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HIV Testing and PrEP Use Among Trans and/or non-binary Participants in the TASG Study, a Participatory Study in Germany

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AIDS AND BEHAVIOR 2025年第5期29卷 1608-1618页

作者： Koppe, Uwe Hamm, Jonas A. Spurgat, Chris Hahne, Alexander Saalfeld, Robin K. Garcia, Manuel Ricardo Bremer, Viviane Poege, Kathleen TASG study group, Teo Robert Koch Inst Dept Infect Dis Epidemiol Seestr 10 D-13353 Berlin Germany Deutsch Aidshilfe DAH Berlin Germany Freelance Sex Educator & Bodyworker Hamburg Germany Friedrich Schiller Univ Jena Dept Sociol Jena Germany Freelance architect trans activist antiracist acti Munich Germany Robert Koch Inst Dept Epidemiol & Hlth Monitoring Berlin Germany

HIV testing and pre-exposure prophylaxis (PrEP) are recommended in Germany for individuals at increased HIV risk. However, data on HIV testing, PrEP use, and PrEP knowledge among trans and non-binary people are limited. We analysed data from the 'Sexuelle Gesundheit in trans und nicht-bin & auml;ren Communitys' (TASG) study, a participatory study on HIV/STI and sexual health among trans and non-binary people in Germany. The study was designed, promoted, and analysed with active involvement of community members. Participants were invited to complete an anonymous online survey between 1 March and 1 July 2022. The outcomes included HIV testing within the last 5 years, PrEP use, and PrEP-specific knowledge. Predictors for HIV testing were identified using a bootstrap stepwise selection procedure. Among 2468 HIV-negative participants with information on potential HIV risks, 21.5% had potential needs for HIV testing and PrEP. Of these, only 44.3% (208/470, missing: 60) reported testing for HIV within the last 5 years. Older participants, those living in larger cities, and those with higher education levels were more likely to have tested for HIV. Additionally, only 8.3% (38/459, missing: 71) reported ever using PrEP. Among 451 participants with potential PrEP needs (missing: 79), only 57.4% knew at least one of three key PrEP-related facts at the time of the survey. Our findings highlight substantial gaps in HIV testing and prevention among trans and non-binary individuals in Germany with potential needs for these services. Reducing barriers to testing and prevention is essential to enable broader access to these critical services.

关键词： Trans non-binary HIV testing PrEP

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Helping to destigmatise the use of period products for trans, masculine presenting, non-binary and gender diverse (TMNG) consumers through an inclusive communication design framework

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CULTURE HEALTH & SEXUALITY 2025年第3期27卷 321-337页

作者： Connory, Jane Tyagi, Shivani Swinburne Univ Technol Sch Design & Architecture Melbourne Vic Australia

This study aimed to understand the experiences that trans, masculine presenting, non-binary and gender diverse (TMNG) people who menstruate have with period product packaging and marketing, and identified opportunities for improvement through an inclusive communication design framework. Semi-structured online interviews were conducted with nine TMNG consumers, allies and advocates. These revealed positive and negative experiences with the current design of period product packaging and marketing throughout the entire 'user journey', including purchasing, use and disposal. A thematic analysis of the interviews confirmed that problems exist with the lack of representation through imagery and language on period product packaging and marketing. The resulting three themes were engaged with to develop an inclusive communication design framework that included: the need for an improvement in the physical experience of periods;the need for improved mental health and emotional relationship to periods;and the need for the consideration of broader social issues such as sustainability and accessibility in relation to period product packaging and marketing.

关键词： Trans non-binary masculine presenting gender diverse inclusive communication design period products

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"It Was Oddly Cathartic and Just Good - Freeing": An Adaptation of a Cognitive Restructuring Task for non-binary People Experiencing Sexual Objectification

JOURNAL OF LGBTQ ISSUES IN COUNSELING

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JOURNAL OF LGBTQ ISSUES IN COUNSELING 2025年第1期19卷 71-96页

作者： Pradell, Lee R. Parmenter, Joshua G. Galliher, Renee V. Wong, Elizabeth Grace Chi, Kevin Huenemann, Hanna Rowley, Lindsey South, Sadie Utah State Univ Logan UT 84322 USA Univ Missouri Columbia MO USA

