Understanding HIV risk and vulnerability among cisgender men with transgender partners

Poteat, Tonia; Malik, Mannat; Wirtz, Andrea L.; Cooney, Erin E.; Reisner, Sari L.

doi:10.1016/s2352-3018(19)30346-7

Cited by 23 publications

(36 citation statements)

References 57 publications

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“…The studies of transgender health are still limited and primarily focused on adverse health outcomes related to mental health problems and sexually transmitted diseases 7,8,27 . In fact, headache disorders have not been fully explored in the female‐to‐male (FtM) transgender population 21,23 .…”

Section: Introductionmentioning

confidence: 99%

“…26 The studies of transgender health are still limited and primarily focused on adverse health outcomes related to mental health problems and sexually transmitted diseases. 7,8,27 In fact, headache disorders have not been fully explored in the female-to-male (FtM) transgender population. 21,23 The American Headache Society and American Migraine Foundation have also emphasized the significant gaps regarding migraine research in transgender people.…”

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confidence: 99%

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Primary headaches among gender dysphoric female‐to‐male individuals: A cross‐sectional survey on gender transition experience

et al. 2021

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Objective To investigate the frequency, attack characteristics, and treatment experiences of migraine and tension‐type headache (TTH) among gender dysphoric female‐to‐male (FtM) participants as well as in relation to psychiatric comorbidities and real‐life experience that relates to being transgender in Turkey. Background There are only a few publications to date on transgender individuals with headache. Further studies to understand the distinctive needs might provide better management. Methods A total of 88 gender dysphoric FtM individuals (mean (SD) age: 24.8 (5.7) years) were included on a voluntary basis in this cross‐sectional survey. Each participant filled out the questionnaire form that elicited items on sociodemographic characteristics, Gender Identity Transition Inventory, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Headache Questionnaire. Results Overall, 32/88 (36.4%; 95% confidence interval [CI]: 27.0%–47.0%) participants were diagnosed with migraine, and 36/88 (40.9%; 95% CI: 31.5%–52.3%) participants were diagnosed with TTH. High rates of unemployment, smoking, and social drinking were observed in our sample compared with the general population in Turkey. The three‐item ID migraine screener was positive in 20.5% (18/88 patients) of our population. Patients with migraine in comparison with patients with TTH had statistically significantly higher BDI [12.0 (1–50) vs. 7.0 (0–33); p = 0.013] and BAI [13 (1–48) vs. 5 (0–22); p = 0.016] scores, longer headaches in the past month [median 3 vs. 1 day; p < 0.001], higher Numerical Rating Scale scores for headache severity [7 (2–10) vs. 5 (1–9), p < 0.001], and higher likelihood of menstruation acting as a triggering factor [8/32 patients (25.0%) vs. 0/36 patients (0.0%); p = 0.001] as well as increased rates of previously given diagnosis by a physician [15/32 patients (46.9%) vs. 4/36 patients (11.1%); p < 0.001], a greater number of neuroimaging tests being performed [12/32 patients (37.5%) vs. 3/36 patients (9.1%); p = 0.012], and a higher rate of emergency room utilization [7/32 patients (21.9%) vs. 1/36 patients (2.8%); p = 0.039] for headache. Conclusions In the FtM transgender population we investigated, migraine and TTH were quite common. The screening and early recognition of comorbid migraine, as well as the comorbid depression and anxiety, seem to be important in gender dysphoric FtM individuals. Further studies are needed to better understand the potential interaction of migraine with comorbid psychiatric disorders and the prevalence of headache types and gender‐affirmative hormone treatment outcomes in the transgender population.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

Primary headaches among gender dysphoric female‐to‐male individuals: A cross‐sectional survey on gender transition experience

et al. 2021

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“…Transgender women, who have a global HIV prevalence of 19% (Baral et al, 2013), are increasingly being recognized as a key population in the HIV epidemic, resulting in improved efforts to engage them in HIV research and care. However, cisgender male sexual partners of transgender women (MSTW) have received much less focus from the HIV research community (Poteat et al, 2020;Restar et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…As the sexual partners of a population with high HIV prevalence, MSTW are likely to also have a high HIV prevalence. However, because they are rarely purposefully included in research and interventions, evidence about HIV prevalence and sexual behavior in MSTW is sparse and is primarily focused on high-income settings (Poteat et al, 2020;Restar et al, 2019). Recent research suggests that MSTW are a diverse demographic group, with varied sexual orientations, partner preferences, and participation in behavior such as sex work and injection drug use (Operario et al, 2011;Poteat et al, 2020;Restar et al, 2019;Wilson et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…However, because they are rarely purposefully included in research and interventions, evidence about HIV prevalence and sexual behavior in MSTW is sparse and is primarily focused on high-income settings (Poteat et al, 2020;Restar et al, 2019). Recent research suggests that MSTW are a diverse demographic group, with varied sexual orientations, partner preferences, and participation in behavior such as sex work and injection drug use (Operario et al, 2011;Poteat et al, 2020;Restar et al, 2019;Wilson et al, 2014). HIV prevalence among MSTW has only been measured in a few small studies, but these findings suggest that HIV prevalence among MSTW may be comparable to that of bisexual and homosexual men (Coan et al, 2005;Long et al, 2020;Operario et al, 2008Operario et al, , 2011Reback & Larkins, 2013;Restar et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Self-Identity, Beliefs, and Behavior Among Men Who Have Sex with Transgender Women: Implications for HIV Research and Interventions

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While transgender women have been identified as a global priority population for HIV prevention and treatment, little is known about the cisgender male partners of transgender women, including their sexual behavior and HIV prevalence. Previous research has suggested that these male partners have varied identities and sexual behavior, which make identifying and engaging them in research difficult. This paper describes interviews conducted with fifteen cisgender men who reported recent sexual activity with transgender women in Lima, Peru. The purpose of this research was to explore how these men reported their identities and sexual behavior, to better understand how they would interact with HIV outreach, research, and care. The major themes were sexual orientation and identity; view of transgender partners; social ties to transgender women and other men with transgender women partners; disclosure of relationships; HIV knowledge and risk perception; and attitudes toward interventions. We found that language used to assess sexual orientation was problematic in this population, due to lack of consistency between orientation and reported behavior, and unfamiliarity with terms used to describe sexual orientation. In addition, stigma, lack of knowledge of HIV prevention methods, and fear of disclosure of sexual behavior were identified as barriers that could impact engagement in HIV research, prevention, and care. However, participants reported social relationships with both transgender women and other men who have transgender partners, presenting possible avenues for recruitment into HIV research and healthcare services.

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HIV Prevention Among Cisgender Men Who have Sex with Transgender Women

et al. 2021

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Understanding HIV risk and vulnerability among cisgender men with transgender partners

Cited by 23 publications

References 57 publications

Primary headaches among gender dysphoric female‐to‐male individuals: A cross‐sectional survey on gender transition experience

Primary headaches among gender dysphoric female‐to‐male individuals: A cross‐sectional survey on gender transition experience

Self-Identity, Beliefs, and Behavior Among Men Who Have Sex with Transgender Women: Implications for HIV Research and Interventions

HIV Prevention Among Cisgender Men Who have Sex with Transgender Women

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