from Section G - Screening and Prophylaxis
Published online by Cambridge University Press: 22 December 2022
HIV and sexually transmitted infections disproportionately affect trans persons compared to the general population. The WHO estimates trans women are 49 times more likely to live with HIV than the general population, and trans men are 10 times more likely. Little is understood about the driving causes of this disconnect. This chapter aims to address the extent, burden, and characteristics of STI and HIV infections in trans persons, and to specifically characterize the factors that may explain why these differences exist. The stress factors that trans people face in societal and healthcare settings create an intersection of discrimination that falls within the realm of control of healthcare professionals. Therefore, improving STI trans education and a better understanding among physicians and trainees about STI epidemiology, clinical presentation, and care recommendations when treating trans patients is critical to achieving an excellent standard of care, increasing health and well-being, and reducing preventable sexually transmitted morbidity and mortality among trans patients
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