The present study uses action research and critical trans theory frameworks to adapt a cognitive restructuring task from Cognitive Behavioral Therapy (CBT) to assist non-binary people in minimizing internalization from sexual objectification experiences (SOEs). Nine non-binary participants completed 3-5 process charts each (32 total) documenting their experiences with SOEs. Participants also completed interviews about their experience with the process chart. Findings explored the nine individual categories of the process chart and the experiences of completing the process charts, highlighting the power participants reclaimed by interrogating objectifying sentiments and managing their environments in the wake of SOEs. We discuss research and clinical implications, such as utilizing our study's process chart to better support non-binary and other marginalized peoples as they navigate objectification and dehumanization.

关键词： LGBTQ transgender non-binary sexual objectification adaptation

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Bleeding beyond binaries: a critical interpretive review of trans, non-binary and gender non-conforming experiences with menstruation

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CULTURE HEALTH & SEXUALITY 2025年第3期27卷 371-387页

作者： Martin, Helen Narushima, Miya Brock Univ Dept Hlth Sci St Catharines ON Canada

While some barriers for managing menstruation have been mitigated for cisgender women, trans, non-binary, and gender non-conforming people still struggle to navigate menstruation in a gendered society. With an increasing number of young people identifying outside of the gender binary, there is an immediate need to identify and address the barriers to managing menstruation. This review sets out to explore how trans, non-binary, and gender non-conforming people experience and navigate menstruation. Using critical interpretive synthesis methodology, nine pieces of literature including peer-reviewed journal articles, graduate theses, a book chapter, and a conference poster presentation were reviewed using thematic analysis. Four primary themes were identified: (1) menstruation is strongly gendered;(2) there exists inadequate trans, non-binary, and gender non-conforming education and healthcare training;(3) the gendering of public toilets/washrooms poses a barrier to the management of menstruation;and (4) there exists a lack of diverse participants and attention to intersectional menstruation concerns. A set of recommendations, specific to a variety of stakeholders is provided, and implications for future research are discussed.

关键词： Menstruation trans non-binary gender non-conforming experience

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Contextualising Experiences of Co-Occurring Mental Ill-Health and Substance Use Among Trans, non-binary, and Gender Diverse Young People: Implications for Tailored Harm Reduction Approaches

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COMMUNITY MENTAL HEALTH JOURNAL 2025年第1期61卷 181-192页

作者： Bailey, Sasha Lin, Ashleigh Cook, Angus Winter, Sam Watson, Vanessa Toussaint, Dani Wright Barrett, Emma L. Newton, Nicola C. Perry, Yael Grummitt, Lucinda Strauss, Penelope Univ Sydney Fac Med & Hlth Matilda Ctr Res Mental Hlth & Subst Use Level 6 G05 Jane Foss Russell Bldg Camperdown NSW 2050 Australia Univ Western Australia Sch Populat & Global Hlth Perth Australia Curtin Univ Sch Populat Hlth Bentley Australia North Metropolitan Area Hlth Serv Western Australian Dept Hlth YouthLink Nedlands Australia Univ Western Australia Telethon Kids Inst Perth Australia

Though significant research highlights higher rates of mental ill-health and substance use among trans, non-binary and gender diverse (henceforth 'trans') young people, little research has considered patterns, contextual characteristics, and correlates of co-occurring experiences of mental ill-health and substance use among trans young people. Using data from the Trans Pathways study, we used prevalence ratios and age- and gender-adjusted logistic regression models to examine prevalence and differences of co-occurring substance use (past six-month cigarette use, alcohol use, and other drug use) and contextual characteristics of substance use (past six-month solitary alcohol and/or drug use, substance use for coping) by mental ill-health (depression disorder, anxiety disorder, past 12-month self-harm thoughts and behaviours, suicidal thoughts, planning, and attempt/s). Age- and gender-adjusted models assessed associations between co-occurring depressive and anxiety disorders and recent cigarette, alcohol, and other drug use (six co-occurring items total) and 18 interpersonal stressors. Significantly increased odds of smoking or recent use of cannabis or sedatives was observed among trans young people reporting depressive disorder, anxiety disorder (aORs ranging 1.8-3.1). Trans young people who reported recent smoking or use of cannabis, inhalants, or sedatives, had 40% to 80% reduced odds of past 12-month self-harm thoughts, self-harm behaviours, suicidal thoughts, and suicide attempt/s (aORs ranging 0.2-0.6). On the other hand, solitary alcohol and/or other drug use and substance use for coping was significantly associated with increased odds of all mental ill-health outcomes. Issues with school, secure housing, and intimate partner abuse were the most robust correlates of co-occurring mental ill-health and substance use. Trans young people using substances, especially cigarettes, cannabis, and sedatives, often so do with co-occurring experiences of depression and a

