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Sexual Behaviors, Referral to Sexual Health Services, and Use of Sexual Health Services Among Transgender High School Students.
- Source :
- Journal of School Health; May2020, Vol. 90 Issue 5, p349-357, 9p, 1 Illustration, 3 Charts
- Publication Year :
- 2020
-
Abstract
- BACKGROUND: Transgender adolescents are at increased risk for negative sexual health outcomes compared to their cisgender peers. METHODS: Using data from 10,231 students from 7 high schools in a large, urban school district, our analysis compared sexual behaviors, referral to sexual health services by school staff, and use of sexual health services between transgender and cisgender students. We used propensity score matching to create a comparable sample of transgender and cisgender students and logistic regression models to examine how gender identity was associated with aforementioned outcomes. RESULTS: Transgender students were more likely to have ever had sex, less likely to have used a condom at last sex, and more likely to have been referred for human immunodeficiency virus (HIV) testing, sexually transmitted disease (STD) testing, and other sexual health services than cisgender students. Transgender students were no more likely than cisgender students to have tested for HIV or STDs. CONCLUSIONS: These findings underscore the need for understanding the risk perceptions held by transgender students and for prevention efforts that are inclusive for all gender identities. Research is needed to understand if school‐based sexual health interventions such as staff referrals for sexual health services are effective for transgender students. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV prevention
HIV infection risk factors
PREVENTION of sexually transmitted diseases
SEXUALLY transmitted disease risk factors
CHI-squared test
COMPARATIVE studies
CONDOMS
CONFIDENCE intervals
ETHNIC groups
GENDER identity
HIGH school students
HIGH schools
SEXUAL health
MEDICAL care
EVALUATION of medical care
MEDICAL care use
MEDICAL referrals
MEDICAL screening
METROPOLITAN areas
PROBABILITY theory
QUESTIONNAIRES
RESEARCH funding
SCHOOL health services
SELF-evaluation
SEXUAL intercourse
STUDENT attitudes
LOGISTIC regression analysis
ATTITUDES toward sex
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 00224391
- Volume :
- 90
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of School Health
- Publication Type :
- Academic Journal
- Accession number :
- 142558634
- Full Text :
- https://doi.org/10.1111/josh.12880