TY - JOUR T1 - Perspectives on trans-specific sexual health needs based on a free anonymous Online HIV/STI Risk Test (ORT) survey in Germany JF - Sexually Transmitted Infections JO - Sex Transm Infect DO - 10.1136/sextrans-2021-055356 SP - sextrans-2021-055356 AU - Adriane Skaletz-Rorowski AU - Sandeep Nambiar AU - Miriam Basilowski AU - Janet Wach AU - Arne Kayser AU - Andre Kasper AU - Norbert Brockmeyer AU - Anja Potthoff Y1 - 2022/01/20 UR - http://sti.bmj.com/content/early/2022/01/20/sextrans-2021-055356.abstract N2 - A meta-analysis estimated the worldwide prevalence of HIV among transgender individuals at 19.1% and found a 48.8-fold increase in the odds of HIV infection compared with non-transgender adults of reproductive age.1 2 Despite such disparities, HIV and STI research has historically grouped transgenders with men who have sex with men (MSM) or excluded them from studies altogether, thus limiting the information available on the social and behavioural factors that increase HIV vulnerability among transindividuals and how these factors may differ from MSM.3 STIs are often associated with stigma, stereotyping, vulnerability and shame.4 Transindividuals face additional barriers to appropriate healthcare access as opposed to cisgender individuals and MSM, for example, requirement for medical interventions such as hormone therapy and/or surgery, paucity of knowledgeable health providers, real or perceived stigma and discrimination from individuals within the healthcare system, greater clinical depression, anxiety and somatisation, and lack of insurance coverage due to socioeconomic limitations.5 Hence transindividuals are often inhibited to seek testing and treatment. WIR - Walk In … ER -