Scholars@Duke
Tonia Poteat

Tonia Poteat

Professor in the School of Nursing
School of Nursing
tonia.poteat@duke.edu
Box 3322 DUMC, Durham, NC 27710

Selected Publications

Disentangling gender, sex, and biology: a mixed methods study of gender identity data collection tools.

Journal Article Patient education and counseling · January 2025 ObjectivesWe used community-based mixed methods to test whether transgender and gender diverse (TGD) people preferred gender identity questions developed by community members over current questions in use and generate hypotheses about data collect ... Full text Cite

Exploring Perspectives on HIV Vulnerability Communication among Transgender and Gender Diverse Patients and Primary Care Providers.

Journal Article Archives of sexual behavior · November 2024 Transgender and gender diverse (TGD) individuals represent a population with a heavy burden of HIV. Multi-level stigma encountered by TGD individuals can create significant barriers to discussing topics related to HIV prevention; however, research on commu ... Full text Cite

Strengthening Community Responses to Economic vulnerability (SeCuRE): a protocol of an HIV status-neutral pilot randomized clinical trial with transgender women of color in Detroit, Michigan.

Journal Article Pilot and feasibility studies · November 2024 BackgroundIn the United States (US), transgender women of color experience cyclical, interlocking systems of structural and institutional oppression rooted in racism and transphobia, which fuel economic vulnerability. Together, cycles of intersect ... Full text Cite

Hormones, Stress, and Heart Disease in Transgender Women with HIV in LITE Plus.

Journal Article American journal of preventive medicine · October 2024 IntroductionCardiovascular disease (CVD) is a leading cause of death among transgender women and people with HIV. Exogenous estrogen and psychosocial stressors are known risk factors for CVD. Yet, few studies have used biomarkers to examine the ro ... Full text Cite

Brief Report: Interest in Long-acting Injectable PrEP among Transgender Women in Eastern and Southern United States

Journal Article Journal of Acquired Immune Deficiency Syndromes · September 1, 2024 Background:Among communities with elevated HIV burden, increased uptake of PrEP, including long-acting injectable (LAI) PrEP, could lower HIV incidence. Lack of data on LAI PrEP interest among transgender women in the United States has limited scientific u ... Full text Cite

Site-based and Digital Cohort Participation Among Transgender Women in the Eastern and Southern USA: Findings from the LITE Study.

Journal Article Journal of acquired immune deficiency syndromes (1999) · September 2024 BackgroundTransgender women (TW) are highly burdened by HIV. There is increasing interest in digital (i.e., through internet-based interfaces) HIV research; yet few studies have assessed potential biases of digital compared to site-based data coll ... Full text Cite

Transgender-Specific Differentiated HIV Service Delivery Models in the South African Public Primary Health Care System (Jabula Uzibone): Protocol for an Implementation Study.

Journal Article JMIR research protocols · September 2024 BackgroundAlmost 60% of transgender people in South Africa are living with HIV. Ending the HIV epidemic will require that transgender people successfully access HIV prevention and treatment. However, transgender people often avoid health services ... Full text Cite

Minority stressors and tobacco use among a US sample of sexual and gender minority young adults.

Journal Article Drug and alcohol dependence · August 2024 IntroductionYoung adults who are sexual and gender minorities (SGM) are at the highest risk for tobacco initiation in young adulthood. Minority stress theory suggests that sexual orientation and gender identity (SOGI)-based discrimination may cont ... Full text Cite

Enhanced Cohort Methods for HIV Research and Epidemiology (ENCORE): Protocol for a Nationwide Hybrid Cohort for Transgender Women in the United States.

Journal Article JMIR research protocols · August 2024 BackgroundIn the United States, transgender women are disproportionately impacted by HIV and prioritized in the national strategy to end the epidemic. Individual, interpersonal, and structural vulnerabilities underlie HIV acquisition among transge ... Full text Cite

A Microfinance Intervention With or Without Peer Support to Improve Mental Health Among Transgender and Nonbinary Adults (the Creating Access to Resources and Economic Support Study): Protocol for a Randomized Controlled Trial.

Journal Article JMIR research protocols · August 2024 BackgroundTransgender and nonbinary (TNB) people experience economic and psychosocial inequities that make them more likely to be subject to financial and mental health harms exacerbated by the COVID-19 pandemic. Sustainable, multilevel interventi ... Full text Cite

Prevalence of Sexually Transmitted Infections Among Transgender Women With and Without HIV in the Eastern and Southern United States.

Journal Article J Infect Dis · June 14, 2024 BACKGROUND: Data on the epidemiology of sexually transmitted infections (STIs) among transgender women (TGW) with and without human immunodeficiency virus (HIV) are limited. METHODS: We analyzed baseline data collected from a cohort of adult TGW across 6 e ... Full text Link to item Cite

Getting Precise about Gender and Sex Measurement: A Primer for Epidemiologists.

Journal Article American journal of epidemiology · June 2024 Accurately measuring gender and sex is crucial in public health and epidemiology. Iteratively reexamining how variables-including gender and sex-are conceptualized and operationalized is necessary to achieve impactful research. Reexamining gender and sex a ... Full text Cite

Caregiving Among Older Black Same-Gender-Loving Women During the COVID-19 Pandemic: Findings From Qualitative Research.

Journal Article The Gerontologist · April 2024 Background and objectivesFew data on caregiving during the coronavirus disease 2019 pandemic use an intersectional lens to attend to how multiple social categories, such as gender, age, race, and sexual orientation, shape caregiving experiences. T ... Full text Cite

Caregiving During the COVID-19 Pandemic: A Cross-Sectional Study with Older Cisgender Sexual Minority Women in the United States.

Journal Article LGBT health · April 2024 Purpose: This study describes prevalence of caregiving before and after the onset of the COVID-19 pandemic among racially diverse older cisgender sexual minority women, examines factors associated with caregiving, and assesses relationships b ... Full text Cite

Computational phenotyping within electronic healthcare data to identify transgender people in the United States: A narrative review.

Journal Article Pharmacoepidemiology and drug safety · March 2024 PurposeWith the expansion of research utilizing electronic healthcare data to identify transgender (TG) population health trends, the validity of computational phenotype (CP) algorithms to identify TG patients is not well understood. We aim to ide ... Full text Cite

Racial/ethnic differences in the association between transgender-related U.S. state policies and self-rated health of transgender women.

Journal Article BMC public health · March 2024 BackgroundPolicy protections for transgender adults in the United States are consistently associated with positive health outcomes. However, studies over-represent non-Latinx White transgender people and obscure variation in policies' intended goa ... Full text Cite

Food Insecurity Is High in a Multi-Site Cohort of Transgender Women Vulnerable to or Living with HIV in the Eastern and Southern United States: Baseline Findings from the LITE Cohort.

Journal Article Nutrients · February 29, 2024 The prevalence and correlates of food insecurity-the unavailability of food and limited access to it-have not been adequately considered among transgender women (TW), particularly alongside other health-related conditions burdening this population, such as ... Full text Link to item Cite

Tucking Practices and Attributed Health Effects in Transfeminine Individuals

Journal Article Transgender Health · February 1, 2024 Tucking is the gender-affirming practice of putting the penis and scrotum between the buttocks and moving the testes up into the inguinal canals. Our study explores tucking and health effects among transfeminine adults (n = 79). Most (74.7%) had practiced ... Full text Cite

Stigma, social and structural vulnerability, and mental health among transgender women: A partial least square path modeling analysis.

