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Article

Sexual and Mental Health Inequalities across Gender Identity and Sex-Assigned-at-Birth among Men-Who-Have-Sex-with-Men in Europe: Findings from EMIS-2017

1
Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK
2
Institute of Public Health, Charité Universitätsmedizin Berlin, 10117 Berlin, Germany
3
Department of Infectious Disease Epidemiology, Robert Koch Institute, 13353 Berlin, Germany
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(20), 7379; https://doi.org/10.3390/ijerph17207379
Received: 18 August 2020 / Revised: 5 October 2020 / Accepted: 7 October 2020 / Published: 10 October 2020
(This article belongs to the Special Issue Health Inequalities and Social Support among LGBT + Populations)
Some men who have sex with men (MSM) were assigned female at birth (AFB) and/or identify as trans men. Little is known about how these men differ from other MSM. We compared sexual and mental health indicators from the European MSM Internet Survey (EMIS-2017), comparing men AFB and/or currently identifying as trans men with those assigned male at birth (AMB) who identified as men. EMIS-2017 was an opportunistic 33-language online sexual health survey for MSM recruiting throughout Europe. We used regression models adjusting for age, country of residence and employment status to examine differences across groups. An analytic sample of 125,720 men living in 45 countries was used, of which 674 (0.5%) were AFB and 871 (0.7%) identified as trans men. The two sub-groups were not coterminous, forming three minority groups: AFB men, AFB trans men and AMB trans men. Minority groups were younger and more likely unemployed. Anxiety, depression, alcohol dependence and sexual unhappiness were more prevalent in sex/gender minority men. Conversely HIV and STI diagnoses were less common. AMB trans men were most likely to have sexual risk behavior with steady partners and to have unmet health promotion needs, and were least likely to be reached by interventions. Sex assigned at birth and trans identification were associated with different sexual and mental health needs. To facilitate service planning and to foster inclusion, sex-assigned-at-birth and current gender identity should be routinely collected in health surveys. View Full-Text
Keywords: trans men; homosexuality; transgender; LGBT; anxiety; depression; STIs; HIV; community survey trans men; homosexuality; transgender; LGBT; anxiety; depression; STIs; HIV; community survey
MDPI and ACS Style

Hickson, F.; Appenroth, M.; Koppe, U.; Schmidt, A.J.; Reid, D.; Weatherburn, P. Sexual and Mental Health Inequalities across Gender Identity and Sex-Assigned-at-Birth among Men-Who-Have-Sex-with-Men in Europe: Findings from EMIS-2017. Int. J. Environ. Res. Public Health 2020, 17, 7379. https://doi.org/10.3390/ijerph17207379

AMA Style

Hickson F, Appenroth M, Koppe U, Schmidt AJ, Reid D, Weatherburn P. Sexual and Mental Health Inequalities across Gender Identity and Sex-Assigned-at-Birth among Men-Who-Have-Sex-with-Men in Europe: Findings from EMIS-2017. International Journal of Environmental Research and Public Health. 2020; 17(20):7379. https://doi.org/10.3390/ijerph17207379

Chicago/Turabian Style

Hickson, Ford, Max Appenroth, Uwe Koppe, Axel J. Schmidt, David Reid, and Peter Weatherburn. 2020. "Sexual and Mental Health Inequalities across Gender Identity and Sex-Assigned-at-Birth among Men-Who-Have-Sex-with-Men in Europe: Findings from EMIS-2017" International Journal of Environmental Research and Public Health 17, no. 20: 7379. https://doi.org/10.3390/ijerph17207379

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