Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Июль 31, 2023
Abstract
Introduction
Social
networks
contribute
to
normative
reinforcement
of
HIV
prevention
strategies,
knowledge
sharing,
and
social
capital,
but
little
research
has
characterized
the
transgender
women
(TW)
in
Latin
America.
We
conducted
a
mixed
methods
analysis
three
network
clusters
TW
Lima,
Peru,
evaluate
composition,
types
support
exchanged,
patterns
communication.
Methods
recruited
residing
or
affiliated
with
“
casas
trans
”
(houses
shared
among
TW)
Lima
between
April-May
2018.
Eligible
participants
were
18
older,
self-reported
HIV-negative,
reported
recent
intercourse
cis-male
partner.
Participants
completed
demographic
questionnaires,
interviews,
semi-structured
interviews
assess
egocentric
structures,
communication
patterns.
Quantitative
qualitative
data
analyzed
using
Stata
v14.1
Atlas.ti,
respectively.
Results
Of
20
TW,
median
age
was
26
years
100%
involvement
commercial
sex
work.
Respondents
identified
161
individuals
they
interacted
past
month
(alters),
whom
33%
52%
family
members.
70%
respondents
receiving
emotional
from
family,
while
30%
received
financial
instrumental
family.
13
(65%)
who
nominated
someone
as
source
(HPS),
majority
(69%)
other
TW.
In
GEE
regression
adjusted
for
respondent
education
region
birth,
being
member
associated
lower
likelihood
providing
(aOR
0.21,
CI
0.08–0.54),
0.16,
0.06–0.39),
HPS
0.18,
0.05–0.64).
most
cis-female
their
trusted
closest
member,
more
often
considered
sources
day-to-day
support,
including
HPS.
Conclusion
have
diverse
where
are
key
sharing
members
may
also
represent
important
influential
components.
Within
these
complex
networks,
selectively
solicit
provide
different
alters
according
specific
contexts
needs.
messaging
could
consider
incorporating
network-based
interventions
community
input
outreach
efforts
supportive
Abstract
Background
Transgender
women
are
disproportionately
affected
by
both
HIV
and
gender-based
violence
(GBV),
defined
as
physical,
sexual,
or
emotional
perpetrated
against
an
individual
based
on
their
gender
identity/expression.
While
a
growing
body
of
evidence
demonstrates
that
GBV
leads
to
poor
care
treatment
outcomes
among
cisgender
women,
less
research
has
examined
this
association
transgender
women.
We
assessed
the
impact
lifetime
experiences
subsequent
retention
in
laboratory
confirmed
viral
suppression
sample
living
with
(TWH)
Brazil.
Methods
A
pilot
trial
peer
navigation
intervention
improve
TWH
was
conducted
São
Paulo,
Brazil
between
2018
2019.
were
recruited
randomized
into
control
arm
participated
baseline
9-month
follow-up
survey
ongoing
extraction
clinical
visit,
prescribing,
data.
Generalized
linear
model
regressions
Poisson
distribution
estimated
relative
risk
(RR)
for
physical
sexual
reported
at
(retention
suppression)
follow-up,
adjusting
sociodemographic
characteristics.
Results
total
113
study.
At
baseline,
median
age
30
years,
prevalence
62%
45%,
respectively.
58%
(
n
=
66/113)
retained
35%
40/113)
had
suppression.
In
adjusted
models,
non-significantly
associated
10%
reduction
(aRR:
0.90,
95%
CI:
0.67,
1.22)
31%
0.69;
0.43,
1.11).
Lifetime
28%
0.72,
0.52,
1.00)
significantly
56%
0.44;
0.24,
0.79).
Conclusion
Our
findings
first
demonstrate
over
time
Interventions
seeking
should
assess
address
population.
Trial
registration
ClinicalTrials.gov
Identifier:
NCT03525340.
Current Opinion in Infectious Diseases,
Год журнала:
2023,
Номер
unknown
Опубликована: Дек. 5, 2023
Purpose
of
review
Community
engagement
is
key
to
the
success
sustainable
public
health
interventions.
