{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:38:55Z","timestamp":1787841535726,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Transgender (TG) individuals represent a growing yet underserved community with unique healthcare challenges, particularly their increased vulnerability to sexually transmitted infections. This case series assesses the clinico-epidemiological profile of five TG patients attending the Suraksha clinic at a tertiary hospital in Northern India. Key risk factors include early sexual debut, limited education, and inconsistent substance use. Diagnosed infections include syphilis, genital warts, and anal herpes. Despite access to healthcare, 60% of patients were lost to follow-up. Active surveillance in high-risk areas, along with psychological and medical support, may improve health outcomes by addressing socioeconomic and educational barriers.<\/jats:p>","DOI":"10.4103\/ijstd.ijstd_39_25","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T10:00:27Z","timestamp":1765360827000},"page":"201-204","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Beyond the binary: Clinico-epidemiological insights from a transgender case series"],"prefix":"10.4103","volume":"46","author":[{"given":"Vibhu","family":"Mendiratta","sequence":"first","affiliation":[{"name":"Department of Dermatology and STD, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sampurna","family":"Dash","sequence":"additional","affiliation":[{"name":"Department of Dermatology and STD, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"R1-20251210","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1071\/SH17067","article-title":"Epidemiology of gender dysphoria and transgender identity","volume":"14","author":"Zucker","year":"2017","journal-title":"Sex Health"},{"key":"R2-20251210","doi-asserted-by":"crossref","first-page":"1445679","DOI":"10.3389\/fendo.2024.1445679","article-title":"Assessment of sociodemographic and psychiatric characteristics of transgender adults seen at a Midwest tertiary medical center","volume":"15","author":"Cortez","year":"2024","journal-title":"Front Endocrinol (Lausanne)"},{"key":"R3-20251210","doi-asserted-by":"crossref","first-page":"43","DOI":"10.4103\/0253-7184.196889","article-title":"Study of prevalence of sexually transmitted infections\/human immunodeficiency virus and condom use among male-to-female transgender: A retrospective analysis from a tertiary care hospital in Chennai","volume":"38","author":"Dasarathan","year":"2017","journal-title":"Indian J Sex Transm Dis AIDS"},{"key":"R4-20251210","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1186\/s12879-023-08591-4","article-title":"Sexually transmitted infections and associated risk factors among the transgender population of Pakistan","volume":"23","author":"Javed","year":"2023","journal-title":"BMC Infect Dis"},{"key":"R5-20251210","doi-asserted-by":"crossref","first-page":"e002183","DOI":"10.1136\/bmjopen-2012-002183","article-title":"An assessment of a large-scale HIV prevention programme for high-risk men who have sex with men and transgenders in Andhra Pradesh, India: Using data from routine programme monitoring and repeated cross-sectional surveys","volume":"3","author":"Goswami","year":"2013","journal-title":"BMJ Open"},{"key":"R6-20251210","doi-asserted-by":"crossref","first-page":"2774","DOI":"10.3390\/jcm11102774","article-title":"Prevalence and correlates of sexually transmitted infections in transgender people: An Italian multicentric cross-sectional study","volume":"11","author":"Cocchetti","year":"2022","journal-title":"J Clin Med"},{"key":"R7-20251210","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1186\/1471-2458-14-784","article-title":"Increase in condom use and decline in prevalence of sexually transmitted infections among high-risk men who have sex with men and transgender persons in Maharashtra, India: Avahan, the India AIDS initiative","volume":"14","author":"Ramanathan","year":"2014","journal-title":"BMC Public Health"},{"key":"R8-20251210","doi-asserted-by":"crossref","first-page":"366","DOI":"10.3390\/brainsci12030366","article-title":"Substance use in the transgender population: A meta-analysis","volume":"12","author":"Cotaina","year":"2022","journal-title":"Brain Sci"},{"key":"R9-20251210","doi-asserted-by":"crossref","first-page":"e0262990","DOI":"10.1371\/journal.pone.0262990","article-title":"Increased prevalence of transfusion-transmitted diseases among people with tattoos: A systematic review and meta-analysis","volume":"17","author":"Lim","year":"2022","journal-title":"PLoS One"}],"container-title":["Indian Journal of Sexually Transmitted Diseases and AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_39_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:00:17Z","timestamp":1787839217000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_39_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijstd.ijstd_39_25","relation":{},"ISSN":["2589-0557","2589-0565"],"issn-type":[{"value":"2589-0557","type":"print"},{"value":"2589-0565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-02-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}