Journal Article J Nurs Scholarsh · January 2024 INTRODUCTION: Existing literature suggests that transgender women (TW) may be at high risk for adverse mental health due to stress attributed to combined experiences of stigma and complex social and structural vulnerabilities. Little research has examined ... Full text Link to item Cite

As Much As I Can - Utilizing Immersive Theatre to Reduce HIV-Related Stigma and Discrimination Toward Black Sexual Minority Men.

Journal Article Community health equity research & policy · January 2024 BackgroundDespite advances in biomedical HIV prevention modalities such as pre-exposure prophylaxis to prevent the transmission of HIV, racial/ethnic and sexual/gender minority populations are disproportionately impacted by HIV epidemic. Alarming ... Full text Cite

Access to healthcare among transgender women living with and without HIV in the United States: associations with gender minority stress and resilience factors.

Journal Article BMC public health · January 2024 BackgroundTransgender women (TW) experience significant inequities in healthcare access and health disparities compared to cisgender populations. Access to non-transition related healthcare is understudied among TW. We aimed to assess the associat ... Full text Cite

Health status of transgender people globally: A systematic review of research on disease burden and correlates.

Journal Article PloS one · January 2024 Background and objectivesTransgender and gender diverse (trans) health research has grown rapidly, highlighting the need to characterize the scientific evidence base. We conducted a systematic review of peer-reviewed research on disease burden and ... Full text Cite

PrEP initiation and discontinuation among transgender women in the United States: a longitudinal, mixed methods cohort study.

Journal Article J Int AIDS Soc · December 2023 INTRODUCTION: Transgender women in the United States experience high HIV incidence and suboptimal Pre-exposure prophylaxis (PrEP) engagement. We sought to estimate PrEP initiation and discontinuation rates and characterize PrEP discontinuation experiences ... Full text Link to item Cite

Engaging Black sexual minority women in breast cancer research: Lessons in community partnerships.

Journal Article Cancer · November 2023 BackgroundBlack sexual minority women (BSMW) face significant breast cancer health inequities and are underrepresented in health research because of historical and present-day exclusion. However, there exists no peer-reviewed literature on best pr ... Full text Cite

Cardiovascular Disease Risk Estimation for Transgender and Gender-Diverse Patients: Cross-Sectional Analysis of Baseline Data From the LITE Plus Cohort Study

Journal Article AJPM Focus · September 1, 2023 Introduction: Approximately 2% of the U.S. population identifies as transgender, and transgender people experience disproportionate rates of cardiovascular disease mortality. However, widely used cardiovascular disease risk estimators have not been validat ... Full text Cite

Clinical and Behavioral Outcomes for Transgender Women Engaged in HIV Care: Comparisons to Cisgender Men and Women in the Centers for AIDS Research Network of Integrated Clinical Systems (CNICS) Cohort.

Journal Article AIDS and behavior · July 2023 Describe health of transgender women (TW) with HIV vs. cisgender men and women (CM, CW) in a U.S. HIV care cohort. Data were from Centers for AIDS Research Network of Integrated Clinical Systems (CNICS), 2005-2022. TW were identified using clinical data/id ... Full text Cite

Brief Report: Interruptions in HIV Prevention and Treatment During the COVID-19 Pandemic: A Cross-Sectional Study of Transgender and Gender Nonbinary Adults in the United States.

Journal Article Journal of acquired immune deficiency syndromes (1999) · July 2023 BackgroundTransgender and gender nonbinary (TNB) people have been disproportionately affected by HIV and the COVID-19 pandemic. This study explored the prevalence of HIV prevention and treatment (HPT) interruptions during the pandemic and identifi ... Full text Cite

Health-care providers' perspectives on an HIV patient navigation training to improve uptake of PrEP among Black sexual minority men.

Journal Article Health education research · July 2023 This article examines implementational factors associated with an HIV patient navigation training intervention for health care professionals working with Black sexual minority men to improve access to and uptake of HIV prevention services among Black MSM. ... Full text Cite

Interrogating Anti-Blackness in US Healthcare: Contextual Factors and Policy Implications.

Journal Article HealthcarePapers · July 2023 Racial inequities exacerbated by the COVID-19 pandemic highlight how systemic anti-Black racism negatively impacts health. Anti-Black racism pervades the healthcare system, ranging from race-based corrections embedded in clinical algorithms to bias among h ... Full text Cite

Piloting the Sexual and Gender Minority Cancer Curricular Advances for Research and Education (SGM Cancer CARE) Workshop: Research Training in the Service of SGM Cancer Health Equity.

Journal Article Journal of cancer education : the official journal of the American Association for Cancer Education · June 2023 The purpose of this study is to describe the context, curriculum design, and pilot evaluation of the educational program "Sexual and Gender Minority Cancer Curricular Advances for Research and Education" (SGM Cancer CARE), a workshop for early-career resea ... Full text Cite

HIV incidence and mortality in transgender women in the eastern and southern USA: a multisite cohort study.

Journal Article Lancet HIV · May 2023 BACKGROUND: Epidemiological monitoring of HIV among transgender women is minimal despite prioritisation of this group in the US National HIV/AIDS Strategy (2022-2025). We aimed to estimate HIV incidence in a multisite cohort of transgender women in the eas ... Full text Link to item Cite

Validation of an administrative algorithm for transgender and gender diverse persons against self-report data in electronic health records.

Journal Article Journal of the American Medical Informatics Association : JAMIA · May 2023 ObjectiveTo adapt and validate an algorithm to ascertain transgender and gender diverse (TGD) patients within electronic health record (EHR) data.MethodsUsing a previously unvalidated algorithm of identifying TGD persons within administra ... Full text Cite

Assessing and Addressing the Risk of Venous Thromboembolism Across the Spectrum of Gender Affirming Care: A Review.

Journal Article Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · April 2023 ObjectiveAccumulating evidence demonstrates that gender affirming hormone therapy (GAHT) improves mental health outcomes in transgender persons. Data specific to the risks associated with GAHT for transgender persons continue to emerge, allowing f ... Full text Cite

SARS-CoV-2 Infection and Testing Experiences in a Nationwide Sample of Transgender and Gender-Diverse Adults, June-December 2021.

Journal Article Public health reports (Washington, D.C. : 1974) · March 2023 ObjectivesCOVID-19 surveillance data are rarely collected or disaggregated by gender identity in the United States. We quantified COVID-19 testing experiences and SARS-CoV-2 infection history among transgender and gender-diverse (TGD) people to in ... Full text Cite

Characterizing Arrest and Incarceration in a Prospective Cohort of Transgender Women.

Journal Article J Correct Health Care · February 2023 This study characterized arrest, incarceration, and risk factors for incident incarceration among transgender women (TW) in the northeastern and southern United States. During semiannual study visits over 24 months in a multicenter cohort study, TW complet ... Full text Link to item Cite

Hormone Prescription and HIV Screening/Preventive Practices Among Clinicians Providing Care for Transgender Individuals

Journal Article Transgender Health · February 1, 2023 Purpose: Through a survey-based approach, we sought to investigate regional differences in gender-affirming hormone therapy (GAHT) prescribing practices, as well as HIV screening and prevention practices among clinicians providing care to transgender indiv ... Full text Cite

Testing whether the combination of victimization and minority stressors exacerbate PTSD risks in a diverse community sample of sexual minority women.

