Mapping Community-Engaged Implementation Strategies with Transgender Scientists, Stakeholders, and Trans-Led Community Organizations
Current HIV/AIDS Reports,
Год журнала:
2023,
Номер
20(3), С. 160 - 169
Опубликована: Апрель 4, 2023
Pre-exposure
prophylaxis
(PrEP)
represents
one
of
the
most
effective
methods
prevention
for
HIV,
but
remains
inequitable,
leaving
many
transgender
and
nonbinary
(trans)
individuals
unable
to
benefit
from
this
resource.
Deploying
community-engaged
PrEP
implementation
strategies
trans
populations
will
be
crucial
ending
HIV
epidemic.
While
studies
have
progressed
in
addressing
pertinent
research
questions
about
gender-affirming
care
at
biomedical
clinical
levels,
on
how
best
implement
systems
social,
community,
structural
levels
outstanding.
The
science
build
must
more
fully
developed.
Most
published
with
people
report
outcomes
rather
than
processes,
out
important
lessons
learned
design,
integrate,
tandem
care.
expertise
scientists,
stakeholders,
trans-led
community
organizations
is
essential
building
systems.
Язык: Английский
Structural and Psychosocial Syndemic Conditions and Condomless Anal Intercourse Among Transgender Women — National HIV Behavioral Surveillance Among Transgender Women, Seven Urban Areas, United States, 2019–2020
MMWR Supplements,
Год журнала:
2024,
Номер
73(1), С. 21 - 33
Опубликована: Янв. 23, 2024
Psychosocial
and
structural
syndemic
conditions,
including
polydrug
use
experiencing
homelessness,
frequently
co-occur
might
jointly
increase
HIV
risk.
Limited
studies
have
assessed
racial
ethnic
differences
in
exposure
to
conditions
behaviors
associated
with
transmission
among
transgender
women.
This
report
examines
the
relation
between
condomless
anal
intercourse
(CAI)
women
seven
urban
areas
United
States
develop
prevention
interventions
for
During
2019-2020,
were
recruited
using
respondent-driven
sampling
a
biobehavioral
survey.
Reported
(psychosocial:
use,
sexual
violence,
psychological
distress;
structural:
incarceration,
exchange
sex)
summed
create
score.
Using
modified
Poisson
regression
account
RDS,
study
whether
strength
of
association
score
CAI
differed
by
race
ethnicity.
To
assess
additive
interaction,
relative
excess
prevalence
owing
interaction
(REPI)
95%
CIs
selected
pairs
on
stratified
ethnicity
estimated.
Of
1,348
(Black
=
546,
White
176,
Hispanic
626),
55%
reported
CAI;
24%
≥3
conditions.
Reporting
additional
was
White,
Hispanic,
Black
participants.
The
significantly
stronger
than
significant
superadditive
interactions
found,
although
majority
Racial
REPI
estimates
observed.
more
increased
across
groups,
demonstrating
that
efforts
should
address
psychosocial
Results
ethnicity,
indicating
syndemic-focused
be
tailored
groups.
Язык: Английский
Peer-Led Adjunctive Interventions for Increasing the Reach of HIV Prevention and Care Interventions to Latino/x/e Men Who Have Sex with Men: a Scoping Review
Current HIV/AIDS Reports,
Год журнала:
2025,
Номер
22(1)
Опубликована: Янв. 7, 2025
Abstract
Purpose
of
Review
Latino/x/e
men
who
have
sex
with
(LMSM)
in
the
United
States
are
disproportionately
affected
by
HIV.
Peer-led
adjunctive
interventions
show
promise
for
enhancing
engagement
HIV
prevention
and
care
among
LMSM,
but
their
effectiveness
implementation
remain
underexplored.
This
scoping
review
aimed
to
map
existing
evidence
on
peer-led
interventions,
identify
gaps,
inform
future
research
LMSM.
