wow-inequalities/02-data/intermediate/wos_sample/f933184fc378f01883dd7f774d229457-mayo-wilson-larissa/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background Transgender women ({''''}trans women{''''}), particularly
African-American and Latina trans women, have disproportionately high
prevalence of HIV in the United States (U.S.). In order to decrease
gender dysphoria and overcome discrimination, trans women affirm their
gender through social and medical transition, often in contexts of
economic hardship and sexual risk. This study qualitatively examined how
gender-affirming behaviors enhance or diminish vulnerability to HIV in
light of structural and economic barriers to gender transition. Methods
We conducted individual interviews with 19 adult trans women in two U.S.
cities (Richmond, VA and St. Louis, MO) who reported one or more sexual
risk behaviors and recent economic hardship related to
employment/income, housing, or food security. Interviews were recorded,
transcribed, and analyzed using thematic content analysis. Results The
majority (74\%) of trans women were racial/ethnic minorities with mean
age of 26.3 years. Gender-affirming behaviors varied with 58\% of trans
women having legally changed their name and gender marker; 79\% having
initiated hormone therapy; and 11\% having not initiated any medical or
legal changes. None had undertaken surgical changes. Findings suggested
that the process of gender transitioning resulted in both increasing and
decreasing HIV risk. The high need for gender affirmation by male sex
partners contributed to trans women''s exposure to sexual
objectification, sexual risk behaviors, and conflicting interests in HIV
prevention messaging. Loss of housing and employment due to transition
along with the high costs of transition products and medical visits
increased reliance on sex work and created new obstacles in accessing
HIV services. Trans women experienced lower HIV risk as they acquired
legal and medical transition services, reshaped interactions with sex
partners, and received gender-affirming support by others, including
health providers, employers, peers, and housing professionals. Sexual
abstinence was viewed as a negative consequence of incomplete
transition, although characterized as a period of low HIV risk.
Conclusions Structural and policy initiatives that promote safe gender
transition and economic stability in trans women may play a critical
role in reducing HIV in this population. Addressing the harmful
pressures for U.S. trans women to conform to perceived feminine
stereotypes may also serve an important role.'
affiliation: 'Mayo-Wilson, LJ (Corresponding Author), Indiana Univ, Ctr Sexual Hlth
Promot, Dept Appl Hlth Sci, Sch Publ Hlth, 1025 E 7th St, Bloomington, IN 47405
USA.
Mayo-Wilson, LJ (Corresponding Author), Johns Hopkins Bloomberg Sch Publ Hlth, Dept
Int Hlth, Social \& Behav Intervent Program, 615 N Wolfe St,Room E5038, Baltimore,
MD 21205 USA.
Mayo-Wilson, Larissa Jennings; Wagner, Sarah; Timbo, Fatmata, Indiana Univ, Ctr
Sexual Hlth Promot, Dept Appl Hlth Sci, Sch Publ Hlth, 1025 E 7th St, Bloomington,
IN 47405 USA.
Mayo-Wilson, Larissa Jennings, Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth,
Social \& Behav Intervent Program, 615 N Wolfe St,Room E5038, Baltimore, MD 21205
USA.
Benotsch, Eric G.; Sawyer, Ashlee N.; Smout, Shelby A., Virginia Commonwealth Univ,
Dept Psychol, 806 West Franklin St, Richmond, VA 23284 USA.
Grigsby, Sheila; Cathers, Lauretta, Univ Missouri, Coll Nursing, 221 NAB South Campus,Univ
Blvd, St Louis, MO 63121 USA.
Poteat, Tonia, Univ N Carolina, Dept Social Med, CB 7240, Chapel Hill, NC 27516
USA.
Zimmerman, Rick S., Louisiana State Univ Hlth New Orleans, Sch Nursing, 1900 Gravier
St,Room 5B14, New Orleans, LA 70112 USA.'
article-number: '782'
author: Mayo-Wilson, Larissa Jennings and Benotsch, Eric G. and Grigsby, Sheila and
Wagner, Sarah and Timbo, Fatmata and Poteat, Tonia and Cathers, Lauretta and Sawyer,
Ashlee N. and Smout, Shelby A. and Zimmerman, Rick S.
author-email: ljmayowi@iu.edu
author_list:
- family: Mayo-Wilson
given: Larissa Jennings
- family: Benotsch
given: Eric G.
- family: Grigsby
given: Sheila
- family: Wagner
given: Sarah
- family: Timbo
given: Fatmata
- family: Poteat
given: Tonia
- family: Cathers
given: Lauretta
- family: Sawyer
given: Ashlee N.
- family: Smout
given: Shelby A.
- family: Zimmerman
given: Rick S.
da: '2023-09-28'
doi: 10.1186/s12889-020-08902-3
eissn: 1471-2458
files: []
journal: BMC PUBLIC HEALTH
keywords: 'Transgender women; Housing; Employment; Economic; Qualitative; U; s;
HIV; Minority'
keywords-plus: RISK BEHAVIORS; SEX WORK; MEN; FRAMEWORK; HIV/STI; HEALTH; DRUGS
language: English
month: MAY 26
number: '1'
number-of-cited-references: '41'
papis_id: 36fb7e58a393d4015d74b10963106225
ref: Mayowilson2020combinedeffects
researcherid-numbers: 'Smout, Shelby/AHD-7847-2022
Sawyer, Ashlee/AAI-3584-2021'
times-cited: '18'
title: 'Combined effects of gender affirmation and economic hardship on vulnerability
to HIV: a qualitative analysis among US adult transgender women'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000537860400006
usage-count-last-180-days: '0'
usage-count-since-2013: '8'
volume: '20'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2020'