Journal Article Psychology and sexuality · January 2023 Informed by minority stress and intersectionality frameworks, we examined: 1) associations of sexual identity and race/ethnicity with probable diagnosis of post-traumatic stress disorder (PTSD-PD) among sexual minority women (SMW; e.g., lesbian, bisexual); ... Full text Cite

Effects of Race and Gender Classifications on Atherosclerotic Cardiovascular Disease Risk Estimates for Clinical Decision-Making in a Cohort of Black Transgender Women.

Journal Article Health equity · January 2023 IntroductionDespite their dynamic, socially constructed, and imprecise nature, both race and gender are included in common risk calculators used for clinical decision-making about statin therapy for atherosclerotic cardiovascular disease (ASCVD) p ... Full text Cite

Abuse in the Continua: HIV Prevention and Care Outcomes and Syndemic Conditions Associated with Intimate Partner Violence Among Black Gay and Bisexual Men in the Southern United States.

Journal Article AIDS and behavior · November 2022 Intimate partner violence (IPV) has been implicated in HIV acquisition and worse HIV outcomes. Limited research focuses on the experiences of Black gay and bisexual men. Using data from cross-sectional surveys in Baltimore, Maryland, and Jackson, Mississip ... Full text Cite

Older Black Lesbians' Needs and Expectations in Relation to Long-Term Care Facility Use.

Journal Article International journal of environmental research and public health · November 2022 There is a dearth of long-term care research that focuses on the expectations and experiences of older sexual minority (SM) adults. That research dwindles further when examining subgroups within that population such as older Black lesbians. The purpose of ... Full text Cite

Longitudinal HIV care outcomes by gender identity in the United States.

Journal Article AIDS (London, England) · November 2022 ObjectiveDescribe engagement in HIV care over time after initial engagement in HIV care, by gender identity.DesignObservational, clinical cohort study of people with HIV engaged in routine HIV care across the United States.Methods Full text Cite

Improving the HIV response for transgender populations: evidence to inform action.

Journal Article Journal of the International AIDS Society · October 2022 Full text Cite

Interdisciplinary clinicians' attitudes, challenges, and success strategies in providing care to transgender people: a qualitative descriptive study.

Journal Article BMC health services research · September 2022 BackgroundAccess to clinicians competent in transgender health remains a significant barrier and contributor toward health inequity for transgender people. Studies on access and barriers to care have predominantly evaluated transgender patients' p ... Full text Cite

A scoping review of the integration of empowerment-based perspectives in quantitative intersectional stigma research.

Journal Article Global public health · August 2022 The genesis of the concept of intersectionality was a call to dismantle interlocking systems of oppression - racial, sexual, heterosexual, and class-based - in order to realise liberation of Black women and other women of colour. Intersectionality holds th ... Full text Cite

Addressing Racism's Role in the US HIV Epidemic: Qualitative Findings From Three Ending the HIV Epidemic Prevention Projects.

Journal Article Journal of acquired immune deficiency syndromes (1999) · July 2022 BackgroundRacist socio-political and economic systems in the United States are root causes of HIV disparities among minoritized individuals. However, within HIV implementation science literature, there is scarce empirical research on how to effect ... Full text Cite

Prevention-effective adherence trajectories among transgender women indicated for PrEP in the United States: a prospective cohort study.

Journal Article Ann Epidemiol · June 2022 PURPOSE: Adherence to pre-exposure prophylaxis (PrEP) during periods of PrEP-indication (i.e., prevention-effective adherence) is critical for preventing HIV. We sought to describe factors associated with prevention-effective adherence trajectories among t ... Full text Link to item Cite

Eliciting critical hope in community-based HIV research with transgender women in Toronto, Canada: methodological insights

Journal Article Health Promotion International · June 1, 2022 Critical hope centres optimism and possibilities for change in the midst of struggles for social justice. It was a central tenet of early participatory pedagogy and HIV research. However, critical hope has been overlooked in contemporary HIV research that ... Full text Cite

Integrating Intersectional and Syndemic Frameworks for Ending the US HIV Epidemic.

Journal Article American journal of public health · June 2022 Full text Cite

Transgender and Gender Diverse Community Connection, Help-Seeking, and Mental Health Among Black Transgender Women Who Have Survived Violence: A Mixed-Methods Analysis.

Journal Article Violence against women · March 2022 Black transgender women are disproportionately affected by violence and poor care-delivery, contributing to poor mental health. Little is known regarding the effect of transgender and gender diverse (TGD) community connection (TCC) on health. This analysis ... Full text Cite

Considerations for Increasing Racial, Ethnic, Gender, and Sexual Diversity in HIV Cure-Related Research with Analytical Treatment Interruptions: A Qualitative Inquiry.

Journal Article AIDS research and human retroviruses · January 2022 Despite disproportionate incidence and prevalence of HIV among transgender individuals, cisgender women, and racial and ethnic minority groups, all remain underrepresented in HIV cure research. As HIV cure trials are scaled up, there is emerging research o ... Full text Cite

Intersectional Structural Stigma, Community Priorities, and Opportunities for Transgender Health Equity: Findings from TRANSforming the Carolinas.

Journal Article The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · January 2022 In this manuscript, "Intersectional Structural Stigma, Community Priorities, and Opportunities for Transgender Health Equity," Poteat and Simmons outline the legal and policy barriers that impede efforts to end the HIV epidemic among transgender people in ... Full text Cite

Barriers to accessing and engaging in healthcare as potential modifiers in the association between polyvictimization and mental health among Black transgender women.

Journal Article PloS one · January 2022 BackgroundBlack transgender women endure pervasive polyvictimization (experiencing multiple forms of violence throughout the lifespan). Polyvictimization is associated with poor mental health. Black transgender women also face barriers in access t ... Full text Cite

Revitalizing HIV Prevention Programs: Recommendations From Those Most Impacted by HIV in the Deep South.

Journal Article American journal of health promotion : AJHP · January 2022 PurposeThe incidence of new HIV infections is disproportionately high among Black men who have sex with men (BMSM) in Mississippi. Community-based organizations received funding through the ACCELERATE! initiative to implement interventions aimed a ... Full text Cite

Cardiovascular Disease in a Population-Based Sample of Transgender and Cisgender Adults.

Journal Article American journal of preventive medicine · December 2021 IntroductionExisting data on cardiovascular disease among transgender people are inconsistent and are derived from nonrepresentative samples or population-based data sets that do not include transgender-specific risk factors such as gender-affirmi ... Full text Cite

Health and health care access in the US transgender population health (TransPop) survey.

Journal Article Andrology · November 2021 BackgroundProbability and nonprobability-based studies of US transgender persons identify different disparities in health and health care access.ObjectivesWe used TransPop, the first US national probability survey of transgender persons, ... Full text Cite

I'm not putting on that floral gown: Enforcement and resistance of gender expectations for transgender people with cancer.

