160 lines
5.4 KiB
YAML
160 lines
5.4 KiB
YAML
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abstract: 'BackgroundIn the U.S., transgender and gender diverse (TGD) populations
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face structural, interpersonal, and individual barriers to healthcare.
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Less is known, however, about the HIV prevention and treatment
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experiences of TGD youth in the U.S. The current study was developed to
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fill this research gap.MethodsThis article describes the research
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protocol for a multi-site, U.S.-based mixed-methods study that sought to
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identify the multi-level facilitators and barriers that influence
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participation of TGD youth in various stages of the HIV prevention
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(e.g., pre-exposure prophylaxis uptake) and care continua. A sample of
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diverse TGD youth ages 16-24 was recruited from 14U.S. sites. TGD youth
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participants completed a one-time, in-person visit that included an
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informed consent process, computer-based quantitative survey, and
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in-depth qualitative interview assessing experiences accessing HIV
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prevention and/or care services. Providers serving TGD youth were
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recruited from the same 14 sites and completed a one-time visit via
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phone that included informed consent, demographic questionnaire, and
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in-depth qualitative interview assessing their experiences providing HIV
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prevention or treatment services to TGD youth.ResultsOverall, 186 TGD
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youth ages 16-24 and 59 providers serving TGD youth were recruited and
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enrolled from across the 14U.S. sites. TGD youth participants had a mean
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age of 20.69; 77.3\% youth of color; 59.7\% trans-feminine; 15.5\%
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trans-masculine; 24.9\% non-binary; 53.6\% family income under poverty
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level. Providers included medical and mental health providers as well as
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case manager/care coordinators, HIV test counselors, and health
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educators/outreach workers. Providers were 81.3\% cisgender and 30.5\%
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people of color. Successes with community-engagement strategies and
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gender-affirming research methods are reported.ConclusionsThis study
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addresses critical gaps in current knowledge about the HIV prevention
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and care experiences of TGD youth. Findings have implications for the
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development of HIV interventions across levels to support the health and
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well-being of TGD youth. Future research is warranted to replicate and
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expand on lessons learned regarding recruitment and engagement of
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communities of TGD youth, including longitudinal designs to assess
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engagement across their developmental stages. Lessons learned working
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with TGD youth through developing and implementing the study protocol
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are shared.Trial registrationRegistered on ClinicalTrials.gov on
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05/20/2015 (NCT02449629).'
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affiliation: 'Jadwin-Cakmak, L (Corresponding Author), Univ Michigan, Sch Publ Hlth,
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Dept Hlth Behav \& Hlth Educ, 1415 Washington Hts, Ann Arbor, MI 48109 USA.
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Jadwin-Cakmak, Laura; Popoff, Elliot; Harper, Gary W., Univ Michigan, Sch Publ Hlth,
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Dept Hlth Behav \& Hlth Educ, 1415 Washington Hts, Ann Arbor, MI 48109 USA.
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Reisner, Sari L., Boston Childrens Hosp, Pediat, 300 Longwood Ave, Boston, MA 02115
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USA.
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Reisner, Sari L., Harvard Med Sch, 300 Longwood Ave, Boston, MA 02115 USA.
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Reisner, Sari L.; Salomon, Liz, Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, 677
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Huntington Ave, Boston, MA 02115 USA.
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Reisner, Sari L.; Hughto, Jaclyn M. W., Fenway Hlth, Fenway Inst, 1340 Boylston
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St, Boston, MA 02215 USA.
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Hughto, Jaclyn M. W., Brown Univ, Sch Publ Hlth, Dept Epidemiol, 121 South Main
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St, Providence, RI 02912 USA.
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Hughto, Jaclyn M. W., Brown Univ, Sch Publ Hlth, Dept Behav \& Social Sci, 121 South
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Main St, Providence, RI 02912 USA.
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Hughto, Jaclyn M. W., Brown Univ, Sch Publ Hlth, Ctr Hlth Equ Res, 121 South Main
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St, Providence, RI 02912 USA.
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Martinez, Miguel, Childrens Hosp Los Angeles, Ctr Transyouth Hlth \& Dev, 4650 Sunset
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Blvd,MS 2, Los Angeles, CA 90027 USA.
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Rivera, Bre Anne, Trans Sistas Color Project, 77 Victor St, Highland Pk, MI 48203
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USA.'
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article-number: '1531'
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author: Jadwin-Cakmak, Laura and Reisner, Sari L. and Hughto, Jaclyn M. W. and Salomon,
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Liz and Martinez, Miguel and Popoff, Elliot and Rivera, Bre Anne and Harper, Gary
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W.
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author-email: ljadwin@umich.edu
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author_list:
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- family: Jadwin-Cakmak
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given: Laura
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- family: Reisner
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given: Sari L.
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- family: Hughto
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given: Jaclyn M. W.
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- family: Salomon
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given: Liz
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- family: Martinez
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given: Miguel
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- family: Popoff
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given: Elliot
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- family: Rivera
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given: Bre Anne
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- family: Harper
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given: Gary W.
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da: '2023-09-28'
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doi: 10.1186/s12889-019-7605-4
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eissn: 1471-2458
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files: []
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journal: BMC PUBLIC HEALTH
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keywords: 'Transgender; HIV prevention; HIV care continuum; Adolescent; Young
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adult; Mixed methods'
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keywords-plus: 'SEXUAL RISK BEHAVIORS; MENTAL-HEALTH; TRANSMITTED INFECTIONS; DEPRESSIVE
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SYMPTOMS; MINORITY STRESS; SOCIAL STRESS; SUBSTANCE USE; FEMALE YOUTH;
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GAY; PREVALENCE'
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language: English
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month: NOV 15
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number: '1'
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number-of-cited-references: '69'
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orcid-numbers: Jadwin-Cakmak, Laura/0000-0001-5744-9632
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papis_id: d20ea9a5b6d736130001d5a39a7de1de
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ref: Jadwincakmak2019hivprevention
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researcherid-numbers: 'Hughto, Jaclyn White/GNH-6189-2022
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'
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times-cited: '9'
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title: 'HIV prevention and HIV care among transgender and gender diverse youth: design
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and implementation of a multisite mixed-methods study protocol in the US'
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type: Article
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unique-id: WOS:000497732700002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '7'
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volume: '19'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2019'
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