Peer-Based Education and Use of the SBIRT Model in Unique Settings with Transgender Young Adults

Dentato, Michael P.; Ortiz, Reyna; Orwat, John; Kelly, Brian L.; Gates, Trevor G.; Propper, Ellie

doi:10.1080/1533256x.2019.1589884

Cited by 4 publications

(2 citation statements)

References 57 publications

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“…One systematic review of 20 studies published between 2008 and 2018 found that health care providers often had insufficient knowledge to provide appropriate care for trans patients or made assumptions about trans patients' bodies and health needs [21]. Several other studies have highlighted that lack of knowledge and assumptions often result in an additional demand of labour placed on trans patients to educate providers so that they can receive appropriate health care [24][25][26][27][28][29][30][31]. As an extension of this point, research has also found that health care providers are sometimes so fixated on a patient's trans experience that they fail to attend to the issues for which care was originally sought, what has been referred to as the "trans broken arm" phenomenon [32,33].…”

Section: Introductionmentioning

confidence: 99%

Cisgenderism and transphobia in sexual health care and associations with testing for HIV and other sexually transmitted infections: Findings from the Australian Trans & Gender Diverse Sexual Health Survey

et al. 2021

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Transgender and gender diverse people have unique risks and needs in the context of sexual health, but little is known about sexual health care for this population. In 2018, a national, online survey of sexual health and well-being was conducted with trans and gender diverse people in Australia (n = 1,613). Data from this survey were analysed to describe uptake of sexual health care and experiences of interpersonal and structural cisgenderism and transphobia. Experiences of cisgenderism and transphobia in sexual health care were assessed using a new, four-item scale of ‘gender insensitivity’, which produced scores ranging from 0 (highly gender sensitive) to 4 (highly gender insensitive). Logistic and linear regression analyses were conducted to determine if experiences of gender insensitivity in sexual health care were associated with uptake and frequency of HIV/STI testing in the 12 months prior to participation. Trans and gender diverse participants primarily accessed sexual health care from general practice clinics (86.8%), followed by publicly funded sexual health clinics (45.6%), community-based services (22.3%), and general hospitals (14.9%). Experiences of gender insensitivity were common overall (73.2% of participants reported ≥2 negative experiences) but most common in hospitals (M = 2.9, SD = 1.3) and least common in community-based services (M = 1.3, SD = 1.4; p<0.001). When controlling for sociodemographic factors, social networks, general access to health care, and sexual practices, higher levels of gender insensitivity in previous sexual health care encounters were associated with a lower likelihood of recent HIV/STI testing (adjusted prevalence ratio = 0.92, 95% confidence interval [CI]:091,0.96, p<0.001) and less-frequent HIV/STI testing (B = -0.07, 95%CI:-0.10,-0.03, p = 0.007). Given the high rates of HIV and other STIs among trans and gender diverse people in Australia and overseas, eliminating cisgenderism and transphobia in sexual health care may help improve access to diagnostic testing to reduce infection rates and support the overall sexual health and well-being of these populations.

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Section: Introductionmentioning

confidence: 99%

Cisgenderism and transphobia in sexual health care and associations with testing for HIV and other sexually transmitted infections: Findings from the Australian Trans & Gender Diverse Sexual Health Survey

et al. 2021

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“…Broad-based screening interventions are thus of potential value-allowing patients to access the supports they need at any point of interaction within the healthcare system. Given the high prevalence of substance use disorders among SGM, implementing screening, brief interventions, and referral to treatment (SBIRT) programs in sexual and community health clinics could be a good strategy for supporting SGM with substance use disorders [51][52][53]. Indeed, a plurality of respondent's reported accessing care regularly through their doctor's offices and at clinics, including sexual health clinics.…”

mentioning

confidence: 99%

Substance-specific readiness to change among sexual and gender minority men who use crystal methamphetamine

2022

Journal of Men's Health

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A patient-oriented approach to addressing high levels of polysubstance use among sexual and gender minority men (SGM) who use crystal methamphetamine (CM) requires an understanding of which drugs they would like to change their use of. We examined readiness to change for 24 separate substances. Participants were SGM, aged 18+, living with Canada, who used CM in the past six months that were recruited through advertisements on socio-sexual networking applications. Frequency of use and readiness to change were descriptively analyzed and associations between frequency of use and readiness to change were assessed. Only slightly more than half (53.1%) of CM-using SGM were ready now, soon, or in the future to change substance use. Participants were most ready to change their tobacco, methamphetamine, and barbiturate use. Greater frequency of use was associated with greater readiness to change for all drugs in which daily or almost daily use was common. SGM participants reported high levels of comfort being asked about their substance use from primary care, mental health, and queer-identified health professionals. Interventions addressing multiple and specific substances are needed in health care settings serving SGM who use CM. Screening, brief interventions, and referral to treatment (SBIRT) in these settings may help identify those ready to address their substance use. Harm reduction interventions should offer supports for those not wanting to change their substance use-which includes most SGM for most of the drugs they use.

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Lesbian, gay, bisexual, transgender/gender diverse, queer, and intersex+ inclusion in Asia-Pacific social work education: a scoping review

Gates,

Bennett,

Radovic

2023

Social Work Education

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Peer-Based Education and Use of the SBIRT Model in Unique Settings with Transgender Young Adults

Cited by 4 publications

References 57 publications

Cisgenderism and transphobia in sexual health care and associations with testing for HIV and other sexually transmitted infections: Findings from the Australian Trans & Gender Diverse Sexual Health Survey

Cisgenderism and transphobia in sexual health care and associations with testing for HIV and other sexually transmitted infections: Findings from the Australian Trans & Gender Diverse Sexual Health Survey

Substance-specific readiness to change among sexual and gender minority men who use crystal methamphetamine

Lesbian, gay, bisexual, transgender/gender diverse, queer, and intersex+ inclusion in Asia-Pacific social work education: a scoping review

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