Journal Article Patient education and counseling · October 2021 ObjectivesUnderstanding barriers to care for transgender people with cancer is necessary to increase oncologic care access. Little has been published regarding the experiences of transgender people with cancer. We sought to explore these experienc ... Full text Cite

Living while black, gay, and poor: The association of race, neighborhood structural disadvantage, and prep utilization among a sample of black men who have sex with men in the deep south

Journal Article AIDS Education and Prevention · October 1, 2021 Utilizing the Andersen Healthcare Utilization Model, we examined the role of neighborhood context on pre-exposure prophylaxis (PrEP) utilization among a sample of Black men who have sex with men (MSM) residing in a medium-sized city in the Deep South. Data ... Full text Cite

Cardiovascular Disease Risk Among Transgender People with HIV.

Journal Article Current HIV/AIDS reports · October 2021 Purpose of reviewTransgender individuals are at disproportionate risk for HIV infection, with prevalence rates highest among transgender women of color. Antiretroviral therapy (ART)-treated people with HIV (PWH) are at increased risk for cardiovas ... Full text Cite

Delays in breast cancer care by race and sexual orientation: Results from a national survey with diverse women in the United States.

Journal Article Cancer · October 2021 BackgroundDespite known differences in breast cancer by both race and sexual orientation, data on the intersectional experiences of Black sexual minority women (BSMW) along the care continuum are scant. This study sought to understand delays in br ... Full text Cite

Perceived HIV Acquisition Risk and Low Uptake of PrEP Among a Cohort of Transgender Women With PrEP Indication in the Eastern and Southern United States.

Journal Article J Acquir Immune Defic Syndr · September 1, 2021 INTRODUCTION: Preexposure prophylaxis (PrEP) is effective in preventing HIV among adherent users. However, PrEP uptake among transgender women is low, and current prescribing guidelines from the Centers for Disease Control and Prevention (CDC) are not spec ... Full text Link to item Cite

Advancing Intersectional Discrimination Measures for Health Disparities Research: Protocol for a Bilingual Mixed Methods Measurement Study.

Journal Article JMIR research protocols · August 2021 BackgroundGuided by intersectionality frameworks, researchers have documented health disparities at the intersection of multiple axes of social status and position, particularly race and ethnicity, gender, and sexual orientation. To advance from i ... Full text Cite

Assessing and Addressing Cardiovascular Health in People Who Are Transgender and Gender Diverse: A Scientific Statement From the American Heart Association.

Journal Article Circulation · August 2021 There is growing evidence that people who are transgender and gender diverse (TGD) are impacted by disparities across a variety of cardiovascular risk factors compared with their peers who are cisgender. Prior literature has characterized disparities in ca ... Full text Cite

HIV Prevention Among Cisgender Men Who have Sex with Transgender Women.

Journal Article AIDS and behavior · August 2021 Cisgender men who have sex with transgender women face elevated risk for HIV, yet are understudied in prevention research. We conducted in-depth interviews with 19 men who have sex with transgender women in Baltimore, Maryland and Atlanta, Georgia to explo ... Full text Cite

"In the Bible Belt:" The role of religion in HIV care and prevention for transgender people in the United States South.

Journal Article Health & place · July 2021 Within the United States South, the socio-religious norms that shape life for many residents may have public health implications. Drawing from 12 key informant interviews, this study explores the role of religious institutions in HIV care and prevention ac ... Full text Cite

U.S. transgender women's preferences for microeconomic interventions to address structural determinants of HIV vulnerability: a qualitative assessment.

Journal Article BMC public health · July 2021 BackgroundTransgender women in the United States (U.S.) experience a disproportionate burden of HIV infection and challenges to engagement in HIV prevention and care. This excess burden is driven by structural and economic inequities. Microeconomi ... Full text Cite

Racial, ethnic, and gender disparities in hospitalizations among persons with HIV in the United States and Canada, 2005-2015.

Journal Article AIDS (London, England) · July 2021 ObjectiveTo examine recent trends and differences in all-cause and cause-specific hospitalization rates by race, ethnicity, and gender among persons with HIV (PWH) in the United States and Canada.DesignHIV clinical cohort consortium.M ... Full text Cite

Beyond Black and White: race and sexual identity as contributors to healthcare system distrust after breast cancer screening among US women.

Journal Article Psycho-oncology · July 2021 ObjectiveHealthcare system distrust (HCSD) has been linked to poor breast cancer outcomes. Previous HSCD analyses have focused on Black-White disparities; however, focusing only on race ignores the complex set of factors that form identity. We qua ... Full text Cite

Advancing LGBTQI health research.

Journal Article Lancet (London, England) · May 2021 Full text Cite

Influence of Stress, Gender, and Minority Status on Cardiovascular Disease Risk in the Hispanic/Latino Community: Protocol for a Longitudinal Observational Cohort Study.

Journal Article JMIR research protocols · May 2021 BackgroundHispanic/Latino sexual and gender minorities (SGM) are the fastest growing ethnic group of SGM in the United States. Cardiovascular disease (CVD) is a leading cause of morbidity and mortality among Hispanics/Latinos. SGM inequities in CV ... Full text Cite

Characterising HIV and STIs among transgender female sex workers: a longitudinal analysis.

Journal Article Sexually transmitted infections · May 2021 ObjectivesThough highly vulnerable to HIV and STIs, transgender female sex workers (TFSWs) are understudied in the US HIV and STI response. This study examined the correlates of laboratory-confirmed STIs among a cohort of 62 TFSWs followed over th ... Full text Cite

Violence Experiences in Childhood and Adolescence Among Gay Men and Transgender Women Living in Perú: A Qualitative Exploration.

Journal Article Journal of interpersonal violence · May 2021 The overall goal of this study was to qualitatively explore the different types of violence experienced by gay men (GM) and transgender women (TW) living in Peru during childhood and adolescence, as well as their potential consequences and sources of prote ... Full text Cite

Digital Epidemiologic Research on Multilevel Risks for HIV Acquisition and Other Health Outcomes Among Transgender Women in Eastern and Southern United States: Protocol for an Online Cohort.

Journal Article JMIR Res Protoc · April 26, 2021 BACKGROUND: The HIV epidemic disproportionately impacts transgender women in the United States. Cohort studies identify unique risks for affected populations, but use of facility-based methods may bias findings towards individuals living in research catchm ... Full text Link to item Cite

Development of a computable phenotype to identify a transgender sample for health research purposes: a feasibility study in a large linked provincial healthcare administrative cohort in British Columbia, Canada.

Journal Article BMJ open · March 2021 ObjectivesInnovative methods are needed for identification of transgender people in administrative records for health research purposes. This study investigated the feasibility of using transgender-specific healthcare utilisation in a Canadian pop ... Full text Cite

HIV and women in the USA: what we know and where to go from here.

Journal Article Lancet (London, England) · March 2021 New diagnoses of HIV infection have decreased among women in the USA overall, but marked racial and geographical disparities persist. The federal government has announced an initiative that aims to decrease the number of new infections in the nation by 90% ... Full text Cite

Evaluating psychometric determinants of willingness to adopt sexual health patient portal services among black college students: A mixed-methods approach.

Journal Article Journal of American college health : J of ACH · February 2021 Objectives: To describe, using mixed-methods, perceptions of access to sexually transmitted infection test results via electronic personal health record (PHR) and correlates of willingness to adopt its use. Participants: Students at a mid-Atl ... Full text Cite

Self-administration of gender-affirming hormones: a systematic review of effectiveness, cost, and values and preferences of end-users and health workers.

