The HIV prevention needs of African American transgender women living in the southern region of the United States

Cornelius, Judith B.; Okoro, Florence; Whitaker-Brown, Charlene; Conner, Laneshia

doi:10.1080/23311886.2020.1724066

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…This finding is consistent with empirical research illustrating gaps in GAM training and service provision across the U.S. South. [11][12][13][14][15][16] Notably, many Southern HSOs reported implementing elements of GAM service provision, such as the use of clients' asserted names and pronouns on organizational documentation (72.7%). However, only 62.1% engaged with TGNC community groups and 54.5% had a gender-autonomous facility.…”

Section: Discussionmentioning

confidence: 99%

“…One study in North Carolina explored the health care experiences of Black transgender women. 11 This study revealed regular anti-transgender interactions from providers such as dehumanization, misgendering, and exoticization, driving the need for more gender-affirming treatment in health care settings. Similarly, a study in Mississippi identified anti-transgender stigma and discrimination in health care settings as barriers to primary and HIV health care among transgender women and men.…”

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confidence: 90%

“…In the contemporary U.S. South, GAM training is particularly important, given the region's socio-cultural realities (which strongly affect HSOs and HIV-affected TGNC groups). [8][9][10][11][12][13][14][15][16][17][18]48 This study aims 1) to summarize survey data from September 2018-August 2019 on GAM training and service provision at HSOs in Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee and Texas; and 2) to examine barriers to implementing GAM training and service provision.…”

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confidence: 99%

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A Gender Affirmative Model of Training and Service Provision Among HIV Service Organizations in the U.S. South

Keo,

McCormick,

Stanton

et al. 2023

hpu

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Research on gender affirmative models (GAM) of training and service provision is emerging. This study aims 1) to summarize 2018–2019 survey data on GAM training and service provision at Southern HIV Service Organizations (HSOs) in the U.S. South and 2) identify barriers in the region. Methods. Data were collected from Southern HSOs ( n =207). Relations between GAM training and service provision were examined through frequency distributions and logistic regressions. Results. Few (46.6%) received training. Most (73%) used clients' asserted names and pronouns. Only 62% engaged with transgender, nonbinary, and gender nonconforming (TGNC) communities and 55% provided a gender autonomous (i.e., based on self-determination) facility. Gender affirmative model-trained HSOs had at least twice the odds of implementing GAM elements compared with non-trained HSOs. Barriers included funding (61%), expertise/knowledge (59%), capacity/staff-ing (52%), and political climate (23%). Discussion . This study identifies gaps and highlights the urgent need for funding, training, and meaningful TGNC community partnerships.

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Section: Discussionmentioning

confidence: 99%

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confidence: 90%

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confidence: 99%

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A Gender Affirmative Model of Training and Service Provision Among HIV Service Organizations in the U.S. South

Keo,

McCormick,

Stanton

et al. 2023

hpu

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“…Researchers have noted that African-American families have unmet communication needs [7,12], with religious organizations being an important ally for religious families [12]. Effective interventions can help reduce these barriers.…”

Section: Current Studymentioning

confidence: 99%

Effect of a church-based intervention on abstinence communication among African-American caregiver–child dyads: the role of gender of caregiver and child

Cederbaum

Kim²,

Zhang

et al. 2021

Health Education Research

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Parent–child sexual-health communication is critical. Religious involvement is important in many African-American families, but can be a barrier to sexual-health communication. We tested a theory-based, culturally tailored intervention to increase sexual-abstinence communication among church-attending African-American parent–child dyads. In a randomized controlled trial, 613 parent–child dyads were randomly assigned to one of three 3-session interventions: (i) faith-based abstinence-only; (ii) non-faith-based abstinence-only; or (iii) attention-matched health-promotion control. Data were collected pre- and post-intervention, and 3-, 6-, 12- and 18-months post-intervention. Generalized-estimating-equations Poisson-regression models revealed no differences in communication by intervention arm. However, three-way condition × sex-of-child × sex-of-parent interactions on children’s reports of parent–child communication about puberty [IRR=0.065, 95% CI: (0.010, 0.414)], menstruation or wet dreams [IRR=0.103, 95% CI: (0.013, 0.825)] and dating [IRR=0.102, 95% CI: (0.016, 0.668)] indicated that the non-faith-based abstinence intervention’s effect on increasing communication was greater with daughters than with sons, when the parent was the father. This study highlights the importance of considering parent and child gender in the efficacy of parent–child interventions and the need to tailor interventions to increase fathers’ comfort with communication.

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Structural discrimination and HIV-related health outcomes among Black transgender populations in the Southern United States: a scoping review

Burns,

Anyimukwu,

Alam

et al. 2024

Journal of HIV/AIDS & Social Services

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The HIV prevention needs of African American transgender women living in the southern region of the United States

Cited by 3 publications

References 27 publications

A Gender Affirmative Model of Training and Service Provision Among HIV Service Organizations in the U.S. South

A Gender Affirmative Model of Training and Service Provision Among HIV Service Organizations in the U.S. South

Effect of a church-based intervention on abstinence communication among African-American caregiver–child dyads: the role of gender of caregiver and child

Structural discrimination and HIV-related health outcomes among Black transgender populations in the Southern United States: a scoping review

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