Recent
Findings
We
followed
PRISMA-ScR
guidelines,
covering
literature
from
2011
2022,
using
Covidence
systematic
screening
data
extraction.
Articles
were
categorized
intervention
aspects
like
delivery
methods,
outcomes,
translational
phases,
theory-informed
approaches,
cultural
adaptation
levels.
The
search
yielded
613
records,
22
meeting
eligibility
criteria,
including
17
unique
interventions.
Interventions
delivered
individually
(57%),
groups
(30%),
couples
(4%),
via
public
campaigns
(4%).
Outcomes
included
testing
uptake
(74%),
treatment
linkage
(39%),
PrEP
(22%),
PEP
Translational
phases
formative
pilot
(26%),
efficacy
(22%).
Cultural
adaptations
surface
(22%)
deep
(13%).
Summary
indicate
diverse
though
many
early
stages
development.
Further
is
needed
move
these
along
pathway
enhance
health
impact.
Язык: Английский
Factors associated with placement along the HIV prevention and care continuum among sexual minority men who use methamphetamine
AIDS Care,
Год журнала:
2025,
Номер
unknown, С. 1 - 9
Опубликована: Март 12, 2025
Methamphetamine
use
among
sexual
minority
men
(SMM)
has
been
associated
with
poor
ART
adherence,
and
reduced
initiation
adherence
to
PrEP.
From
May
2021
2023,
226
SMM
were
enrolled
in
Getting
Off,
a
culturally
responsive
smartphone
application
reduce
methamphetamine
improve
health.
Using
status-neutral
approach,
an
ordinal
variable
reflected
participants'
placement
on
the
HIV
Prevention/Care
Continuum,
from
HIV-positive,
not
taking
ART,
HIV-negative,
currently
An
logistic
model
was
structured
identify
factors
Continua.
Of
99
at
risk
of
HIV,
57.6%
had
test
within
three
months.
The
majority
(n
=
77;
77.8%)
heard
PrEP,
whom
only
28
(36.4%)
Among
127
(56.2%)
participants
61
(48.0%)
viral
load
testing
last
months,
48
(37.8%)
virally
suppressed.
With
demographics,
social
determinants
health,
substance
use/sexual
behaviors
controlled,
those
post-graduate
education
more
likely
have
higher
Continua
(OR
2.12,
P
0.011).
STI
past
12
months
correlated
lesser
0.57;
0.045).
Neither
disorder
nor
readiness
change
placement.
Язык: Английский
The Situated Vulnerabilities and Resiliencies Framework: a call for integrated strategies to address global HIV inequities for transgender, non-binary, and gender diverse populations
The Lancet HIV,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 1, 2025
Язык: Английский
Stigma, social and structural vulnerability, and mental health among transgender women: A partial least square path modeling analysis
Journal of Nursing Scholarship,
Год журнала:
2023,
Номер
56(1), С. 42 - 59
Опубликована: Май 16, 2023
Abstract
Introduction
Existing
literature
suggests
that
transgender
women
(TW)
may
be
at
high
risk
for
adverse
mental
health
due
to
stress
attributed
combined
experiences
of
stigma
and
complex
social
structural
vulnerabilities.
Little
research
has
examined
how
these
co‐occurring
relate
health.
We
aimed
test
a
theoretically
driven
conceptual
model
relationships
between
stigma,
vulnerabilities,
inform
future
intervention
tailoring.
Design/Methods
Partial
least
square
path
modeling
followed
by
response‐based
unit
segmentation
was
used
identify
homogenous
clusters
in
diverse
community
sample
United
States
(US)‐based
TW
(
N
=
1418;
46.2%
White
non‐Hispanic).
This
approach
associations
latent
constructs
(polyvictimization
discrimination),
vulnerabilities
(housing
food
insecurity,
unemployment,
sex
work,
support,
substance
use),
(post‐traumatic
psychological
distress).
Results
The
final
defined
the
relationship
variables
interest
within
vulnerability,
Six
were
identified
this
framework
which
racism,
ethnicism,
geography
related
inequities
among
TW.
