Understanding the specific sexual health needs of trans and gender diverse people, as well as experiences in seeking healthcare services, is a critical issue to be addressed if Australia is to meet this ambitious goal. For too long, trans and gender diverse people’s sexual health needs have been obscured by a medical model of disease that pathologises the experience of being trans and/or gender diverse itself (as the psychiatric disorder ‘Gender Dysphoria’) with dire consequences for understanding the sexual experiences and healthcare needs of trans and gender diverse people. While momentum is building to de-pathologise trans and gender diverse experiences and desires, with many medical associations including the World Health Organization suggesting this is appropriate, significant issues remain for trans and gender diverse people’s healthcare access as a direct result of these practices.
In this essay, I outline issues relating to gathering data with trans and gender diverse populations and suggest that shifting our focus towards how health services are delivered offers a way to circumvent these problems. I argue that a historical relation to how trans and gender diverse people’s sexualities have been misunderstood by medicine has led to a host of difficulties in providing appropriate sexual healthcare to trans and gender diverse people, resulting in increased trepidation between clinicians and patients that directly impacts HIV prevention strategies. I explore how access and trust have been impeded, and what we can all do to improve environments of care conducive to effective sexual healthcare for all of us.
Latham, J.R. (2021) HIV prevention needs of trans and gender diverse people in Australia. HIV Australia Read here















