Cited by 61Reproductive tract infections researchHIV/AIDS Research and InterventionsLGBTQ Health, Identity, and Policy

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

Chlamydia, gonorrhea, and human immunodeficiency virus infection among transgender women and transgender men attending clinics that provide sexually transmitted disease services in six US cities: results from the Sexually Transmitted Disease Surveillance Network.

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Abstract

BACKGROUND: Transgender women and transgender men are disproportionately affected by human immunodeficiency virus (HIV) infection and may be vulnerable to other sexually transmitted diseases (STDs), but the lack of surveillance data inclusive of gender identity hinders prevention and intervention strategies. METHODS: We analyzed data from 506 transgender women (1045 total visits) and 120 transgender men (209 total visits) who attended 26 publicly funded clinics that provide STD services in 6 US cities during a 3.5-year observation period. We used clinical and laboratory data to examine the proportion of transgender women and transgender men who tested positive for urogenital and extragenital chlamydial or gonococcal infections and who self-reported or tested positive for HIV infection during the observation period. RESULTS: Of the transgender women tested, 13.1% tested positive for chlamydia and 12.6% tested positive for gonorrhea at 1 or more anatomic sites, and 14.2% were HIV-infected. Of transgender men tested, 7.7% and 10.5% tested positive for chlamydia and gonorrhea at 1 or more anatomic sites, and 8.3% were HIV-infected. Most transgender women (86.0% and 80.9%, respectively) and more than a quarter of transgender men (28.6% and 28.6%, respectively) with an extragenital chlamydial or gonococcal infection had a negative urogenital test at the same visit. CONCLUSIONS: Publicly funded clinics providing STD services are likely an important source of STD care for transgender persons. More data are needed to understand the most effective screening approaches for urogenital, rectal, and pharyngeal Chlamydia trachomatis and Neisseria gonorrhoeae infections in transgender populations.

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Crossref · 10.1097/olq.0000000000000917

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Metadata

Authors
Pitasi, M. A., Kerani, R. P., Kohn, R., Murphy, R. D., Pathela, P., Schumacher, C. M., Tabidze, I., & Llata, E.
Affiliations
  • Centers for Disease Control and Prevention (US)
  • Public Health – Seattle & King County (US)
  • San Francisco Department of Public Health (US)
  • Los Angeles County Department of Public Health (US)
  • New York City Department of Health and Mental Hygiene (US)
  • Johns Hopkins University (US)
  • Chicago Department of Public Health (US)
Corresponding author
  • Pitasi, Marc A.
  • Tabidze, Irina
  • Llata, Eloisa
Venue
Sexually Transmitted Diseases
Published
2019-02
Volume
46
Issue
2
Pages
112-117
ISSN
  • 0148-5717 (ISSN-L)
  • 1537-4521
OpenAlex
W2894633972
Cited by
61
References
29
Citations by year
2026: 6 · 2025: 8 · 2024: 7 · 2023: 9 · 2022: 10 · 2021: 7 · 2020: 10 · 2019: 4
FWCI
4.24
Type
journal article
Language
en
Open access
Locations
  • Sexually Transmitted Diseases (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (CC999999)
Topics
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
Keywords
transgender women, transgender men, chlamydia, gonorrhea, HIV infection, STD surveillance, STD clinics, Chlamydia trachomatis, Neisseria gonorrhoeae, extragenital infection, urogenital infections, STI screening, gender identity
MeSH terms
Adolescent, Adult, Chlamydia Infections, Cities, Female, Gonorrhea, Humans, Male, Middle Aged, Sexually Transmitted Diseases, United States, HIV Infections, Sentinel Surveillance, Young Adult, Transgender Persons

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