Journal Article Sexual and reproductive health matters · January 2021 Self-administration of quality gender-affirming hormones is one approach to expanding access to hormone therapy for individuals seeking secondary sex characteristics more aligned with their gender identity or expression and can be empowering when provided ... Full text Cite

Inclusion as illusion: erasing transgender women in research with MSM.

Journal Article Journal of the International AIDS Society · January 2021 Full text Cite

Navigating the Storm: How to Apply Intersectionality to Public Health in Times of Crisis.

Journal Article American journal of public health · January 2021 Full text Cite

"This is some mess right here": Exploring interactions between Black sexual minority women and health care providers for breast cancer screening and care.

Journal Article Cancer · January 2021 BackgroundFew studies have explored how the intersection of race and sexual identity contribute to breast cancer disparities for Black sexual minority women (SMW). Issues within patient-provider relationships, including bias, contribute to health ... Full text Cite

Non-HIV chronic disease burden among transgender populations globally: A systematic review and narrative synthesis

Journal Article Preventive Medicine Reports · December 1, 2020 Chronic disease is a growing concern for research, policy and clinical care. While the global burden of HIV for transgender populations has been comprehensively covered in recent systematic reviews, the same is not true for the burden of other chronic dise ... Full text Cite

Reasons People Living with HIV Might Prefer Oral Daily Antiretroviral Therapy, Long-Acting Formulations, or Future HIV Remission Options.

Journal Article AIDS research and human retroviruses · December 2020 A growing body of research is beginning to elucidate reasons people living with HIV (PLWHIV) might prefer oral daily antiretroviral treatment (ART) compared with emerging long-acting ART (LA-ART) or HIV remission strategies under investigation. Our objecti ... Full text Cite

Vulnerability to COVID-19-related Harms among Transgender Women with and Without HIV Infection in the Eastern and Southern U.S.

Journal Article Journal of Acquired Immune Deficiency Syndromes · December 1, 2020 Background:COVID-19 is a new pandemic, and its impact by HIV status is unknown. National reporting does not include gender identity; therefore, data are absent on the impact of COVID-19 on transgender people, including those with HIV. Baseline data from th ... Full text Cite

PrEP awareness and engagement among transgender women in South Africa: a cross-sectional, mixed methods study.

Journal Article The lancet. HIV · December 2020 BackgroundThe South African national HIV plan recommends pre-exposure prophylaxis (PrEP) for transgender women, whose HIV prevalence estimates are as high as 25% in sub-Saharan Africa. The aim of this study was to explore PrEP awareness, uptake, a ... Full text Cite

Assessing and Addressing Cardiovascular Health in LGBTQ Adults: A Scientific Statement From the American Heart Association.

Journal Article Circulation · November 10, 2020 There is mounting evidence that lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) adults experience disparities across several cardiovascular risk factors compared with their cisgender heterosexual peers. These disparities are posited t ... Full text Link to item Cite

Association of Depression and Post-Traumatic Stress with Polyvictimization and Emotional Transgender and Gender Diverse Community Connection Among Black and Latinx Transgender Women.

Journal Article LGBT health · October 2020 Purpose: This study examines the relationship between polyvictimization, emotional transgender and gender diverse community connection (eTCC), and symptoms of depression and post-traumatic stress disorder (PTSD) among Black and Latinx transge ... Full text Cite

HIV Testing and PrEP Use in a National Probability Sample of Sexually Active Transgender People in the United States.

Journal Article Journal of acquired immune deficiency syndromes (1999) · August 2020 BackgroundHIV testing and pre-exposure prophylaxis (PrEP) are effective HIV prevention strategies often underused by transgender people.MethodsRecruitment occurred in 2 phases to identify transgender respondents in a probability sample of ... Full text Cite

Understanding COVID-19 risks and vulnerabilities among black communities in America: the lethal force of syndemics.

Journal Article Ann Epidemiol · July 2020 Black communities in the United States are bearing the brunt of the COVID-19 pandemic and the underlying conditions that exacerbate its negative consequences. Syndemic theory provides a useful framework for understanding how such interacting epidemics deve ... Full text Link to item Cite

HIV Antiretroviral Treatment and Pre-exposure Prophylaxis in Transgender Individuals.

Journal Article Drugs · July 2020 HIV prevalence is elevated among transgender populations with an estimated 13.7% of transgender adults living with HIV in the USA. In addition, transgender people experience significant disparities in biomedical HIV prevention and treatment. The efficacy o ... Full text Cite

Combined effects of gender affirmation and economic hardship on vulnerability to HIV: a qualitative analysis among U.S. adult transgender women.

Journal Article BMC public health · May 2020 BackgroundTransgender women ("trans women"), particularly African-American and Latina trans women, have disproportionately high prevalence of HIV in the United States (U.S.). In order to decrease gender dysphoria and overcome discrimination, trans ... Full text Cite

Biopsychosocial Mechanisms Linking Gender Minority Stress to HIV Comorbidities Among Black and Latina Transgender Women (LITE Plus): Protocol for a Mixed Methods Longitudinal Study.

Journal Article JMIR research protocols · April 2020 BackgroundBlack and Latina transgender women (TW) experience a disparate burden of HIV and related comorbidities, including poor mental health and cardiovascular disease (CVD) risks. Pervasive multilevel stigma and discrimination operate as psycho ... Full text Cite

The Dose Response: Perceptions of People Living with HIV in the United States on Alternatives to Oral Daily Antiretroviral Therapy.

Journal Article AIDS research and human retroviruses · April 2020 There are two concurrent and novel major research pathways toward strategies for HIV control: (1) long-acting antiretroviral therapy (ART) formulations and (2) research aimed at conferring sustained ART-free HIV remission, considered a step toward an HIV c ... Full text Cite

Longitudinal cohort of HIV-negative transgender women of colour in New York City: protocol for the TURNNT ('Trying to Understand Relationships, Networks and Neighbourhoods among Transgender women of colour') study.

Journal Article BMJ open · April 2020 IntroductionIn the USA, transgender women are among the most vulnerable to HIV. In particular, transgender women of colour face high rates of infection and low uptake of important HIV prevention tools, including pre-exposure prophylaxis (PrEP). Th ... Full text Cite

Gender-Based Violence Against Transgender People in the United States: A Call for Research and Programming.

Journal Article Trauma, violence & abuse · April 2020 Gender-based violence (GBV) is an umbrella term for any harm that is perpetrated against a person's will and that results from power inequalities based on gender roles. Most global estimates of GBV implicitly refer only to the experiences of cisgender, het ... Full text Cite

Depression, sexual behavior, and HIV treatment outcomes among transgender women, cisgender women and men who have sex with men living with HIV in Brazil and Thailand: a short report.

Journal Article AIDS Care · March 2020 One in five transgender women (TW) are living with HIV, yet little has been published about their health outcomes. We analyzed data from TW (n = 37), cisgender women (CW, n = 165), and cisgender men who have sex with men (MSM, n = 151) in Thailand and Braz ... Full text Link to item Cite

Understanding HIV risk and vulnerability among cisgender men with transgender partners.

