High-risk Behaviors in Sex-Reassigned Trans-sexual People in Tehran, Iran

Abstract

Background: Abundant high-risk behaviors in trans-sexual people make it necessary to investigate. Objectives: This study aimed to describe the frequency of high-risk sexual behaviors in sex-reassigned trans-sexual people in Tehran, Iran. Materials and Methods: This study was cross-sectional. Ninety-six sex-reassigned transsexual individuals of both genders presenting to Salamat Bonyan Psychology Clinic were enrolled in the study. The scales included a demographic characteristic form and a researcher-made questionnaire to evaluate high-risk behaviors and sexual health of sex-reassigned transsexual subjects. Results: According to the results, 96 individuals completed hormone therapy, of whom 43 underwent sex-reassignment surgery. Also, 73 persons were female-to-male, and 23 persons were male-to-female. In this study, 62.5% of the participants did not receive hepatitis B vaccine (CI: 0.52 - 0.72), and 95.83% of the participants did not receive human papillomavirus vaccine (CI: 0.92 - 0.99). Moreover, 87.09% of the participants did not take a human infection virus (HIV) test (CI: 0.68 - 0.85), and 97.9% had a Pap smear test (CI: 0.95 - 0.99). In addition, 96% of the participants were never screened for prostate cancer (CI: 0.89 - 0.99), and 91.66% were never screened for breast cancer (CI: 0.86 - 0.97). Oral sex was the most common sexual act (93.75%), and 72.91% of the subjects never used condoms (CI: 0.68 - 0.77). Finally, 30% of the participants smoked hookah and cigarettes and used alcohol (CI: 0.20 - 0.39). Conclusions: Considering high-risk behaviors and sexually risky behaviors in this group, it is necessary to carry out preventive interventions.