Knowledge and sexual behaviors of transgender individuals faced with the risk of STI/HIV in Benin

Hessou, Septime; Ahanhanzo, Yolaine Glèlè; Kpozehouen, A; Biaou, Alphonse; Yadouleton, T; Sodoloufo, Odile; Capo-Chichi, V; Dossoh, B; Gnanhoui-David, B; Nelson, Mark

doi:10.1093/eurpub/ckz186.665

Cited by 4 publications

(4 citation statements)

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Section: Knowledgementioning

confidence: 86%

“…Regarding knowledge about HIV/AIDS among transgender individuals, although a high level of knowledge was observed in 60% of the related studies, Hessou et al's research in Benin reported a 40% low knowledge level (19,23,31). The presence of an acceptable knowledge level in this group underscores the effectiveness of educational and prevention methods, which should be continuously enhanced and expanded (31). To improve transgender individuals' knowledge of HIV/AIDS, our study recommends the development of inclusive sex education, collaboration with transgender-led organizations, ensuring accessible healthcare, enhancing peer support networks, engaging with transgender influencers, tackling systemic barriers, crafting more efficient prevention strategies, and encouraging further research on these groups.…”

Section: Knowledgementioning

confidence: 94%

See 1 more Smart Citation

Knowledge, Attitudes, Practices and Risk Perceptions Toward HIV/AIDS in Transgender Populations: A Health Belief Model-Based Systematic Review

Honarvar,

Shahgoli Gashti,

Haseli

et al. 2024

Shiraz E-Med J

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Context: This research focuses on the impact of HIV/AIDS on transgender communities, aiming to assess their knowledge, attitudes, perceptions of risk, and practices concerning HIV/AIDS. Evidence Acquisition: During this systematic review, a variety of keywords, including HIV, AIDS, knowledge, attitudes, practices, behavior, action, risk perception, perceived risk, risk susceptibility, severity perception, perceived self-efficacy, cues to action, benefit, barrier, health belief model, sexually transmitted disease, sexually transmitted infection, alcohol, drugs, amphetamine, opium, trans, transgender, transsexual, gender dysphoria were used. From Scopus, PubMed, Web of Science (ISI), and Google Scholar databases, 805 articles were initially identified and screened based on their titles, abstracts, and full texts. Exclusions were made for articles not in English and grey literature. Ultimately, 13 full-text articles met the selection criteria, adhering to COREQ and STROBE guidelines. Results: The review encompassed studies involving 3,252 transgender participants. Among these, five articles evaluated knowledge levels, nearly all addressed attitudes (including perceived threats by 12 articles, perceived benefits/self-efficacy by three, and perceived barriers by seven), and 11 examined behaviors related to HIV/AIDS. The findings indicate a generally high level of knowledge about HIV/AIDS among transgender individuals, with peer health promoters playing a significant role in enhancing knowledge and facilitating access to health services. The perceived risk and severity of HIV/AIDS varied, with 52 - 82% acknowledging a perceived risk and 25 - 65% understanding the severity. The perceived benefits of HIV prevention were generally rated high, though self-efficacy in preventing HIV ranged from low to high. Barriers to HIV testing and accessing appropriate care were identified, including discrimination, distrust in health staff, lack of guidelines, and fear of test results or treatment side effects, among others. Risky sexual behaviors were common, with two-thirds engaging in such practices, 20% reporting 3 - 51 sexual partners, up to 91% having unprotected sex, around 60% using alcohol or drugs, 21 - 45% experiencing rape, and 14 - 68% being HIV-positive. Conclusions: In conclusion, the transgender community remains overlooked. Despite an adequate knowledge level and a moderate perception of HIV/AIDS risk, the prevalence of risky sexual behaviors and significant barriers to accessing health services highlight the urgent need for establishing long-term healthcare facilities and an effective surveillance system for this marginalized group.

