Young Transgender Women of Color: Homelessness, Poverty, Childhood Sexual Abuse and Implications for HIV Care.
This study describes a sample of HIV+ young transgender women of color aged 18–24 and their experience with homelessness as part of a demonstration project of engagement and retention in HIV medical care funded by Health Resources and Services Administration. The study engaged transgender women of c...
| Publicado en: | AIDS & Behavior Vol. 25; pp. 96 - 107 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jul2021 Supplement 1
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150748218&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150748218 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Jul2021 Supplement 1 vid: 25 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 150748218 150748218 150748218 10.1007/s10461-019-02753-9 150748218 ppf: 96 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Young Transgender Women of Color: Homelessness, Poverty, Childhood Sexual Abuse and Implications for HIV Care. aug: au: Eastwood, Elizabeth A. Nace, Amanda J. Hirshfield, Sabina Birnbaum, Jeffrey M. affil: Department of Health Policy, CUNY School of Public Health, 55 W. 125th St, 10027, New York, NY, USA sug: subj: HIV-Positive Persons Psychosocial Factors HIV-Positive Persons Psychosocial Factors Transgender Persons Psychosocial Factors Transgender Persons Psychosocial Factors African Americans Psychosocial Factors African Americans Psychosocial Factors Homelessness Psychosocial Factors Poverty Psychosocial Factors Child Abuse, Sexual Psychosocial Factors Consumer Participation Medical Care Financial Support Health Resource Utilization Administration Health Services Administration Human United States Adolescence Adult Mental Health Substance Use Disorders Sexuality Risk Taking Behavior Support, Psychosocial Friendship Descriptive Statistics Bivariate Statistics Sex Work Viral Load Depression Logistic Regression Models, Statistical Confidence Intervals Odds Ratio Adolescent: 13-18 years Adult: 19-44 years ab: This study describes a sample of HIV+ young transgender women of color aged 18–24 and their experience with homelessness as part of a demonstration project of engagement and retention in HIV medical care funded by Health Resources and Services Administration. The study engaged transgender women of color in HIV care in nine sites across the US between 2012 and 2017. This analysis describes and compares transwomen who had been homeless in the last 6 months to those not homeless. We hypothesized that homelessness would compete with HIV care, food, shelter, and be associated with poverty. Variable domains included sociodemographic, mental health and substance use, HIV care, sexual risk behavior, social support from transgender and other friends, and childhood sexual abuse. There were 102 youth enrolled, 77 (75.5%) who had been homeless, and 25 (24.5%) who had not been homeless. Bivariate analyses showed that low income, sex work as source of income, inability to afford food, lack of viral load (VL) suppression, childhood sexual abuse, lower levels of social support, and higher levels of depression were associated with homelessness. A logistic regression model showed that being unable to afford food (AOR = 9.24, 95% CI 2.13–40.16), lack of VL suppression in last 6 months (AOR = 0.10, 95% CI.02–.57), and lack of transgender friend support (AOR = 0.09, 95% CI.02–.53) was associated with homelessness. Programs that place basic needs first—food and shelter—may be able to engage and assist young transgender women of color with HIV to survive and live healthier lives. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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