关键词： Trans non-binary Gender diverse Mental ill-health Substance use Harm reduction

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"It wasn't the priority": non-binary Children Experiences and Professional Discourse on Public Service Care During the First Wave of COVID-19

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SEXUALITY RESEARCH AND SOCIAL POLICY 2025年第1期22卷 164-175页

作者： Langarita, Jose Antonio Trull-Oliva, Carme Vila, Montserrat Montserrat, Carme Univ Girona Res Inst Educ Placa Sant Domenec 9 Girona 17004 Spain

IntroductionThe lockdown associated with COVID-19 has had a different impact on LGBTI people compared to their heterosexual and cisgender peers, with an even greater impact on children and youth. This study aims to identify the level of satisfaction amongst non-binary children with the attention received from the main social actors during the first wave of the pandemic in Spain, analyse the role of key people, levels of trust, and children's main concerns and needs. Furthermore, it also aims to understand professional responses to the challenges presented by non-binary children and young people during the first wave of the *** mixed design has been applied to the collection of quantitative and qualitative data during 2022. A survey of children aged 9 to 17 (n = 1216, in which there were 32 non-binary children) as well as 30 interviews with professionals in the sector were used during the academic year *** results of the study show how non-binary children and young people have significantly less satisfaction than their peers who identified as a boy or a girl with respect to the care received, how gender identity played a fundamental role in their experiences during the lockdown and how professional responses have not had the proper tools to adequately address the challenges that non-binary children and young people posed to services and *** such as pandemics reproduced and intensified patterns of invisibility, discrimination and social exclusion in most walks of life for children who are outside of the dominant sexual and gender *** ImplicationsThis piece of work allows us to highlight the needs of non-binary children and young people as well as those of psychosocial care professionals in order to support sexual and gender diversity in post-pandemic conditions.

关键词： Community resilience COVID-19 non-binary Wellbeing Children Social support

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Minority Stress and Mental Health of Indian non-binary Individuals

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Global Social Welfare 2025年 1-10页

作者： Deshpande, Surbhi Rangaswamy, Rashmi Dept of Psychology School of Social Sciences Yeshwanthpur Campus CHRIST University Bangalore 560073 India

This study investigated how Indian non-binary individuals experience minority stress and its impact on mental health, with a focus on the role of social support and coping mechanisms. Semi-structured interviews with eight non-binary participants aged 18–23 from Bengaluru revealed four main themes: societal treatment, self-identity, minority stress and mental health, and social support. Findings indicate that experiences with discrimination, misgendering, gender dysphoria, and identity concealment contribute to negative mental health outcomes. However, social support and effective coping strategies were found to positively influence mental health by affirming identity. These results suggest potential avenues for developing targeted interventions and support systems to improve mental health among non-binary individuals. © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2025.

关键词： Experiences Mental health Minority non-binary Stress

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Gender identity and activity limitations: A national study on transgender and non-binary Canadians

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PREVENTIVE MEDICINE 2025年 192卷 108224-108224页

作者： Bai, Yihong Cao, Peiya Kim, Chungah Ienciu, Kristine Selvaratnam, Inthuja Abramovich, Alex Jakubiec, Brittany Brennan, David J. Chum, Antony York Univ Sch Kinesiol & Hlth Sci Toronto ON Canada Western Univ Dept Epidemiol & Biostat Toronto ON Canada Univ Toronto Dalla Lana Sch Publ Hlth Toronto ON Canada Ctr Addict & Mental Hlth CAMH Toronto ON Canada Egale Canada Toronto ON Canada Univ Toronto Factor Inwentash Fac Social Work Toronto ON Canada