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Section: Knowledgementioning

confidence: 86%

Section: Knowledgementioning

confidence: 94%

Knowledge, Attitudes, Practices and Risk Perceptions Toward HIV/AIDS in Transgender Populations: A Health Belief Model-Based Systematic Review

Honarvar,

Shahgoli Gashti,

Haseli

et al. 2024

Shiraz E-Med J

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“…This finding is mostly related to cultural factors and lack of awareness on STIs in traditional societies such as Iran. In India for instance, 88% of transgender people were not familiar with STIs (8) but in Canada 95% of transgender people were familiar with at least three main ways of HIV transmission [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Sexual behaviors and vulnerability to sexually transmitted infections among transgender women in Iran

et al. 2022

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Background Transgender people are at serious risk for HIV infection and other sexually transmitted infections (STIs), they are four times more likely to experience HIV infection than the general population. The aim of this study was to assess sexual behaviors and vulnerability of transgender women to STIs including HIV. Method A cross-sectional study was conducted using convenient sampling from August 2019 to March 2020 in Iran at “Support center for Iranian transgender” and “Shiraz Forensic Medicine” where transgender individuals refer to follow the steps of gender affirmation. 127 transgender women participated in this study. A researcher-made questionnaire was applied for evaluating sexual behaviors, STIs and HIV. Results The mean age of participants and their age of sexual debut were 27.6 and 16.9, respectively. 92.1% of participants were single with experience of sex and 59.3% had one sex partner in the last 2 years. 96.9% of the participants were heterosexual with 67.2% reporting experiencing orgasm in at least 50% of their sexual intercourse. However, 42.5% reported sexual pain and the same percentage reported low or very low sexual satisfaction. About half of the participants used condoms occasionally during sex (48.7%) and the most important reason for not using condoms in most cases was not having a condom (37.9%). Some of participants had little knowledge of the symptoms (33.9%) and complications (44.1%) of STIs. Although 87.4% and 72.4% of participants had never been tested for a STI and HIV, 1.6% were HIV positive and 18.1% had a history of STIs. Also, 26% of people had undergone vaginoplasty and a significant association was observed between vaginoplasty with sexual satisfaction (p < 0. 01(. Conclusion Some of transgender women in this study were involved in high-risk sexual behaviors while unaware of the signs and symptoms of STIs. Also, despite reaching orgasm in most of their sexual relationships, they had little sexual satisfaction that could probably be related to body dissatisfaction, and lack of vaginoplasty in the majority of them. The need for gender affirming surgeries and psychiatric interventions affecting body satisfaction was identified in this group.

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“…This nding is mostly related to cultural factors and lack of awareness on STIs in traditional societies. In India for instance, 88% of transgender people were not familiar with STIs(8) but in Canada 95% of transgender people were familiar with at least three main ways of HIV transmission [35].…”

Section: Discussionmentioning

confidence: 99%

Sexual Behaviors and Vulnerability to Sexually Transmitted Infections in Transgender Women

Nematollahi¹,

Gharibzadeh²,

Damghanian³

et al. 2021

Preprint

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Background: It is essential to pay special attention to sexual health of transgender women. The aim of this study was to assess sexual behaviors and vulnerability of transgender women to sexually transmitted infections (STIs) including AIDS.Method: A cross-sectional study was conducted using convenient sampling from August 2019 to march 2020 in Iran. 127 transgender women participated in this study .A researcher-made questionnaire was applied for evaluating sexual behaviors, STIs and HIV. Results: The mean age of participants and their age of sexual debut were 27.6 and 16.9, respectively. 92.1% of participants were single with experience of sex and 59.3% had one sex partner in the last 2 years. 96.9% of the participants were heterosexual with 67.2% reporting experiencing orgasm in at least 50% of their sexual intercourse. However, 42.5% reported dyspareunia and the same percentage reported low or very low sexual satisfaction. The majority of participants had little knowledge of the symptoms (33.9%) and complications (44.1%) of STIs. Although 87.4% and 72.4% of participants had never been tested for a STI and HIV, 1.6% were infected with HIV and 18.1% with STIs. Conclusion: Sexual interests of Iranian transgender women were aligned with those of cisgender women. In terms of sexual function, despite the higher rate of orgasm in transgender women, sexual satisfaction was lower in them compared to that of cisgender women due to dyspareunia and body dissatisfaction, which highlights the need to investigate for more effective surgeries and specific sexual counseling interventions in this group.

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Knowledge and sexual behaviors of transgender individuals faced with the risk of STI/HIV in Benin

Cited by 4 publications

References 0 publications

Knowledge, Attitudes, Practices and Risk Perceptions Toward HIV/AIDS in Transgender Populations: A Health Belief Model-Based Systematic Review

Knowledge, Attitudes, Practices and Risk Perceptions Toward HIV/AIDS in Transgender Populations: A Health Belief Model-Based Systematic Review

Sexual behaviors and vulnerability to sexually transmitted infections among transgender women in Iran

Sexual Behaviors and Vulnerability to Sexually Transmitted Infections in Transgender Women

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