Conclusion
Our
findings
around
impact
reflect
existing
literature,
unfortunately
shows
us
little
change
occurred
last
decade
color
Southern
US;
however,
strength
our
evidence
(related
sampling
structure
size)
type
analyses
(accounting
predictors
health,
i.e.,
reflecting
real‐world
patients)
is
novel
necessary
addition
literature.
Findings
suggest
interventions
designed
offset
negative
effects
must
include
anti‐racist
approaches
with
components
reduce
or
eliminate
barriers
resources
contribute
Herein
we
provide
detailed
recommendations
guide
primary,
secondary,
tertiary
prevention
efforts.
Clinical
Relevance
study
demonstrated
importance
considering
during
clinical
care
design
who
are
experiencing
post‐traumatic
disorder
distress.
Specifically,
should
take
an
would
benefit
from
incorporating
support‐building
activities.
Язык: Английский
What will it take to get to the heart of stigma in the context of HIV?
Journal of the International AIDS Society,
Год журнала:
2022,
Номер
25(S1)
Опубликована: Июль 1, 2022
More
than
40
years
into
the
global
HIV
pandemic,
we
are
still
grappling
with
HIV-related
stigma
and
its
intersections
other
marginalized
identities,
health
conditions
social
practices.
stigma,
conceptualized
as
devaluing,
mistreatment
constrained
access
to
power
opportunities
experienced
by
people
living
associated
HIV,
remains
a
critical
concern
inhibiting
response
[1].
Indeed,
UNAIDS
Global
AIDS
Strategy
explicitly
describes
goal
that
"people
key
populations
at
risk
of
enjoy
human
rights,
equality
dignity,
free
discrimination"
realize
optimal
outcomes
[2].
The
inclusion
commitments
towards
eliminating
discrimination
within
Political
Declaration
agreed
2021
United
Nations
High-Level
Meeting
on
HIV/AIDS
for
first
time
also
signals
conducive
political
environment
action
scale
[3].
is
now
renew
innovate
responses
including
taking
steps
needed
ensure
an
enabling
policy
environment.
Reducing
alleviating
harmful
effects
essential
ingredient
any
effective
national
response.
Approaches
can
be
informed
focus
agency
intersectionality,
which
may
understood
"discourse
about
identity
acknowledges
how
identities
constructed
through
intersection
multiple
dimensions"
[4]
captures
complexities
power.
Contextual
differences
significant,
evident
from
work
Partnership
Action
Eliminate
all
forms
HIV-Related
Stigma
Discrimination,
it
useful
understanding
where
manifests
itself
in
specific
settings
diverse
communities
different
geographies
[5].
To
succeed
reducing
or
effects,
efforts
must
remain
situated
firmly
increased
rights
realization
most
affected
HIV.
Research
focuses
processes
their
impacts
attend
ways
exert
individual
collective
resist
dismantle
form
solidarity.
A
dual
stigma's
harms
navigate
avoid
perpetrating
binary
simplistic
notions
powerlessness,
vulnerability
passivity,
instead
calls
attention
nuances
fluidity
dynamics
[6].
"whole"
selves
intersectionality
theory
take
account
interlocking
systems
oppression—including
[7,
8].
could
learned
sectors
regarding
understand
address
ecologies
resilience
[9,
10],
activism
[11]
civic
engagement
[12],
community
mobilization
[13],
impact
[14],
peer
support
solidarity
among
persons
[15],
self-efficacy
[16].
This
Supplement
Getting
heart
across
continuum
care
aims
draw
intersecting
prevention
continuum.
articles
contribute
consolidating
evidence
base
provide
state-of-the
field
update
latest
concepts,
innovative
research
methods
strategies
reduce
and/or
ameliorate
effects.
Articles
cover
variety
lived
experiences
stigma;
times,
include
examples
resilience,
good
practice
leadership.
