Transgender people may have a higher burden of both medical and mental health problems
The rates of sexually transmissible infections (STIs) in transgender people are reported to be far higher than for cisgender individuals,1,2,3 but the factors underlying the higher numbers are not known. Possibilities include lack of access to quality health care4 and greater assumption of risk by transgender people because of their relatively precarious life circumstances.5
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- 1. Nuttbrock L, Hwahng S, Bockting W, et al. Lifetime risk factors for HIV/sexually transmitted infections among male‐to‐female transgender persons. J Acquir Immune Defic Syndr 2009; 52: 417–421.
- 2. Baral SD, Poteat T, Strömdahl S, et al. Worldwide burden of HIV in transgender women: a systematic review and meta‐analysis. Lancet Infect Dis 2013; 13: 214–222.
- 3. Reisner SL, Poteat T, Keatley J, et al. Global health burden and needs of transgender populations: a review. Lancet 2016; 388: 412–436.
- 4. Safer JD, Coleman E, Feldman J, et al. Barriers to healthcare for transgender individuals. Curr Opin Endocrinol Diabetes Obes 2016; 23: 168–171.
- 5. Feldman J, Romine RS, Bockting WO. HIV risk behaviors in the US transgender population: prevalence and predictors in a large internet sample. J Homosex 2014; 61: 1558–1588.
- 6. Callander D, Cook T, Read T, et al. Sexually transmissible infections among transgender men and women attending Australian sexual health clinics. Med J Aust 2019; 211: 406–411.
- 7. Safer JD. Tangpricha V. Care of the transgender patient. Ann Intern Med 2019; 17: ITC1–ITC16.
- 8. Leinung MC, Urizar MF, Patel N, Sood SC. Endocrine treatment of transsexual persons: extensive personal experience. Endocr Pract 2013; 19: 644–650.
I served on an advisory panel for Endo Pharmaceuticals in June 2018.