Introduction: Activity limitations among transgender and non-binary individuals remain largely unexplored using population-based samples. This study examines the risk of activity limitations across different gender identities in Canada. Method: Using data from the 2021 Canadian long-form Census, logistic regressions estimated the adjusted odds of reporting activity limitations (seeing, hearing, mobility/dexterity, mental, cognitive, and other) across gender identities. Results: non-binary individuals assigned female at birth (AFAB) had the highest predicted probability of reporting any activity limitations (76.13 %), followed by non-binary individuals assigned male at birth (AMAB) at 61.56 %, transgender men (44.71 %), and transgender women (34.41 %). Cisgender men (19.31 %) and cisgender women (21.98 %) had the lowest probabilities. Mental limitations showed the largest disparity, with 39.4 % of non-binary AFAB individuals affected, compared to 4.9 % of cisgender men. These findings highlight significant disparities in activity limitations across gender identities. Conclusion: non-binary and transgender individuals are most at risk for activity limitations. These findings underscore the need for targeted policies to address challenges faced by gender-diverse populations. Future research should investigate the mechanisms behind these disparities. Healthcare policies must prioritize culturally competent, transgender-inclusive care to reduce disparities in activity limitations.

关键词： activity limitation transgender non-binary Canada Census

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Sports Injuries in Female and non-binary Athletes: A Systematic Review

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CURRENT REVIEWS IN MUSCULOSKELETAL MEDICINE 2025年 1-11页

作者： Nairn, Leah N. Aziz, Amar Moayad, Lana Gyemi, Lauren A. Simunovic, Nicole Madden, Kim Simunovic, Marko Ayeni, Olufemi R. McMaster Univ Dept Surg Div Orthopaed Surg Hamilton ON Canada McMaster Univ Michael G DeGroote Sch Med Hamilton ON Canada McMaster Univ Dept Hlth Res Methods Evidence & Impact Hamilton ON Canada McMaster Univ Dept Surg Div Gen Surg Hamilton ON Canada

Purpose of ReviewThe main purpose of this review was to summarize the current evidence on treatment and outcomes of sports injuries requiring surgical intervention in female and non-binary athletes and identify key gaps in the related literature concerning sports injuries requiring surgical intervention to guide future *** FindingsOf the 59 included studies, all focused on biological sex or sex-based differences, while none of the studies discussed gender or the inclusion of non-binary and transgender individuals. Most of the studies (47/59, 80%) focused on ACL reconstruction (37%), hip arthroscopy (27%) or rotator cuff repair (15%). Important sex-based differences were seen with these injuries including differences in fears regarding recovery after ACL injury and pre- and post-operative pain scores following rotator cuff *** increasing recognition of the role of biologic sex in the treatment and outcomes of sports injuries, very little is known about the impact of gender in sports injuries. Previous sociological literature suggests that gender may play an important role in one's athletic experience, and thus their injury experience. With most of the included studies focused on only three injury types, the experiences of female and non-binary athletes with all other sports injuries are poorly characterized. The lack of gender-inclusive sports injuries research means that the complete experiences of female, non-binary and transgender athletes are not comprehensively captured in the current literature. Future research should aim to characterize the effect of gender on the treatment and outcomes on all sport-related injuries, with the goal of providing inclusive surgical care for all athletes.

关键词： Sports injuries Arthroscopy Sex Gender Female non-binary

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non-binary Discrete Tomography by Continuous non-Convex Optimization

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IEEE TRANSACTIONS ON COMPUTATIONAL IMAGING 2016年第3期2卷 335-347页

作者： Zisler, Matthias Kappes, Joerg Hendrik Schnoerr, Claudius Petra, Stefania Schnoerr, Christoph Heidelberg Univ D-69117 Heidelberg Germany Hsch Munchen D-80335 Munich Germany

We study an energy formulation for non-binary discrete tomography and introduce a non-convex coupling term in order to combine discrete constraints with a continuous reconstruction method based on total variation regularization. The optimization is carried out by a generalized forward-backward splitting algorithm for non-convex functions, which exploits the problem structure and is guaranteed to globally converge to a local optimum. A detailed numerical evaluation on standard test-datasets demonstrates that the proposed algorithm returns more accurate reconstructions from a few number of projection angles than competing methods.

关键词： Discrete tomography limited-angle tomography non-binary non-convex optimization reconstruction relaxation total variation regularization

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