Language
important,
authors
whose
published
this
have
been
encouraged
follow
terminology
guidance
adopt
person-centred
language,
such
avoiding
acronyms
using
language
puts
person
(see,
e.g.,
People
First
Charter).
used
fact
result
changes
engage
healthcare
encounters
[17].
Several
papers
important
methodological
insights
co-creation
co-production
knowledge,
groups
(see
Brown
et
al.
[18],
Gamarel
[19],
Tun
[20]
Collier
[21]).
partnership
model
between
researchers
knowledge
increasingly
influencing
reflected
some
studies
Supplement.
Such
approaches
foster
production
greater
change
led
more
grounded
experiences.
It
our
hope
informs
ultimately
improving
quality
life
Studies
issue
examine
cascade.
For
instance,
Hargreaves
[22]
explore
association
incidence
nestled
study
PopART
trials
Zambia
South
Africa.
They
found
no
trials,
suggesting
new
infections
improve
treatment
programmes
fail
if
considered
isolation
not
complemented
holistic
approach.
In
another
paper,
Atkins
[23]
evaluated
factor
structure
pre-exposure
prophylaxis
(PrEP)-related
part
larger
prospective
cohort
nested
Kenya's
Jilinde
programme.
identified
four
dimensions
PrEP-related
demonstrated
strong
internal
consistency,
was
positively
correlated
depressive
symptoms
negatively
uptake
services.
Prevention
cascade
should
consider
PrEP
alongside
barriers.
Other
Johnson-Peretz
[24]
schools
rural
Africa
potential
sites
young
people.
Authors
apply
life-course
framework
stage
transition,
finding
were
already
engaged
manage
own
healthcare,
while
refusing
internalize
becoming
invested
responsibility
own,
families'
health.
[21]
multi-dimensional
Kaposi's
sarcoma
Kenya.
HIV-related,
cancer-related
skin
disease-related
better
mixed-methods
both
cancer.
broader
structural
determinants
health,
poverty.
Logie
[25]
examined
food
housing
insecurity
drivers
present
findings
longitudinal
women
Canada,
resource
scarcities
linked
stigma.
paper
Pollack
[26]
looks
Vietnam,
demonstrate
effectiveness
multi-pronged
facility-level
intervention.
Nyblade
[27]
suggest
order
get
"heart
stigma,"
respond
targeting
sexual
gender
diversity,
non-siloed
approach
training
providers.
Connecting
practical
biases
system,
discusses
curriculum
adaptation
total
facility
reduction.
From
perspective,
transgender
men
Nigeria
discuss
provider
awareness
of,
respect
delivery
services
Nigerian
women.
Peer-support
leadership
challenging
researching
contributing
robust
what
works
Makoni
[28]
importance
community-led
monitoring
promoting
accountability
meet
needs
spectrum
Zimbabwe.
al.'s
[19]
commentary
proposes
status-neutral
trans
States.
argue
although
interventions
focused
antiretroviral
therapy
adherence
will
continue
benefit
communities,
these
"status-segregated"
perpetuate
oppression
those
need
programmes.
segregating
disrupts
organic
close
kinship
structures,
conclude
calling
funders
develop
mechanisms
development
testing
interventions.
[18]
innovation
thinking
considers
addressing
scale.
adopting
perspective
tackle
via
Meaningful
Involvement
highlighting
challenges
demonstrating
includes
review
conceptual
frameworks
measures
evaluate
recommendations
scales
robustly
measure
track
over
time.
Ferguson
[29]
systematic
highlight
gaps
diversity
existing
Finally,
Golub
Fiskin's
[30]
suggests
practitioners
failed
fully
specify
service
implementation
reinforce
inequity.
Taken
together,
offer
insight
range
conditions,
stages
shape
provides
wide-ranging
methodologies,
qualitative,
quantitative,
mapping
reviews,
employed
generate
complexity
requires
methods,
impacted
factors
translate
advance
equity.
acknowledge
Tessa
Oraro-Lawrence
Kasoka
IAS,
partners
contribution
declare
competing
interests.
