Utilization and Avoidance of Sexual Health Services and Providers by YMSM and Transgender Youth Assigned Male at Birth in Chicago

Overview

Journal AIDS Care

Publisher Informa Healthcare

Specialty Infectious Diseases

Date 2019 Mar 2

PMID 30821480

Citations 9

Authors

Gregory Phillips 2nd

Balint Neray

Patrick Janulis

Dylan Felt

Brian Mustanski

Michelle Birkett

Affiliations

Soon will be listed here.

Abstract

Young men who have sex with men (YMSM) and transgender youth assigned male at birth (AMAB) bear a disproportionate burden of the HIV epidemic, yet are sub optimally engaged by sexual health service providers and HIV prevention services. To increase sexual health and HIV prevention behaviors and address disparities in HIV incidence and outcomes among YMSM and AMAB transgender youth, it is critical to understand patterns of service utilization and avoidance. This study examined how and why YMSM and AMAB transgender youth use or avoid sexual health services and service providers in a large Midwestern city within a survey administered to 890 participants from a longitudinal cohort study (RADAR). Results demonstrate low overall use of sexual health services and minimal interest in seeking pre-exposure prophylaxis (PrEP), consistent with prior research. Low awareness of available services was associated with how and where YMSM and trans youth AMAB seek care, with 76% of our sample reporting this as their primary reason for not seeking specific sexual health services. Additional associations are discussed, and recommendations are made for how to improve available services and access.

Citing Articles

Self-reported Infection Status, Knowledge and Associated Factors of Monkeypox Among Men Who Have Sex with Men in Jiaxing, China.

Tian Y, Hou Z, Zhu G, Zhang Q, Zhu W, Feng H BMC Public Health. 2024; 24(1):2250.

PMID: 39160485 PMC: 11334323. DOI: 10.1186/s12889-024-19739-5.

Βarriers and Gaps to Medical Care for Transgender Individuals: A TRANSCARE Scoping Review with a Focus on Greece.

Anastasaki M, Angelaki A, Paganis P, Christidi E, Papathanasiou N, Stoupa E Healthcare (Basel). 2024; 12(6).

PMID: 38540611 PMC: 10970254. DOI: 10.3390/healthcare12060647.

Explaining the Relationship Between Intimate Partner Violence Victimization and Human Immunodeficiency Virus Status in Transgender and Nonbinary Individuals.

Ingold K, Teasdale B J Interpers Violence. 2024; 39(15-16):3373-3395.

PMID: 38345002 PMC: 11283746. DOI: 10.1177/08862605241230551.

Health disparities in one of the world's most progressive countries: a scoping review of mental health and substance use among sexual and gender minority people in the Netherlands.

Hughes T, Bochicchio L, Drabble L, Muntinga M, Jukema J, Veldhuis C BMC Public Health. 2023; 23(1):2533.

PMID: 38110908 PMC: 10729573. DOI: 10.1186/s12889-023-17466-x.

Evaluation of Mpox Knowledge, Stigma, and Willingness to Vaccinate for Mpox: Cross-Sectional Web-Based Survey Among Sexual and Gender Minorities.

Torres T, Silva M, Coutinho C, Hoagland B, Moreira Jalil E, Cardoso S JMIR Public Health Surveill. 2023; 9:e46489.

PMID: 37459174 PMC: 10411424. DOI: 10.2196/46489.

References

Worthington C, Myers T . Desired elements of HIV testing services: test recipient perspectives. AIDS Patient Care STDS. 2003; 16(11):537-48. DOI: 10.1089/108729102761041092. View

Kenagy G, Linsk N, Bruce D, Warnecke R, Gordon A, Wagaw F . Service utilization, service barriers, and gender among HIV-positive consumers in primary care. AIDS Patient Care STDS. 2003; 17(5):235-44. DOI: 10.1089/108729103321655881. View

Hock-Long L, Herceg-Baron R, Cassidy A, Whittaker P . Access to adolescent reproductive health services: financial and structural barriers to care. Perspect Sex Reprod Health. 2003; 35(3):144-7. View

Tilson E, Sanchez V, Ford C, Smurzynski M, Leone P, Fox K . Barriers to asymptomatic screening and other STD services for adolescents and young adults: focus group discussions. BMC Public Health. 2004; 4:21. PMC: 436061. DOI: 10.1186/1471-2458-4-21. View

