Trans people remain with unmet sexual health needs. This study was done to identify possible barriers and facilitators for sexual health clinic attendance and HIV testing among trans people.

UK nationality holding LGBT participants were invited to take part in a cross-sectional online survey through Facebook advertising. Psychosocial and sexual factors associated with recent sexual health clinic attendance were examined using multivariate logistic regression.

3007 total cisgender and 500 trans participants participated in the survey. Trans participants appeared to be less likely to attend a sexual health clinic than cisgender participants. 1 participant reported living with HIV. 3 reported currently taking pre-exposure prophylaxis. Factors associated were living in London, having a relationship with multiple partners, engaging in condomless anal intercourse, greater life satisfaction, and having alcohol before sex. Being a person of color, multiple partners, anal intercourse, dissatisfaction, and having drugs before sex was associated with ever having an HIV test among trans participants.

The study concluded through its findings that trans people were less likely to attend sexual health services than cisgender people, and half of the trans participants had never had an HIV test.

Reference: https://srh.bmj.com/content/46/2/116

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