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Media Reporting and Reference Guide on LGBT Issues

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“HIV is a disease related<br />

[<strong>on</strong>ly] to <strong>LGBT</strong> people”.<br />

women may be forced to wait for a state pensi<strong>on</strong> until they<br />

reach male retirement age. Employees who are “out” at work,<br />

or suspected of being lesbian, gay, bisexual, or transgender, can<br />

experience indirect discriminati<strong>on</strong> by employers, colleagues<br />

or clients which can include sexually explicit remarks intended<br />

to embarrass or ridicule. (…) Surveys suggest that up to 77% of<br />

transgender employees do not tell their employers about their<br />

gender identity <str<strong>on</strong>g>and</str<strong>on</strong>g> 50% of them find this stressful. They may<br />

find themselves pushed to the margins of the job market <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

out of formal employment, which in some Council of Europe<br />

member states results in transgender women working in the<br />

sex industry” (Council of Europe 2011 September:118-120).<br />

“The transmissi<strong>on</strong> of HIV can occur where there are<br />

unprotected sexual practices between individuals while <strong>on</strong>e<br />

of the individuals is HIV positive. This can happen between<br />

partners of the same or different sex, <str<strong>on</strong>g>and</str<strong>on</strong>g> is relatively more<br />

comm<strong>on</strong> am<strong>on</strong>g key populati<strong>on</strong>s including MSM [men/males<br />

who have sex with men/males] <str<strong>on</strong>g>and</str<strong>on</strong>g> transgender pers<strong>on</strong>s.<br />

MSM <str<strong>on</strong>g>and</str<strong>on</strong>g> transgender pers<strong>on</strong>s have an increased risk of<br />

HIV/STI infecti<strong>on</strong> in part due to network effects. Any sexual<br />

network in which people have multiple <str<strong>on</strong>g>and</str<strong>on</strong>g> c<strong>on</strong>current sex<br />

partners is especially c<strong>on</strong>ducive to the spread of HIV. There<br />

is solid evidence of high rates of HIV risk behaviours am<strong>on</strong>g<br />

MSM <str<strong>on</strong>g>and</str<strong>on</strong>g> transgender pers<strong>on</strong>s in all countries where studies<br />

have been c<strong>on</strong>ducted. In additi<strong>on</strong>, the few epidemiological<br />

studies that exist am<strong>on</strong>g transgender people have shown<br />

disproporti<strong>on</strong>ately high HIV prevalence, ranging from 8% to<br />

68% depending <strong>on</strong> the c<strong>on</strong>text <str<strong>on</strong>g>and</str<strong>on</strong>g> the type of study carried<br />

out. However, research <str<strong>on</strong>g>and</str<strong>on</strong>g> data regarding transgender health<br />

is minimal relative to studies d<strong>on</strong>e <strong>on</strong> MSM related health<br />

issues. Unprotected anal sex is the highest risk practice for<br />

sexual transmissi<strong>on</strong> of HIV am<strong>on</strong>g MSM <str<strong>on</strong>g>and</str<strong>on</strong>g> transgender<br />

pers<strong>on</strong>s.<br />

41

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