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2022-10-12Zeitschriftenartikel
Sexual happiness and satisfaction with sexual safety among German trans men who have sex with men: results from EMIS-2017
dc.contributor.authorApprenroth, Max Nicolai
dc.contributor.authorKoppe, Uwe
dc.contributor.authorHickson, Ford
dc.contributor.authorSchink, Susanne
dc.contributor.authorHahne, Alexander
dc.contributor.authorSchmidt, Axel J.
dc.contributor.authorWeatherburn, Peter
dc.contributor.authorMarcus, Ulrich
dc.date.accessioned2024-08-29T08:38:36Z
dc.date.available2024-08-29T08:38:36Z
dc.date.issued2022-10-12none
dc.identifier.other10.1002/jia2.25992
dc.identifier.urihttp://edoc.rki.de/176904/12025
dc.description.abstractIntroduction The population of men-who-have-sex-with-men (MSM) includes people who are on the masculine spectrum but were assigned female at birth (AFAB), that is trans MSM. This study aims to identify current circumstances regarding sexual happiness and safety among German trans MSM. To date, there is no health information about trans MSM in Germany, limiting the ability of MSM sexual health programmes to meet their needs. Methods Data were used from the European MSM Internet Survey (EMIS-2017), where people identifying as men and/or trans men were recruited through dating apps for MSM, community websites and social media to participate in an online survey. We analysed parameters on sexual happiness and satisfaction with sexual safety among Germany-based trans MSM and compared those to outcomes of MSM assigned male at birth (cis MSM) living in Germany using descriptive methods and logistic regression models adjusting for age. Results In total, 23,001 participants from Germany were included, of which 122 (0.5%) indicated to be AFAB (i.e. trans MSM). Trans MSM were markedly younger than cis participants (median age: 28.5 vs. 39 years). Trans MSM more often reported being unhappy with their current sex life (adjusted odds ratio [aOR] = 1.82, 95% CI 1.24–2.67), had higher odds of disagreeing with the statements “the sex I have is always as safe as I want” ([aOR] = 1.82, 95% CI 1.24–2.67) and “I find it easy to say no to sex that I don't want” ([aOR] = 1.80, 95% CI 1.18–2.77). Trans MSM were more likely to not be living comfortably financially ([aOR] = 2.43, 95% CI 1.60–3.67) and to be living with severe anxiety and/or depression ([aOR] = 3.90, 95% CI 2.22–6.83). Trans MSM were less likely to have ever tested for HIV ([aOR] = 0.63, 95% CI 0.43–0.93). Conclusions Sexual happiness, control of sexual boundaries, satisfaction with sexual safety, financial security, mental wellbeing and HIV testing were all lower in German trans MSM compared with cis MSM. Tailored sexual health interventions, contextualized with regard to needs and vulnerabilities, could address this inequality.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjecttrans MSMeng
dc.subjecttrans meneng
dc.subjectgender diversityeng
dc.subjectHIV preventioneng
dc.subjectsexual happinesseng
dc.subjectMSMeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleSexual happiness and satisfaction with sexual safety among German trans men who have sex with men: results from EMIS-2017none
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/12025-7
dc.type.versionpublishedVersionnone
local.edoc.container-titleJournal of the International AIDS Societynone
local.edoc.container-issn1758-2652none
local.edoc.pages8none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://onlinelibrary.wiley.com/journal/17582652none
local.edoc.container-publisher-nameJohn Wiley & Sons, Incnone
local.edoc.container-volume25none
local.edoc.container-issueS5none
local.edoc.container-reportyear2022none
dc.description.versionPeer Reviewednone

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