Cargando…

Prevalence and Correlates of Sexually Transmitted Infections in Transgender People: An Italian Multicentric Cross-Sectional Study

The burden of sexually transmitted infections (STIs) in the transgender population remains an underestimated issue. The aims of the present study were to evaluate the prevalence of either self-reported and serological STIs and to describe socio-demographic and clinical characteristics of transgender...

Descripción completa

Detalles Bibliográficos
Autores principales: Cocchetti, Carlotta, Romani, Alessia, Mazzoli, Francesca, Ristori, Jiska, Lagi, Filippo, Meriggiola, Maria Cristina, Motta, Giovanna, Pierdominici, Marina, Bartoloni, Alessandro, Vignozzi, Linda, Maggi, Mario, Fisher, Alessandra Daphne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9147923/
https://www.ncbi.nlm.nih.gov/pubmed/35628902
http://dx.doi.org/10.3390/jcm11102774
_version_ 1784716926417633280
author Cocchetti, Carlotta
Romani, Alessia
Mazzoli, Francesca
Ristori, Jiska
Lagi, Filippo
Meriggiola, Maria Cristina
Motta, Giovanna
Pierdominici, Marina
Bartoloni, Alessandro
Vignozzi, Linda
Maggi, Mario
Fisher, Alessandra Daphne
author_facet Cocchetti, Carlotta
Romani, Alessia
Mazzoli, Francesca
Ristori, Jiska
Lagi, Filippo
Meriggiola, Maria Cristina
Motta, Giovanna
Pierdominici, Marina
Bartoloni, Alessandro
Vignozzi, Linda
Maggi, Mario
Fisher, Alessandra Daphne
author_sort Cocchetti, Carlotta
collection PubMed
description The burden of sexually transmitted infections (STIs) in the transgender population remains an underestimated issue. The aims of the present study were to evaluate the prevalence of either self-reported and serological STIs and to describe socio-demographic and clinical characteristics of transgender individuals with STIs. A consecutive series of 705 transgender individuals (assigned-male at birth, AMAB n = 377; assigned-female at birth, AFAB n = 328) referring to six Italian gender clinics were included. Sociodemographic and clinical information was collected during the first visit. In a subsample of 126 individuals prevalence of STIs (human immunodeficiency virus, HIV; hepatitis C, HCV; hepatitis B, HBV; syphilis) were evaluated through serology tests. The self-reported prevalence of HIV, HBV, HCV and syphilis infection in the total sample were 3.4%, 1.6%, 2.6% and 2.0%, respectively. In the subsample who underwent serological tests, higher rates of serological prevalence were found (9.5%, 4.0%, 5.6% and 7.9% for HIV, HBV, HCV and syphilis, respectively). When comparing transgender people with or without self-reported STIs, unemployment, previous incarceration, justice problems and sex work resulted more frequent in the first group (p< 0.03 for all). Regarding health status, we observed higher rates of lifetime substance abuse and psychiatric morbidities in trans people with at least one reported STI (p < 0.05). The prevalence of STIs exceeded that reported in general population and STIs correlates underline the importance of stigma and discrimination as determinants of transgender health.
format Online
Article
Text
id pubmed-9147923
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-91479232022-05-29 Prevalence and Correlates of Sexually Transmitted Infections in Transgender People: An Italian Multicentric Cross-Sectional Study Cocchetti, Carlotta Romani, Alessia Mazzoli, Francesca Ristori, Jiska Lagi, Filippo Meriggiola, Maria Cristina Motta, Giovanna Pierdominici, Marina Bartoloni, Alessandro Vignozzi, Linda Maggi, Mario Fisher, Alessandra Daphne J Clin Med Article The burden of sexually transmitted infections (STIs) in the transgender population remains an underestimated issue. The aims of the present study were to evaluate the prevalence of either self-reported and serological STIs and to describe socio-demographic and clinical characteristics of transgender individuals with STIs. A consecutive series of 705 transgender individuals (assigned-male at birth, AMAB n = 377; assigned-female at birth, AFAB n = 328) referring to six Italian gender clinics were included. Sociodemographic and clinical information was collected during the first visit. In a subsample of 126 individuals prevalence of STIs (human immunodeficiency virus, HIV; hepatitis C, HCV; hepatitis B, HBV; syphilis) were evaluated through serology tests. The self-reported prevalence of HIV, HBV, HCV and syphilis infection in the total sample were 3.4%, 1.6%, 2.6% and 2.0%, respectively. In the subsample who underwent serological tests, higher rates of serological prevalence were found (9.5%, 4.0%, 5.6% and 7.9% for HIV, HBV, HCV and syphilis, respectively). When comparing transgender people with or without self-reported STIs, unemployment, previous incarceration, justice problems and sex work resulted more frequent in the first group (p< 0.03 for all). Regarding health status, we observed higher rates of lifetime substance abuse and psychiatric morbidities in trans people with at least one reported STI (p < 0.05). The prevalence of STIs exceeded that reported in general population and STIs correlates underline the importance of stigma and discrimination as determinants of transgender health. MDPI 2022-05-14 /pmc/articles/PMC9147923/ /pubmed/35628902 http://dx.doi.org/10.3390/jcm11102774 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cocchetti, Carlotta
Romani, Alessia
Mazzoli, Francesca
Ristori, Jiska
Lagi, Filippo
Meriggiola, Maria Cristina
Motta, Giovanna
Pierdominici, Marina
Bartoloni, Alessandro
Vignozzi, Linda
Maggi, Mario
Fisher, Alessandra Daphne
Prevalence and Correlates of Sexually Transmitted Infections in Transgender People: An Italian Multicentric Cross-Sectional Study
title Prevalence and Correlates of Sexually Transmitted Infections in Transgender People: An Italian Multicentric Cross-Sectional Study
title_full Prevalence and Correlates of Sexually Transmitted Infections in Transgender People: An Italian Multicentric Cross-Sectional Study
title_fullStr Prevalence and Correlates of Sexually Transmitted Infections in Transgender People: An Italian Multicentric Cross-Sectional Study
title_full_unstemmed Prevalence and Correlates of Sexually Transmitted Infections in Transgender People: An Italian Multicentric Cross-Sectional Study
title_short Prevalence and Correlates of Sexually Transmitted Infections in Transgender People: An Italian Multicentric Cross-Sectional Study
title_sort prevalence and correlates of sexually transmitted infections in transgender people: an italian multicentric cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9147923/
https://www.ncbi.nlm.nih.gov/pubmed/35628902
http://dx.doi.org/10.3390/jcm11102774
work_keys_str_mv AT cocchetticarlotta prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT romanialessia prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT mazzolifrancesca prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT ristorijiska prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT lagifilippo prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT meriggiolamariacristina prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT mottagiovanna prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT pierdominicimarina prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT bartolonialessandro prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT vignozzilinda prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT maggimario prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy
AT fisheralessandradaphne prevalenceandcorrelatesofsexuallytransmittedinfectionsintransgenderpeopleanitalianmulticentriccrosssectionalstudy