Editorial
LSM,
CL
AC.
LSM
wrote
draft
Editorial.
AC
FR
reviewed
contributed
additional
material.
All
revised
before
final
submission.
supported
Bill
Melinda
Gates
Foundation,
Investment
number
INV-004364.
Язык: Английский
Not the Mobile Van! Antiretroviral Delivery Preferences Among Young Black Sexual Minority Men Along a Status-Neutral HIV Care Continuum
Sexuality Research and Social Policy,
Год журнала:
2024,
Номер
unknown
Опубликована: Июль 19, 2024
Язык: Английский
Patterns of HIV treatment preferences among people with diverse demographic, social, and behavioral characteristics who are living with HIV in the United States
JAIDS Journal of Acquired Immune Deficiency Syndromes,
Год журнала:
2024,
Номер
97(4), С. 344 - 352
Опубликована: Авг. 15, 2024
Background:
New
dosage
form
and
frequency
options
may
improve
HIV
treatment
outcomes
reduce
disparities
in
access
use.
Methods:
People
with
the
United
States
completed
a
demographic
discrete
choice
experiment
survey
of
preference
for
13
hypothetical
options:
daily
weekly
oral
tablets;
1-,
3-,
or
6-monthly
injections
by
self
health
care
provider
(HCP);
yearly
implant;
combinations.
Best-Worst
Scaling
latent
class
model
were
used
to
analyze
overall
choices
groups
individuals
similar
patterns
preferences;
also
predicted
uptake
products.
Results:
Among
diverse
829
respondents,
tablets
an
HCP
significantly
more
favored
than
tablets.
Convenience
being
tired
taking
pills
top
drivers
responses.
Latent
analysis
identified
4
respondents
distinct
patterns;
approximately
two-thirds
belonged
strongly
preferring
products
other
The
modelled
pill,
implant,
injection,
3-monthly
24%,
18%,
11%,
respectively.
Conclusions:
Patterns
medication
can
inform
development
new
forms
therapy
because
majority
patients
do
not
prefer
currently
most
available
option
Looking
beyond
population-level
preferences
into
people
increases
ability
develop
patient-centered
fill
gaps
increase
effectiveness.
Язык: Английский
A commentary on forging a path for CHANGE: culturally focused HIV training for the next generation in pursuit of equity
Critical Public Health,
Год журнала:
2024,
Номер
34(1), С. 1 - 23
Опубликована: Дек. 10, 2024
Training
programs
focused
on
developing
the
next
generation
of
scholars
with
expertise
in
HIV
and
mental
health
are
crucial
for
advancing
equity
cultivating
a
diverse
workforce
by
supporting
individuals
lived
experience
strong
commitment
to
serving
underserved
communities.
However,
disparities
persist
workforce,
particularly
inclusion
professionals
typically
underrepresented
research.
The
aim
this
commentary
is
explore
strengths
challenges
NIMH-funded
training
program
(T32),
Culturally
Advancements
through
Next
Generation
Equity
(CHANGE),
at
University
Miami,
goal
providing
series
general
recommendations.
excels
leveraging
Miami's
unique
context,
recruiting
cohort
trainees
committed
addressing
inequities,
delivering
tailored
curriculum,
leadership
mentorship
networks
trainees.
Additional
opportunities
that
attract
minoritized
realize
their
vision
include
further
increasing
research,
expanding
federal
funding
institutional
investment
programs,
continuing
combat
systemic
fostering
culturally-sensitive
training,
building
upon
existing
resources
provide
trauma-informed
support
acknowledges
addresses
unique,
intersectional,
historical
trauma
experienced
We
close
calls
action
spanning
institutional,
community,
policy
levels,
urging
scientists
decision-makers
actively
address
diversifying
equity,
creating
inclusive
environments.
Язык: Английский