Sleep health among transgender women of color in New York City: Preliminary analyses of interim baseline data from the TURNNT study cohort

Sleep Health ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 153-154
Author(s):  
Dustin T. Duncan ◽  
John A. Schneider ◽  
Asa Radix ◽  
Salem Harry-Hernandez ◽  
Denton Callander
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Women Of Color ◽  
Transgender Women ◽  
Baseline Data ◽  
Study Cohort ◽  
Sleep Health

scholarly journals 0368 Sleep Health Among Transgender Women of Color in New York City: Preliminary Analyses of the Turnnt Study

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A141-A141
Author(s):  
D Duncan ◽  
J Schneider ◽  
A Radix ◽  
S Harry-Hernandez ◽  
D Callander
Keyword(s):  
New York ◽  
New York City ◽  
Sleep Quality ◽  
Food Insecurity ◽  
Sleep Duration ◽  
Women Of Color ◽  
Transgender Women ◽  
Housing Instability ◽  
Poor Sleep ◽  
Sleep Health

Abstract Introduction Little is known about sleep health among transgender and gender diverse populations. Even less is known about sleep among transgender women of color, a population that experiences considerable health disparity. Methods Interim baseline data were analyzed from the TURNNT (Trying to Understand Relationships, Networks and Neighborhoods among Transgender women of color) Study, an ongoing cohort of 350 HIV-negative transgender women of color in New York City. At baseline, items from the widely-used Pittsburgh Sleep Quality Index (PSQI) were used to measure typical sleep duration and subjective sleep quality. For example, typical sleep duration was measured with the PSQI item, “During the past month, how many hours of actual sleep did you get each night?”. Participant responses were analyzed descriptively; the Mann-Whitney U test was used to assess bivariate associations. Results As of November 2019, there were n=31 participants enrolled in TURNNT. Nearly half of participants earned less than $30,000 per year (48%) and in the 6 months before participation 61% had experienced food insecurity and 13% reported being unstably housed. Participants reported typically receiving 2-12 hours of sleep per night (median=6 hours). With short sleep defined as <7 hours per night, 55% reported this during the month prior to participation in the study, while 29% of participants rated their overall sleep quality as poor. Typical sleep duration was equivalent among participants with lower or higher incomes (5.5 vs 7 hours, p=0.3), but those who faced food insecurity reported less sleep (5 vs 7 hours, p<0.05) as did those who experienced housing instability (3.5 vs 7 hours, p<0.05). Conclusion Poor sleep health was common among our sample of transgender women of color, especially among those experiencing food insecurity and housing instability. Future research should examine multi-level correlates of poor sleep health such as network structures and neighborhood environments. Support The TURNNT (Trying to Understand Relationships, Networks and Neighborhoods among Transgender women of color) Study is funded through grants from the National Institute on Minority Health and Health Disparities (Grant Numbers: R01MD013554 and 3R01MD013554-02S1; Principal Investigator: Dustin T. Duncan, ScD).

scholarly journals 440. Clinical Characteristics of Early Noncritical Hospitalized Patients with Coronavirus Disease 2019 (COVID-19): A Single-Center Retrospective Study in New York City

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S287-S288
Author(s):  
Michelle Lee ◽  
Mona Fayad ◽  
Tarub Mabud ◽  
Paulino Tallon de Lara ◽  
Adiac Espinosa Hernandez ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Clinical Laboratory ◽  
Clinical Symptoms ◽  
New York State ◽  
General Medicine ◽  
Retrospective Chart Review ◽  
Clinical Severity ◽  
Study Cohort

Abstract Background COVID-19 first originated in Wuhan, China, in December 2019. As of April 9, 2020, New York State had become the single largest global epicenter of COVID-19. Methods This is a retrospective chart review of the first 33 patients with RT-PCR-confirmed COVID-19 admitted from the emergency department to a general medicine unit in a single academic hospital in New York City between March 11th to March 27th, 2020. Patient’s demographic, clinical, laboratory, radiographic investigations, treatments and clinical outcomes were retrospectively extracted from the electronic medical record and followed until April 10th, 2020. Patients were divided into severe and nonsevere sub-cohorts. Statistics were descriptive in nature. Results The study cohort (median age 68 yr, 67% male) presented with subjective fevers (82%), cough (88%), and dyspnea (76%). The median incubation period was 3 days. Most cases met SIRS criteria upon admission (76%). Patients had elevated inflammatory markers. Patients were treated with antimicrobials, corticosteroids, hydroxychloroquine, and varying levels of supplemental oxygen. Mortality was 15% and 18% of the cohort required intensive care services. Conclusion Patient age, presenting clinical symptoms, comorbidity profile, laboratory biomarkers, and radiographic features are consistent with findings published from China. Severe patients had peaks in inflammatory biomarkers later in the hospitalization, which may be useful to trend. Further studies are necessary to create guidelines to better risk-stratify COVID-19 patients based on clinical severity. Disclosures All Authors: No reported disclosures

scholarly journals Limited awareness of pre-exposure prophylaxis among black men who have sex with men and transgender women in New York city