Branson B . Current HIV epidemiology and revised recommendations for HIV testing in health-care settings. J Med Virol. 2007; 79 Suppl 1:S6-10. DOI: 10.1002/jmv.20972. View

Sumartojo E, Lyles C, Choi K, Clark L, Collins C, Grey C . Prevalence and correlates of HIV testing in a multi-site sample of young men who have sex with men. AIDS Care. 2008; 20(1):1-14. DOI: 10.1080/09540120701450425. View

Lauby J, Milnamow M . Where MSM have their first HIV test: differences by race, income, and sexual identity. Am J Mens Health. 2009; 3(1):50-9. DOI: 10.1177/1557988307313465. View

Hoffman N, Freeman K, Swann S . Healthcare preferences of lesbian, gay, bisexual, transgender and questioning youth. J Adolesc Health. 2009; 45(3):222-9. PMC: 2773204. DOI: 10.1016/j.jadohealth.2009.01.009. View

Mimiaga M, Reisner S, Bland S, Skeer M, Cranston K, Isenberg D . Health system and personal barriers resulting in decreased utilization of HIV and STD testing services among at-risk black men who have sex with men in Massachusetts. AIDS Patient Care STDS. 2009; 23(10):825-35. PMC: 2859760. DOI: 10.1089/apc.2009.0086. View

10.

Berry S, Ghanem K, Page K, Thio C, Moore R, Gebo K . Gonorrhoea and chlamydia testing rates of HIV-infected men: low despite guidelines. Sex Transm Infect. 2010; 86(6):481-4. PMC: 3066003. DOI: 10.1136/sti.2009.041541. View

11.

Petroll A, Mosack K . Physician awareness of sexual orientation and preventive health recommendations to men who have sex with men. Sex Transm Dis. 2010; 38(1):63-7. PMC: 4141481. DOI: 10.1097/OLQ.0b013e3181ebd50f. View

12.

Wall K, Khosropour C, Sullivan P . Offering of HIV screening to men who have sex with men by their health care providers and associated factors. J Int Assoc Physicians AIDS Care (Chic). 2010; 9(5):284-8. PMC: 3637046. DOI: 10.1177/1545109710379051. View

13.

Lorenc T, Marrero-Guillamon I, Llewellyn A, Aggleton P, Cooper C, Lehmann A . HIV testing among men who have sex with men (MSM): systematic review of qualitative evidence. Health Educ Res. 2011; 26(5):834-46. DOI: 10.1093/her/cyr064. View

14.

Finlayson T, Le B, Smith A, Bowles K, Cribbin M, Miles I . HIV risk, prevention, and testing behaviors among men who have sex with men--National HIV Behavioral Surveillance System, 21 U.S. cities, United States, 2008. MMWR Surveill Summ. 2011; 60(14):1-34. View

15.

Balaji A, Eaton D, Voetsch A, Wiegand R, Miller K, Doshi S . Association between HIV-related risk behaviors and HIV testing among high school students in the United States, 2009. Arch Pediatr Adolesc Med. 2012; 166(4):331-6. DOI: 10.1001/archpediatrics.2011.1131. View

16.

Blackstock O, Addison D, Brennan J, Alao O . Trust in primary care providers and antiretroviral adherence in an urban HIV clinic. J Health Care Poor Underserved. 2012; 23(1):88-98. DOI: 10.1353/hpu.2012.0006. View

17.

Schneider J, Walsh T, Cornwell B, Ostrow D, Michaels S, Laumann E . HIV health center affiliation networks of black men who have sex with men: disentangling fragmented patterns of HIV prevention service utilization. Sex Transm Dis. 2012; 39(8):598-604. PMC: 3399117. DOI: 10.1097/OLQ.0b013e3182515cee. View

18.

. Vital signs: HIV infection, testing, and risk behaviors among youths - United States. MMWR Morb Mortal Wkly Rep. 2012; 61(47):971-6. View

19.

Baral S, Poteat T, Stromdahl S, Wirtz A, Guadamuz T, Beyrer C . Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis. 2012; 13(3):214-22. DOI: 10.1016/S1473-3099(12)70315-8. View

20.

Saha S, Korthuis P, Cohn J, Sharp V, Moore R, Beach M . Primary care provider cultural competence and racial disparities in HIV care and outcomes. J Gen Intern Med. 2013; 28(5):622-9. PMC: 3631054. DOI: 10.1007/s11606-012-2298-8. View