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Sexual risk behaviors and psychosocial health concerns of female-to-male transgender men screening for STDs at an urban community health center

机译：在城市社区卫生中心筛查性病的男女跨性别男性的性风险行为和心理社会健康问题

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The sexual health of female-to-male (FTM) transgender men remains understudied. De-identified electronic medical records of 23 FTMs (mean age = 32, 48% racial/ethnic minority) who screened for sexually transmitted diseases (STDs) between July and December 2007 at a Boston, Massachusetts area health center were analyzed. Almost half (48%) were on testosterone and 39% had undergone chest surgery; none had undergone genital reconstruction. The majority (57%) were bisexual, and 30% reported sex with nontransgender males only in the prior three months. One individual was HIV-infected (4.3%) and two (8.7%) had a history of STDs (all laboratory-confirmed). Overall, 26% engaged in sexual risk behavior in the prior three months (i.e., unprotected sex with a nontransgender male, condom breakage, or anonymous sex). The majority (61%) had a DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition) diagnosis (52% depression, 52% anxiety, and 26% adjustment disorder), and regular alcohol use was common (65%). Alcohol use, psychosocial distress histories, and sex with males only (versus with males and females) were associated with sexual risk in the past three months. Transgender men have concomitant psychosocial health vulnerabilities which may contribute to sexual risk behaviors. Future research is needed to understand the myriad social, behavioral, and biological factors that contribute to HIV and STD vulnerability for FTMs.
机译：女性对男性（FTM）跨性别男人的性健康仍未得到充分研究。分析了2007年7月至2007年12月在马萨诸塞州波士顿地区卫生中心筛查的性传播疾病（STD）的23个FTM（平均年龄= 32，占48％的种族/族裔）的身份不明的电子病历。几乎一半（48％）接受睾丸激素治疗，而39％接受了胸部手术。没有人进行过生殖器重建。大部分（57％）是双性恋，只有30％的人在前三个月内报告过与非变性男性发生性行为。一名患者感染了艾滋病毒（4.3％），两名患者患有性病（全部实验室确认）。总体而言，在前三个月中有26％的人从事过性风险行为（即与未变性的男性进行无保护的性行为，避孕套破裂或匿名性行为）。大多数（61％）患有DSM-IV（《精神疾病诊断和统计手册》，第4版）诊断（52％抑郁，52％焦虑和26％适应障碍），并且经常饮酒（65％） 。在过去三个月中，饮酒，心理困扰的历史以及仅与男性发生性行为（男性与女性发生性行为）与性风险相关。跨性别男人具有伴随的社会心理健康脆弱性，这可能会导致性风险行为。需要进一步的研究来了解导致FTM感染HIV和性病的无数社会，行为和生物学因素。

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