Journal Article The lancet. HIV · March 2020 In the HIV pandemic, cisgender (ie, non-transgender) men with transgender partners are an underserved population. Complexities of sexuality and gender affect HIV vulnerability for this group, including not identifying with conventional sexual orientation c ... Full text Cite

Characterizing the Human Immunodeficiency Virus Care Continuum Among Transgender Women and Cisgender Women and Men in Clinical Care: A Retrospective Time-series Analysis.

Journal Article Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · March 2020 BackgroundPrior studies suggest that transgender women (TW) with human immunodeficiency virus (HIV) are less likely to be virally suppressed than cisgender women (CW) and cisgender men (CM). However, prior data are limited by small sample sizes an ... Full text Cite

HIV Prevention, Care, and Treatment for Transgender Communities of Color

Chapter · January 1, 2020 Transgender communities of color face inequities in HIV prevalence, uptake of prevention interventions, and engagement in care and treatment. Intersecting oppression, i.e., racism, cissexism, transphobia, and HIV stigma, increases HIV vulnerability and red ... Full text Cite

"I would really want to know that they had my back": Transgender women's perceptions of HIV cure-related research in the United States.

Journal Article PloS one · January 2020 Forty-four percent of Black transgender women are living with HIV, and many face challenges with HIV care engagement. An HIV cure has much to offer this population, however little HIV cure-related research has included them. We conducted 19 face-to-face in ... Full text Cite

Cardiovascular disease risk among transgender women living with HIV in the United States.

Journal Article PloS one · January 2020 BackgroundTransgender women (TW) are disproportionately affected by both HIV and cardiovascular disease (CVD).ObjectivesWe aim to quantify prevalence of elevated predicted CVD risk for TW compared to cisgender women (CW) and cisgender men ... Full text Cite

Strategies used by transmasculine and non-binary adults assigned female at birth to resist transgender stigma in healthcare.

Journal Article International journal of transgender health · January 2020 Background: Transgender stigma is rampant within healthcare systems in the United States. Transgender adults assigned female at birth - including those identifying as transmasculine or non-binary - face unique barriers, such as stigma when ac ... Full text Cite

Religious Coping and Depressive Symptoms Among Black Americans Living with HIV: An Intersectional Approach.

Journal Article Psychology of religion and spirituality · January 2020 This exploratory quantitative study examined the association between religious coping and depressive symptoms among a sample of 216 Black Americans living with HIV (BALWH) in the Southeastern United States. Descriptive analyses and multiple linear regressi ... Full text Cite

Trans* Community Connection, Health, and Wellbeing: A Systematic Review.

Journal Article LGBT health · January 2020 Purpose: Transgender and nonbinary (trans*) people are affected disproportionately by discrimination and violence, contributing to gender minority stress and negative health effects. Transgender community connection (TCC), defined as (i) emot ... Full text Cite

Breast Cancer Screening and Care Among Black Sexual Minority Women: A Scoping Review of the Literature from 1990 to 2017.

Journal Article Journal of women's health (2002) · December 2019 Introduction: Black women are more likely to be diagnosed at later stages of breast cancer compared with White women due to lower frequency of screening and lack of timely follow-up after abnormal screening results. Disparities in breast canc ... Full text Cite

Transgender women on oral HIV pre-exposure prophylaxis have significantly lower tenofovir and emtricitabine concentrations when also taking oestrogen when compared to cisgender men.

Journal Article Journal of the International AIDS Society · November 2019 IntroductionOral HIV Pre-Exposure Prophylaxis (PrEP) with tenofovir (TFV) disoproxil fumarate (TDF)/emtricitabine (FTC) is highly effective. Transgender women (TGW) have increased HIV risk, but have been underrepresented in trials. For TGW on oest ... Full text Cite

American Cohort to Study HIV Acquisition Among Transgender Women in High-Risk Areas (The LITE Study): Protocol for a Multisite Prospective Cohort Study in the Eastern and Southern United States.

Journal Article JMIR Res Protoc · October 3, 2019 BACKGROUND: In the United States, transgender women (TW) are disproportionately burdened by HIV infection. Cohort studies are needed to evaluate factors driving HIV acquisition among TW over time. These will require implementation strategies that are accep ... Full text Link to item Cite

A Gap Between Willingness and Uptake: Findings From Mixed Methods Research on HIV Prevention Among Black and Latina Transgender Women.

Journal Article Journal of acquired immune deficiency syndromes (1999) · October 2019 BackgroundBlack and Latina transgender women (BLTW) face significant HIV disparities with estimated HIV prevalence up to 50% and annual incidence rates as high as 2.8 per 100 person-years. However, few studies have evaluated the acceptability and ... Full text Cite

Strategies for engaging transgender populations in HIV prevention and care.

Journal Article Current opinion in HIV and AIDS · September 2019 Purpose of reviewTransgender (trans) populations are heavily impacted by HIV, yet face structural, social, and individual barriers to engagement in HIV prevention and care. In this review, we summarize the data on barriers and facilitators and dis ... Full text Cite

Antiretroviral Treatment Interruptions Among Black and Latina Transgender Women Living with HIV: Characterizing Co-occurring, Multilevel Factors Using the Gender Affirmation Framework.

Journal Article AIDS and behavior · September 2019 Black and Latina transgender women (BLTW) are disproportionately impacted by HIV but remain underrepresented in HIV and health services research. Between March 2016 and May 2017, BLTW (N = 201) were recruited in Baltimore, Maryland and Washington, DC throu ... Full text Cite

Positive religious coping predicts self-reported HIV medication adherence at baseline and twelve-month follow-up among Black Americans living with HIV in the Southeastern United States.

Journal Article AIDS care · August 2019 This paper presents the results of secondary data analyses investigating the influence of religious coping on HIV medication adherence across time among 167 Black Americans living with HIV (BALWH) in the Southeastern United States. Participants were recrui ... Full text Cite

"Treat us with dignity": a qualitative study of the experiences and recommendations of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients with cancer.

Journal Article Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · July 2019 PurposeDespite indications that lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients have unique needs when seeking healthcare, the experiences of LGBTQ patients in the context of cancer care have not been fully explored. This qualitati ... Full text Cite

Human Immunodeficiency Virus in Transgender Persons.

Journal Article Endocrinology and metabolism clinics of North America · June 2019 Worldwide, transgender populations are disproportionately affected by human immunodeficiency virus (HIV). Pervasive stigma and discrimination impact social and economic determinants of health, which perpetuate HIV disparities among transgender individuals. ... Full text Cite

HIV and transgender women in Kampala, Uganda - Double Jeopardy.

Journal Article Culture, health & sexuality · June 2019 Transgender women in Kampala face stigma, high HIV acquisition or transmission risk and poor access to health services. We explored the HIV and gender-related contexts of their lives. Snowball sampling was used to enrol 45 participants between July-October ... Full text Cite

Drivers of HIV Infection Among Cisgender and Transgender Female Sex Worker Populations in Baltimore City: Results From the SAPPHIRE Study.

Journal Article Journal of acquired immune deficiency syndromes (1999) · April 2019 ObjectiveTo determine and compare risk factors for HIV infection among cisgender female sex workers (CFSWs) and transgender female sex workers (TFSWs).DesignBaseline data from a cohort study (SAPPHIRE) of street-based CFSW and TFSW in Bal ... Full text Cite

Reply.

