ArticleJournal of the International AIDS Society2016
Inequities in access to HIV prevention services for transgender men: results of a global survey of men who have sex with men.
Article in Journal of the International AIDS Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People.Journal of acquired immune deficiency syndromes (1999) · 2016Pooled it
- Reducing stigma and promoting HIV wellness/mental health of sexual and gender minorities: RCT results from a group-based programme in Nigeria.Journal of the International AIDS Society · 2024Trial
- Improving Gender and Sexuality Inclusivity of a Long-Running HIV Behavioural Surveillance Survey to Identify New Sexual Practices, HIV Risks, and Maintain Community Support: A Mixed Methods Study.AIDS and behavior · 2026Article
- Challenges in HIV prevention and treatment among men who have sex with men in China: structural exclusion, healthcare inequity, and testing avoidance.Frontiers in public health · 2026Review
- Factors Associated with Use of Protective Barriers Against HIV and Other Sexually Transmitted Infections During Sexual Behavior in Transmasculine and Nonbinary Adults from Argentina.AIDS and behavior · 2025Article
- Article
- Navigating payment and policy barriers to gender-affirming care for transmasculine individuals: A qualitative study and policy assessment.Social science & medicine (1982) · 2025Article
- Long-Acting Injectable Pre-Exposure Prophylaxis Perceptions and Preferences Among Transgender and Nonbinary Young Adults in the United States.Qualitative health research · 2025Article
- Othering and Marginalizing the "Queer" in Rwanda: Findings from Public Perceptions and Lived Experiences of LGBT People.Sexuality research & social policy : journal of NSRC : SR & SP · 2025Article
- Determinates of STI prevention service utilisation among young and hard-to-reach populations: a protocol for a mixed-methods study in Foggia district, Italy, 2025.BMJ public health · 2025Article
- Transgender-Specific Differentiated HIV Service Delivery Models in the South African Public Primary Health Care System (Jabula Uzibone): Protocol for an Implementation Study.JMIR research protocols · 2024Article
- Bacterial vaginosis testing gaps for transmasculine patients may exacerbate health disparities.Frontiers in reproductive health · 2024Article
- Exploring the utilization of targeted intervention services by transgender individuals in Uttarakhand, India: a qualitative study.Frontiers in public health · 2024Article
- Racial/Ethnic Differences in Sexually Transmitted Infection Testing Among Transgender Men and Nonbinary Assigned Female at Birth Young Adults in the United States: a National Study.Journal of racial and ethnic health disparities · 2023Article
- Evaluating the Feasibility and Acceptability of a Digital Pre-Exposure Prophylaxis Navigation and Activation Intervention for Racially and Ethnically Diverse Sexual and Gender Minority Youth (PrEPresent): Protocol for a Pilot Randomized Controlled Trial.JMIR research protocols · 2023Article
- Preferences for and Experiences of an HIV-Prevention Mobile App Designed for Transmasculine People: Pilot Feasibility Trial and Qualitative Investigation.JMIR formative research · 2023Article
- [Public health recommendations as microaggressions: monkeypox and LGBTQIA+ populations].Cadernos de saude publica · 2023Article
- Sexual happiness and satisfaction with sexual safety among German trans men who have sex with men: results from EMIS-2017.Journal of the International AIDS Society · 2022Article
- Differentiated HIV services for transgender people in four South African districts: population characteristics and HIV care cascade.Journal of the International AIDS Society · 2022Article
- Kinky Sex and Deliberate Partner Negotiations: Case Studies of Canadian Transgender Men Who Have Sex with Men, Their HIV Risks, Safer Sex Practices, and Prevention Needs.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
introductionFree or low-cost HIV testing, condoms, and lubricants are foundational HIV prevention strategies, yet are often inaccessible for men who have sex with men (MSM). In the global context of stigma and poor healthcare access, transgender (trans) MSM may face additional barriers to HIV prevention services. Drawing on data from a global survey of MSM, we aimed to describe perceived access to prevention services among trans MSM, examine associations between stigma and access, and compare access between trans MSM and cisgender (non-transgender) MSM.
methodsThe 2014 Global Men's Health and Rights online survey was open to MSM (inclusive of trans MSM) from any country and available in seven languages. Baseline data (n=3857) were collected from July to October 2014. Among trans MSM, correlations were calculated between perceived service accessibility and anti-transgender violence, healthcare provider stigma, and discrimination. Using a nested matched-pair study design, trans MSM were matched 4:1 to cisgender MSM on age group, region, and HIV status, and conditional logistic regression models compared perceived access to prevention services by transgender status.
resultsAbout 3.4% of respondents were trans men, of whom 69 were included in the present analysis. The average trans MSM participant was 26 to 35 years old (56.5%); lived in western Europe, North America, or Oceania (75.4%); and reported being HIV-negative (98.6%). HIV testing, condoms, and lubricants were accessible for 43.5, 53.6, and 26.1% of trans MSM, respectively. Ever having been arrested or convicted due to being trans and higher exposure to healthcare provider stigma in the past six months were associated with less access to some prevention services. Compared to matched cisgender controls, trans MSM reported significantly lower odds of perceived access to HIV testing (OR=0.57, 95% CI=0.33, 0.98) and condom-compatible lubricants (OR=0.54, 95% CI=0.30, 0.98).
conclusionsThis first look at access to HIV prevention services for trans MSM globally found that most reported inadequate access to basic prevention services and that they were less likely than cisgender MSM to have access to HIV testing and lubricants. Results indicate the need to enhance access to basic HIV prevention services for trans MSM, including MSM-specific services.
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