This
highlights
recent
published
studies
that
describe
use
community-engaged
methods
in
sexually
transmitted
infection
(STI)
prevention
research.
Recent
findings
We
organized
using
a
socio-ecological
model.
At
individual
level,
communities
were
engaged
through
participation
formative
research,
short-term
consultations
and
community
advisory
board
participation,
as
well
co-creation
activities.
interpersonal
reviewed
described
peer-led
interventions
leverage
influence
guidance
peers,
patient-led
form
patient
navigation
notification,
those
mobilize
social
networks
power
relationships
promote
health.
organizational
multisectoral,
multifacility
collaborations
between
community,
government,
academic
stakeholders
highlighted.
policy
population
dialogues
disseminate
research
findings,
developing
strategic
frameworks
clinical
guidelines.
Digital
tools
have
also
been
leveraged
for
effective
engagement.
Summary
Communities
an
role
play
STI
can
be
at
multiple
levels.
Future
efforts
may
consider
highlighted
this
review,
including
digital
technologies
potential
reach
more
diverse
end-users.
Midlife,
beginning
at
40
years
and
extending
to
65
years,
a
range
that
encompasses
the
late
reproductive
menopausal
stages,
is
unique
time
in
women’s
lives,
when
hormonal
physical
changes
are
often
accompanied
by
psychological
social
evolution.
Access
sexual
health
well-being
(SHSW)
services,
which
include
prevention
management
of
sexually
transmitted
infections,
contraception
support
function,
pleasure
safety,
important
for
midlife
women,
their
relationships
community
cohesion.
The
objective
was
use
socio-ecological
model
synthesise
barriers
enablers
SHSW
services
women
high-income
countries.
A
systematic
review
(including
trans-gender
non-binary
people)
aged
40–65
accessing
countries
undertaken.
Four
databases
(PubMed,
PsycINFO,
Web
Science
Google
Scholar)
were
searched
peer-reviewed
publications.
Findings
thematically
extracted
reported
narrative
synthesis.
Eighty-one
studies
included;
minority
specifically
set
out
study
care
women.
key
emerged
intersecting
disadvantage
under-served
groups,
poor
knowledge,
about
SHSW,
among
healthcare
professionals
(HCPs),
over-arching
effect
stigma,
connections
factors
on
access
care.
Enablers
included
intergenerational
learning,
interdisciplinary
one-stop
women-only
integration
into
other
peer
programmes,
representation
minoritised
working
local
free
facilities
financial
incentives
groups.
Efforts
needed
enhance
education
related
providers.
This
increased
should
be
leveraged
improve
research,
public
messaging,
interventions,
policy
development
comprehensive
especially
from
underserved
PLOS Global Public Health,
Год журнала:
2023,
Номер
3(9), С. e0001395 - e0001395
Опубликована: Сен. 27, 2023
Transgender
women
[TGW]
in
Colombia
are
disproportionately
affected
by
HIV
due
to
their
low
sociodemographic
conditions,
varied
risk
behaviours,
difficulty
accessing
health
services,
and
discrimination.
Offering
pre-exposure
prophylaxis
[PrEP]
as
part
of
a
combination
prevention
strategies
is
an
appropriate
option
for
this
population
reduce
infection.
However,
little
known
about
how
implement
PrEP
program
TGW
Colombia.
Between
June
October
2020,
we
conducted
individual
interviews
with
16
from
four
different
cities
The
assessed
contextual
influences,
knowledge,
skills,
perceptions,
beliefs.
We
used
qualitative
thematic
analysis
identify
themes
the
Capability,
Opportunity,
Motivation,
Behavior
framework
further
delineate
barriers
possible
interventions.
After
delineating
main
across
three
subdomains
model,
nine
were
identified:
one
related
capability,
perception
PrEP;
six
opportunity,
which
includes,
family
relations,
sexual
work
environment,
stable
partner
interactions
healthcare
workers,
service
provision,
community
opportunities;
two
motivation,
mental
health,
concerns
medication
side
effects.
Mapping
interventions
generated
following
intervention
functions:
education,
training,
enablement,
environmental
structure;
policy
communication/marketing,
legislation,
changes
provision.