Journal Article Journal of acquired immune deficiency syndromes (1999) · March 2019 Full text Cite

Unraveling Health Disparities Among Sexual and Gender Minorities: A Commentary on the Persistent Impact of Stigma.

Journal Article J Homosex · 2019 LGBT (lesbian, gay, bisexual, and transgender) populations experience disparities in health outcomes, both physical and mental, compared to their heterosexual and cisgender peers. This commentary confronts the view held by some researchers that the dispara ... Full text Link to item Cite

History and prevalence of gender dysphoria

Chapter · January 1, 2019 The purpose of this chapter is to briefly describe the long history of gender diversity; address difficulties in estimating the number of gender diverse people worldwide and the challenges for researchers and medical and mental health professionals, who wi ... Full text Cite

Intersectionality Research for Transgender Health Justice: A Theory-Driven Conceptual Framework for Structural Analysis of Transgender Health Inequities.

Journal Article Transgender health · January 2019 Transgender people experience intersecting forms of social marginalization and are disproportionately affected by health inequities. We elucidate a novel conceptual framework for transgender health research that theorizes the constructs and pathways throug ... Full text Cite

Sexual Health for Women

Chapter · January 1, 2019 Cite

Erratum: Yamanis, T., et al. Legal Immigration Status is Associated with Depressive Symptoms among Latina Transgender Women in Washington, DC. Int. J. Environ. Res. Public Health 2018, 15, 1246.

Journal Article International journal of environmental research and public health · November 2018 The authors would like to update the "Acknowledgements" section of their previous paper [...]. ... Full text Cite

The global response and unmet actions for HIV and sex workers.

Journal Article Lancet · August 25, 2018 Female, male, and transgender sex workers continue to have disproportionately high burdens of HIV infection in low-income, middle-income, and high-income countries in 2018. 4 years since our Lancet Series on HIV and sex work, our updated analysis of the gl ... Full text Link to item Cite

Uncovering a Role for Electronic Personal Health Records in Reducing Disparities in Sexually Transmitted Infection Rates Among Students at a Predominantly African American University: Mixed-Methods Study.

Journal Article JMIR medical informatics · July 2018 BackgroundBlack youth continue to bear an overwhelming proportion of the United States sexually transmitted infection (STI) burden, including HIV. Several studies on web-based and mobile health (mHealth) STI interventions have focused on character ... Full text Cite

Epidemiology of HIV, Sexually Transmitted Infections, Viral Hepatitis, and Tuberculosis Among Incarcerated Transgender People: A Case of Limited Data.

Journal Article Epidemiol Rev · June 1, 2018 Transgender people experience a disproportionate burden of human immunodeficiency virus (HIV) and incarceration. Discrimination, victimization, poverty, and poor mental health drive vulnerability to HIV and related infections, as well as risk of arrest, de ... Full text Link to item Cite

Legal Immigration Status is Associated with Depressive Symptoms among Latina Transgender Women in Washington, DC.

Journal Article International journal of environmental research and public health · June 2018 Latina transgender women (LTW) are disproportionately vulnerable to depression, although the role of immigration/documentation status (legal authority to live/work in the U.S.) in depression has not been explored. LTW in Washington, DC were recruited into ... Full text Cite

Primary care providers' role in transgender healthcare.

Journal Article JAAPA : official journal of the American Academy of Physician Assistants · February 2018 Full text Cite

HIV prevalence and behavioral and psychosocial factors among transgender women and cisgender men who have sex with men in 8 African countries: A cross-sectional analysis.

Journal Article PLoS medicine · November 2017 IntroductionSub-Saharan Africa bears more than two-thirds of the worldwide burden of HIV; however, data among transgender women from the region are sparse. Transgender women across the world face significant vulnerability to HIV. This analysis aim ... Full text Cite

Interventions for healthy aging among mature Black lesbians: Recommendations gathered through community-based research.

Journal Article Journal of women & aging · November 2017 Black lesbians have unique needs for gerontological services that reflect their experiences of intersectional oppression and resilience. Yet there is a major knowledge gap about interventions that promote healthy aging in this population, as voiced by Blac ... Full text Cite

Current research gaps: a global systematic review of HIV and sexually transmissible infections among transgender populations.

Journal Article Sexual health · October 2017 Transgender populations are heavily burdened by HIV and other sexually transmissible infections (STIs). However, data on co-infection with HIV and STIs among transgender people are limited. A systematic review was conducted of peer-reviewed articles and co ... Full text Cite

Human Papillomavirus-Related Cancer Surveillance, Prevention, and Screening Among Transgender Men and Women: Neglected Populations at High Risk.

Journal Article LGBT health · October 2017 Researchers and healthcare surveillance systems must clearly disaggregate data for transgender men and women from data for cisgender men and women to identify population-level health disparities and give every person an opportunity for cancer prevention. T ... Full text Cite

Syndemic Factors Mediate the Relationship between Sexual Stigma and Depression among Sexual Minority Women and Gender Minorities.

Journal Article Women's health issues : official publication of the Jacobs Institute of Women's Health · September 2017 IntroductionStigma and discrimination contribute to elevated depression risks among sexual minority women (SMW) and gender minority (GM) people who identify as lesbian, bisexual, or queer. Syndemics theory posits that adverse psychosocial outcomes ... Full text Cite

HIV Prevention Among Transgender Populations: Knowledge Gaps and Evidence for Action.

Journal Article Current HIV/AIDS reports · August 2017 Purpose of reviewThe purpose of this review is to summarize the available evidence-based HIV prevention interventions tailored for transgender people.Recent findingsA limited number of evidence-based HIV prevention interventions have been ... Full text Cite

Acceptability and feasibility of using a novel geospatial method to measure neighborhood contexts and mobility among transgender women in New York City

Journal Article Transgender Health · July 1, 2017 Purpose: To date, no studies utilizing global positioning system (GPS) technologies to measure mobility and environmental exposures have been conducted among a sample of transgender women despite the potential salient role neighborhood contexts may play in ... Full text Cite

HIV in transgender women in Brazil.

Journal Article The lancet. HIV · April 2017 Full text Cite

Changing hearts and minds: Results from a multi-country gender and sexual diversity training.

Journal Article PloS one · January 2017 Engaging key populations, including gender and sexual minorities, is essential to meeting global targets for reducing new HIV infections and improving the HIV continuum of care. Negative attitudes toward gender and sexual minorities serve as a barrier to p ... Full text Cite

Minority Stress and Safer Sex Practices Among Sexual Minority Women in Toronto, Canada: Results from a Cross-Sectional Internet-Based Survey.

Journal Article LGBT health · December 2016 PurposeSexual stigma is a chronic stressor that enhances vulnerability to mental health disparities among lesbian, gay, bisexual, and queer people. Sexual stigma has also been associated with reduced uptake of safer sex practices, such as condom u ... Full text Cite

10 Best resources on… intersectionality with an emphasis on low- and middle-income countries.

Journal Article Health policy and planning · October 2016 Intersectionality has emerged as an important framework for understanding and responding to health inequities by making visible the fluid and interconnected structures of power that create them. It promotes an understanding of the dynamic nature of the pri ... Full text Cite

The Internalized Homophobia Scale for Vietnamese Sexual Minority Women: Conceptualization, Factor Structure, Reliability, and Associations With Hypothesized Correlates.