AIDS Care ◽  
2017 ◽  
Vol 30 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Matthew Garnett ◽  
Yael Hirsch-Moverman ◽  
Julie Franks ◽  
Eleanor Hayes-Larson ◽  
Wafaa M. El-Sadr ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Black Men ◽  
York City ◽  
Transgender Women ◽  
Sex With Men ◽  
Exposure Prophylaxis

scholarly journals Assessing Knowledge of HIV Vaccines and Biomedical Prevention Methods Among Transgender Women in the New York City Tri-State Area

2020 ◽  
Vol 5 (2) ◽  
pp. 116-121
Author(s):  
Nicholas Kenji Taylor ◽  
Maria R. Young ◽  
Van Don Williams ◽  
Jorge Benitez ◽  
DaShawn Usher ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Transgender Women ◽  
Hiv Vaccines ◽  
Biomedical Prevention ◽  
Prevention Methods ◽  
State Area

scholarly journals Barriers and Facilitators to Oral PrEP Use Among Transgender Women in New York City

2018 ◽  
Vol 22 (11) ◽  
pp. 3627-3636 ◽  
Author(s):  
Christine Tagliaferri Rael ◽  
Michelle Martinez ◽  
Rebecca Giguere ◽  
Walter Bockting ◽  
Caitlin MacCrate ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Transgender Women ◽  
Barriers And Facilitators ◽  
Oral Prep

scholarly journals Service utilization and HIV outcomes among transgender women receiving Ryan White Part A services in New York City

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253444
Author(s):  
Jacinthe A. Thomas ◽  
Mary K. Irvine ◽  
Qiang Xia ◽  
Graham A. Harriman
Keyword(s):  
New York ◽  
New York City ◽  
Service Utilization ◽  
York City ◽  
Viral Suppression ◽  
Transgender Women ◽  
Service Needs ◽  
Engagement In Care ◽  
Ryan White ◽  
Food And Nutrition

Background Prior research has found evidence of gender disparities in U.S. HIV healthcare access and outcomes. In order to assess potential disparities in our client population, we compared demographics, service needs, service utilization, and HIV care continuum outcomes between transgender women, cisgender women, and cisgender men receiving New York City (NYC) Ryan White Part A (RWPA) services. Methods The analysis included HIV-positive clients with an intake assessment between January 2016 and December 2017 in an NYC RWPA services program. We examined four service need areas: food and nutrition, harm reduction, mental health, and housing. Among clients with the documented need, we ascertained whether they received RWPA services targeting that need. To compare HIV outcomes between groups, we applied five metrics: engagement in care, consistent engagement in care, antiretroviral therapy (ART) use, point-in-time viral suppression, and durable viral suppression. Results All four service needs were more prevalent among transgender women (N = 455) than among cisgender clients. Except in the area of food and nutrition services, timely (12-month) receipt of RWPA services to meet a specific assessed need was not significantly more or less common in any one of the three client groups examined. Compared to cisgender women and cisgender men, a lower proportion of transgender women were durably virally suppressed (39% versus 52% or 50%, respectively, p-value < 0.001). Conclusions Compared with cisgender women and cisgender men, transgender women more often presented with basic (food/housing) and behavioral-health service needs. In all three groups (with no consistent between-group differences), assessed needs were not typically met with the directly corresponding RWPA service category. Targeting those needs with RWPA outreach and services may support the National HIV/AIDS Strategy 2020 goal of reducing health disparities, and specifically the objective of increasing (to ≥90%) the percentage of transgender women in HIV medical care who are virally suppressed.

scholarly journals Attachment as a Predictor of Psychological and Sexual Wellbeing Among Transgender Women in New York City

2019 ◽  
Vol 56 (9) ◽  
pp. 1192-1202
Author(s):  
K. Marie Sizemore ◽  
Joseph A. Carter ◽  
Brett M. Millar ◽  
Demetria Cain ◽  
Jeffrey T. Parsons ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Transgender Women ◽  
Sexual Wellbeing
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