high-risk behaviors in sex-reassigned trans-sexual people in tehran, iran

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.