Journal Article Archives of sexual behavior · August 2016 We developed the first Vietnamese Internalized Homophobia (IH) scale for use with Vietnamese sexual minority women (SMW). Drawing from existing IH scales in the international literature and based on prior qualitative research about SMW in the Viet Nam cont ... Full text Cite

Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People.

Journal Article Journal of acquired immune deficiency syndromes (1999) · August 2016 IntroductionTransgender populations have been underrepresented in HIV epidemiologic studies and consequently in HIV prevention, care, and treatment programs. Since 2012, there has been a dramatic increase in research focused on transgender people. ... Full text Cite

The conflation of gender and sex: Gaps and opportunities in HIV data among transgender women and MSM.

Journal Article Global public health · August 2016 Historically, HIV studies have conflated men who have sex with men (MSM) with transgender (trans) women, explicitly excluded trans individuals, or included sample sizes of trans people that are too small to reach meaningful conclusions. Despite the heavy b ... Full text Cite

Global health burden and needs of transgender populations: a review.

Journal Article Lancet (London, England) · July 2016 Transgender people are a diverse population affected by a range of negative health indicators across high-income, middle-income, and low-income settings. Studies consistently document a high prevalence of adverse health outcomes in this population, includi ... Full text Cite

ZAMI NOBLA: Preserving history and fostering wellness in black lesbians

Journal Article Generations · June 1, 2016 ZAMI NOBLA (National Organization of Black Lesbians on Aging) provides informal on-linesupport and community-building via closed Facebook groups and a listserv for hundreds of black lesbians, ages 40 and older, across the United States. Based in Atlanta, t ... Cite

Anogenital Human Papillomavirus Infection and HIV Infection Outcomes among Peruvian Transgender Women: Results from a Cohort Study

Journal Article Transgender Health · January 1, 2016 Latin American transgender women are highly vulnerable to HIV infection, and although much is known about factors associated with HIV infection in this population, little is known about the association of human papilloma virus (HPV) with HIV infection. We ... Full text Cite

Stigma, sexual health, and human rights among women who have sex with women in Lesotho.

Journal Article Reproductive health matters · November 2015 In recent years, gender and sexual minorities have become increasingly visible across sub-Saharan Africa, marking both the progression and violation of their human rights. Using data from a study with sexual minorities in Lesotho, this analysis leveraged t ... Full text Cite

Short communication: feasibility and acceptability of developing a multisite clinical cohort of transgender people with HIV infection.

Journal Article AIDS research and human retroviruses · September 2015 Transgender women bear a disproportionate burden of HIV, yet data among this population are not routinely collected in HIV clinical cohorts. Brief surveys and follow-up qualitative interviews were conducted with principal investigators or designated repres ... Full text Cite

Global Epidemiology of HIV Among Women and Girls Who Use or Inject Drugs: Current Knowledge and Limitations of Existing Data.

Journal Article Journal of acquired immune deficiency syndromes (1999) · June 2015 BackgroundWomen and girls who use and inject drugs are a critical population at risk of HIV. In this article, we review data on the epidemiology of drug use and injection among women globally and HIV prevalence among women and girls who use and in ... Full text Cite

An action agenda for HIV and sex workers.

Journal Article Lancet · January 17, 2015 The women, men, and transgender people who sell sex globally have disproportionate risks and burdens of HIV in countries of low, middle, and high income, and in concentrated and generalised epidemic contexts. The greatest HIV burdens continue to be in Afri ... Full text Link to item Cite

HIV risk and preventive interventions in transgender women sex workers.

Journal Article Lancet (London, England) · January 2015 Worldwide, transgender women who engage in sex work have a disproportionate risk for HIV compared with natal male and female sex workers. We reviewed recent epidemiological research on HIV in transgender women and show that transgender women sex workers (T ... Full text Cite

The HIV care continuum in black MSM in the USA.

Journal Article The lancet. HIV · December 2014 Full text Cite

HIV epidemics among transgender women.

Journal Article Current opinion in HIV and AIDS · March 2014 Purpose of reviewRecent data on the high burden of HIV among transgender women have stimulated interest in addressing HIV in this vulnerable population. This review situates the epidemiologic data on HIV among transgender women in the context of t ... Full text Cite

Epidemic impacts of a community empowerment intervention for HIV prevention among female sex workers in generalized and concentrated epidemics.

Journal Article PLoS One · 2014 INTRODUCTION: Sex workers have endured a high burden of HIV infection in and across HIV epidemics. A comprehensive, community empowerment-based HIV prevention intervention emphasizes sex worker organization and mobilization to address HIV risk and often in ... Full text Link to item Cite

Sexual practices, identities and health among women who have sex with women in Lesotho - a mixed-methods study.

Journal Article Cult Health Sex · 2014 Despite the high prevalence of HIV and STIs among women in Africa and the growing literature on HIV and STIs among women who have sex with women, research on the sexual health of women who have sex with women in Africa is scant. This study used mixed metho ... Full text Link to item Cite

Innovative uses of communication technology for HIV programming for men who have sex with men and transgender persons.

Journal Article Journal of the International AIDS Society · January 2014 Globally, overall rates of HIV are on the decline; however, rates among gay men and other men who have sex with men (MSM) and transgender persons are increasing. Meanwhile, there has been exponential growth in access to communication technology over the la ... Full text Cite

Sampling bias in transgender studies--authors' reply.

Journal Article Lancet Infect Dis · October 2013 Full text Link to item Cite

Managing uncertainty: a grounded theory of stigma in transgender health care encounters.

Journal Article Social science & medicine (1982) · May 2013 A growing body of literature supports stigma and discrimination as fundamental causes of health disparities. Stigma and discrimination experienced by transgender people have been associated with increased risk for depression, suicide, and HIV. Transgender ... Full text Cite

Worldwide burden of HIV in transgender women: a systematic review and meta-analysis.

Journal Article Lancet Infect Dis · March 2013 BACKGROUND: Previous systematic reviews have identified a high prevalence of HIV infection in transgender women in the USA and in those who sell sex (compared with both female and male sex workers). However, little is known about the burden of HIV infectio ... Full text Link to item Cite

Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis.

Journal Article Lancet Infect Dis · July 2012 BACKGROUND: Female sex workers are a population who are at heightened risk of HIV infection secondary to biological, behavioural, and structural risk factors. However, three decades into the HIV pandemic, understanding of the burden of HIV among these wome ... Full text Link to item Cite

Relevance of the quality of partner relationships and maternal health to early child wellness.

Journal Article Journal of developmental and behavioral pediatrics : JDBP · May 2011 ObjectiveTo examine the relationship between child health and maternal relationship quality with a spouse/partner, self-rated health, depressive symptoms, and social support.MethodsIn a cross-sectional study, structured interviews were co ... Full text Cite

HIV risk among MSM in Senegal: a qualitative rapid assessment of the impact of enforcing laws that criminalize same sex practices.

Journal Article PLoS One · 2011 Men who have sex with men (MSM) are at high risk for HIV in Senegal, with a prevalence of 21.5%. In December 2008, nine male HIV prevention workers were imprisoned for "acts against nature" prohibited by Senegalese law. This qualitative study assessed the ... Full text Link to item Cite