Examples
presented
discussed.
Cadernos de Saúde Pública,
Год журнала:
2023,
Номер
39(4)
Опубликована: Янв. 1, 2023
Travestis
and
transgender
women
(TrTGW)
constitute
the
groups
with
highest
HIV
prevalence
in
world,
higher
probability
of
infection
compared
general
population
lower
adherence
to
prevention
treatment
strategies
than
other
vulnerable
groups.
Considering
these
challenges,
this
study
describes
factors
associated
retention
TrTGW
TransAmigas
project.
Participants
were
recruited
from
April
2018
September
2019
a
public
health
service
São
Paulo,
Brazil.
A
total
113
randomly
assigned
either
peer
navigation
intervention
(75)
or
control
group
(38)
followed
up
for
nine
months.
To
analyze
association
between
selected
variables
outcome
(“retention
at
months”,
regardless
contact
three
months,
defined
by
“full
completion
final
questionnaire”),
bivariate
multivariate
logistic
regression
models
used.
Peer
forms
qualitatively
assessed
validate
complement
previous
selection
quantitative
component
variables.
Of
participants,
79
(69.9%)
participated
interview
after
which
54
(72%)
25
(66%)
group.
In
model,
months
(adjusted
odds
ratio
-
aOR
=
6.15;
95%
confidence
interval
95%CI:
2.16-17.51)
schooling
level
(≥
12
years)
(aOR
3.26;
1.02-10.42)
remained
outcome,
adjusted
race/skin
color,
age
≤
35
years,
serostatus
disclosure.
Future
studies
should
include
regular
intervals,
additional
efforts
aimed
participants
level.
LGBT Health,
Год журнала:
2023,
Номер
11(3), С. 229 - 238
Опубликована: Ноя. 1, 2023
Purpose:
We
assessed
whether
anticipated
stigma
(i.e.,
fear
of
public
mistreatment
due
to
gender
identity)
impacts
communication
between
transgender
women
(TGW)
living
with
HIV
and
health
care
providers.
Abstract
Introduction
Social
networks
contribute
to
normative
reinforcement
of
HIV
prevention
strategies,
knowledge
sharing,
and
social
capital,
but
little
research
has
characterized
the
transgender
women
(TW)
in
Latin
America.
We
conducted
a
mixed
methods
analysis
three
network
clusters
TW
Lima,
Peru,
evaluate
composition,
types
support
exchanged,
patterns
communication.
Methods
recruited
residing
or
affiliated
with
“
casas
trans
”
(houses
shared
among
TW)
Lima
between
April-May
2018.
Eligible
participants
were
18
older,
self-reported
HIV-negative,
reported
recent
intercourse
cis-male
partner.
Participants
completed
demographic
questionnaires,
interviews,
semi-structured
interviews
assess
egocentric
structures,
communication
patterns.
Quantitative
qualitative
data
analyzed
using
Stata
v14.1
Atlas.ti,
respectively.
Results
Of
20
TW,
median
age
was
26
years
100%
involvement
commercial
sex
work.
Respondents
identified
161
individuals
they
interacted
past
month
(alters),
whom
33%
52%
family
members.
70%
respondents
receiving
emotional
from
family,
while
30%
received
financial
instrumental
family.
13
(65%)
who
nominated
someone
as
source
(HPS),
majority
(69%)
other
TW.
In
GEE
regression
adjusted
for
respondent
education
region
birth,
being
member
associated
lower
likelihood
providing
(aOR
0.21,
CI
0.08–0.54),
0.16,
0.06–0.39),
HPS
0.18,
0.05–0.64).
most
cis-female
their
trusted
closest
member,
more
often
considered
sources
day-to-day
support,
including
HPS.
Conclusion
have
diverse
where
are
key
sharing
members
may
also
represent
important
influential
components.
Within
these
complex
networks,
selectively
solicit
provide
different
alters
according
specific
contexts
needs.
messaging
could
consider
incorporating
network-based
interventions
community
input
outreach
efforts
supportive
