Sex Transm Infect. 2008-8

[7]
Incentives for preventing smoking in children and adolescents.

Cochrane Database Syst Rev. 2017-6-6

[8]
Male circumcision for prevention of heterosexual acquisition of HIV in men.

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[9]
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Cochrane Database Syst Rev. 2007-1-24

[10]
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本文引用的文献

[1]
Global Human Immunodeficiency Virus Prevalence and Risk Behaviors in Transmasculine Individuals: A Scoping Review.

Transgend Health. 2025-4-11

[2]
Prevalence and Determinants of Cervicovaginal, Oral, and Anal Human Papillomavirus Infection in a Population of Transgender and Gender Diverse People Assigned Female at Birth.

LGBT Health. 2024

[3]
Digital-Assisted Self-interview of HIV or Sexually Transmitted Infection Risk Behaviors in Transmasculine Adults: Development and Field Testing of the Transmasculine Sexual Health Assessment.

JMIR Public Health Surveill. 2023-3-17

[4]
Nonuptake of HIV Testing Among Transgender Populations in the United States: Results from the 2015 U.S. Transgender Survey.

Transgend Health. 2022-10-7

[5]
Non-uptake of HIV testing among trans men and trans women: cross-sectional study of client records from 2017 to 2019 in a community-based transgender health center in Metro Manila, Philippines.

BMC Public Health. 2022-9-16

[6]
A qualitative study of how stigma influences HIV services for transgender men and women in Nigeria.

J Int AIDS Soc. 2022-7

[7]
Transgender men's preferences when choosing obstetricians and gynecologists.

Isr J Health Policy Res. 2022-2-11

[8]
"You are not a man": a multi-method study of trans stigma and risk of HIV and sexually transmitted infections among trans men in Uganda.

J Int AIDS Soc. 2021-12

[9]
The worldwide burden of HIV in transgender individuals: An updated systematic review and meta-analysis.

PLoS One. 2021

[10]
Health of transgender men in low-income and middle-income countries: a scoping review.

BMJ Glob Health. 2020-11

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