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