Purpose: Inconsistent access to healthcare represents a barrier transgender patients receiving hormone therapy through licensed provider. Inability care leads many people buy hormones from unlicensed sources and transition without medical supervision. Little is known about the factors predisposing rely on this method of transition. It critical understand what non-prescribed use better support safe transitions for people. Methods: We conducted an analysis study with 314 transwomen in San...

We examined HIV prevalence and risk behaviors of 282 trans*female youths aged 16 to 24 years participating in the San Francisco Bay Area, California, SHINE study from 2012 2013 determine differences between racial/ethnic minority White youths.We conducted χ(2) test distributional participants sociodemographic factors, HIV-related behaviors, syndemic factors.Of youths, 4.8% were positive. Racial/ethnic differed significantly gender identity sexual orientation. also had lower educational...

Although transgender women (trans women) often are conflated with men who have sex (MSM) in HIV research and services, there distinct population differences that important for implementing effective prevention. Our objective was to examine pre-exposure prophylaxis (PrEP) disparities between the two populations compare individual, social structural factors influence MSM trans along PrEP continuum.

Abstract Background To determine if improvements in social determinants of health for trans women and decreases transphobic discrimination violence occurred over three study periods during which extensive local programs were implemented to specifically address longstanding inequities suffered by the transgender community. Methods Interviewer-administered surveys from repeated cross-sectional Transwomen Empowered Advance Community Health (TEACH) studies 2010, 2013 2016-2017 San Francisco...

ABSTRACT Low access to HIV care and support has led survival rates for transwomen that are half of other populations at risk HIV. Within the population, disproportionately impacts African American transwomen. Interventions increase needed better serve those most affected vulnerable within population. We conducted a study barriers services fill gap in literature improve this A total 10 in-depth interviews were with who lived outside metro area San Francisco. Three overarching thematic topics...

Psychological processes may mediate the relationship between minority stress and mental health though limited data exist showing this pathway among trans women. Trans women's degree of satisfaction with their body is associated outcomes. This study used a model to explore for indirect effects on association transphobia-based victimization anxiety depression through one's satisfaction. Analysis also explored racial differences. Transgender women (N = 233) were recruited in 2013 using...

Introduction Transfemale youth (TFY) are an underserved and understudied population at risk for numerous poor physical mental health outcomes, most notably HIV. Research suggests that parental acceptance social support may serve as protective factors against HIV other risks TFY; however, it is unclear whether TFY receive primary from parents with or without of their gender identity. This study examines differences in acceptance, the history sex work, age sexual debut engagement condomless...

The Office of Disease Prevention and Health Promotion completed research to understand factors that could encourage Americans follow the Physical Activity Guidelines for Americans, second edition, released in 2018. This study describes survey assessing demographic characteristics might be related knowledge awareness guidelines.An online 2050 adult physical activity contemplators assessed activity, guidelines, dosage recommendations. Univariate bivariate analyses were performed, differences...

Trans women experience high rates of gender-based violence (GBV)-a risk factor for adverse health outcomes. Transphobic hate crimes are one such form GBV that affect trans women. However, little is understood about factors shape transphobic and racial/ethnic variation in these experiences. To contextualize police reporting, we examined self-reported types correlates by group the San Francisco Bay Area.From 2016 to 2018, participated a longitudinal cohort study HIV. Secondary data analyses (N...

Transwomen of color are disproportionately impacted by HIV and may have worse health outcomes than other populations. This analysis was conducted to examine structural factors associated with poor among transwomen living in the San Francisco Bay Area (N = 159). Univariate multivariable analyses were determine if HIV-related outcomes. A majority participants Black or African American (110/159, 69.2%), 32 (20.1%) identified their primary race/ethnicity as Hispanic Latino/a Spanish, 17 (10.7%)...

Minority stress frameworks seek to explain how impacts the health of minorities. Examining social location trans women in society is critical understand unique forms oppression that engender and microaggression for women. This article uses intersectionality examine lived experiences young develop new theoretical concepts process trans-misogyny. We use grounded theory analyze semistructured, in-depth interviews conducted with 38 ages 16–24 Los Angeles Chicago. Our findings describe key...

Research on the health of transwomen is largely focused heterosexual HIV risk. Little known about sexual minority transwomen. We conducted a secondary cross-sectional analysis data from risk and resilience study aged 16 to 24 years in San Francisco Bay Area (N = 259). Prevalence demographic characteristics was assessed logistic regression models were used examine relationship between status alcohol drug use. In models, had greater fold odds heavy episodic drinking illicit prescription use...

Motivational interviewing (MI) is a counseling approach to facilitate behavior change. MI has been widely applied in-person–delivered, health change interventions; however, mobile (mHealth) interventions are beginning adopt and expand the reach of in promotion practice with use phones digital platforms. This study examines whether skills (e.g., OARS [open-ended questions, affirmations, reflective listening, summaries]) promotes talk an SMS text messaging intervention for young people living...

Abstract Background Substance use and mental distress are known barriers to HIV care engagement among trans women. Less is about access utilization of health substance women the relationship between unmet behavioral needs viral suppression. We examined on load living with HIV. also services having a detectable by comparing in cascades. Methods Data from 2022 baseline assessment for an intervention ( n = 42) San Francisco. Chi-Squared or Fisher’s exact tests were conducted determine...

Background: Ecological momentary assessments (EMAs) administered via text messaging facilitate real-time data collection. With widespread cell phone access, EMAs are becoming more available to even the most disenfranchised communities, such as those living with HIV. However, structural barriers disproportionately burden young men who have sex (MSM) and trans women (TW) HIV threaten participation in research. Objective: We aim identify completing EMA surveys nested within a digital care...

We use quantitative and qualitative data from two ongoing studies to describe pre-exposure prophylaxis (PrEP) awareness, willingness PrEP, barriers facilitators of PrEP uptake, among 15- 24-year-old transgender gender nonbinary (TGNB) youth. Most youth were aware but only one participant across both reported current use. Uncertainty about take may be related general (e.g., medication cost) trans-specific PrEP-hormone interactions) concerns. Intensified sustained efforts are needed engage...