Listening to Gender-Diverse People of Color: Barriers to Accessing Voice and Communication Care

2021 ◽  
pp. 1-12
Author(s):  
Adrienne B. Hancock ◽  
Sierra C. Downs
Keyword(s):  
Access To Care ◽  
Minority Groups ◽  
People Of Color ◽  
Theory Approach ◽  
Community Members ◽  
Communication Services ◽  
Gender Minority ◽  
Gender Diverse ◽  
And Gender ◽  
Gender Presentation

Purpose The purposes of this study are to gather and analyze perspectives of people from racial and gender minority groups in order to identify barriers to voice and communication services for these populations. Method In focus groups facilitated by community members, 11 people in racial and gender minority groups discussed their gender-related goals and accessibility of voice and communication services. Salient themes were derived using a grounded theory approach and analyzed using an access to care framework. Results During discussion of voice and communication as it relates to gender presentation, most utterances were speculations on the processes and potential outcomes of interventions for voice and communication; the majority of these were characterized as uninformed or misinformed. Conclusions Future studies will need to overcome barriers related to health literacy and beliefs in order to thoroughly assess potential interest or intentions regarding voice and communication services. Additional study is expected to provide valuable information that can be interpreted using the Levesque et al. (2013) framework of access to care and eventually eliminate barriers to voice and communication services for all.

scholarly journals 979. Disparities in PrEP uptake and adherence among cisgender women using a pharmacologic measure

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S517-S518
Author(s):  
Shane Hebel ◽  
Elijah Kahn-Woods ◽  
Casper Enghuus ◽  
Helen Koenig ◽  
Linden Lalley-Chareczko ◽  
...  
Keyword(s):  
Real World ◽  
Minority Groups ◽  
Hiv Infections ◽  
Urine Samples ◽  
Real World Data ◽  
Women And Gender ◽  
Gender Minority ◽  
Adherence Data ◽  
And Gender ◽  
Exposure Prophylaxis

Abstract Background HIV pre-exposure prophylaxis (PrEP) is 99% effective at preventing new HIV infections if taken daily. To be successful, PrEP requires concurrent efforts to optimize uptake, persistence, and adherence. In 2018, cisgender (cis) women accounted for 19% of new HIV infections in the US but comprised only 7% of all PrEP users. Studies show poor PrEP adherence amongst cis women, but there is a paucity of real-world clinical data describing PrEP adherence among cis women and gender minority people. Methods An adherence test that measures the concentration of tenofovir in urine samples using a liquid chromatography mass spectrometry (LC-MS/MS) was used to assess recent PrEP adherence at 8 clinics. Urine samples were collected during routine visits and analyzed using the LC-MS/MS assay. Test results were retrospectively paired with gender data, when available, and sex assigned at birth (SAAB) data. Adherence data were aggregated and analyzed to assess non-adherence proportions by sub-population. Results Gender data were available from 1,461 patients at 5 clinics, 1,344 (92%) of whom were cis males (Figure 1). From the 5 clinics where gender and SAAB data were available, 3,835 tests were conducted and 517 (13.5%) indicated non-adherence (Figure 2). 3 additional clinics conduct routine adherence testing and collect SAAB data (gender data not available). At these 8 clinics, SAAB data were available for 2,773 PrEP patients, totaling 5,602 urine tests (Figure 3). Among these 5,602 adherence tests, 813 (14.5%) indicated non-adherence (Figure 4). SAAB females demonstrated significantly higher non-adherence than SAAB males (22% vs 14%, p< 0.001). Across clinics, 89%-98% of PrEP patients are SAAB male (Figure 5). Within these 8 clinics, SAAB female demonstrated consistently higher non-adherence (17%-44%, vs 12%-17% for SAAB males) (Figure 6). Figures 1 and 2 Figures 3 and 4 Figures 5 and 6 Conclusion Real-world data align with nationwide trends in PrEP utilization and show that the majority of PrEP patients are cis men. When initiated on PrEP, cis women exhibit higher rates of non-adherence than cis men. These data underscore the need to collect gender-identity data to monitor PrEP disparities and suggest that greater efforts are needed to target PrEP access, utilization, and accompanying support services to cis women and gender minority groups. Disclosures All Authors: No reported disclosures

A retrospective of LGBT issues on US college campuses: 1990–2020

2019 ◽  
Vol 34 (4) ◽  
pp. 435-454 ◽  
Author(s):  
Susan Rankin ◽  
Jason C Garvey ◽  
Antonio Duran
Keyword(s):  
Higher Education ◽  
College Campuses ◽  
Community Members ◽  
Minority Communities ◽  
Gender Minority ◽  
Lgbt Issues ◽  
Socially Constructed ◽  
Sexuality And Gender ◽  
Sexual And Gender Minority ◽  
And Gender

In this brief retrospective of LGBT issues on US College Campuses: 1990–2020, the authors first review the extensive changes in the language used to ‘define’ people within these communities. Given the fluid and evolving language used in sexual and gender minority communities, it is crucial to examine how community members are named and who is centered as a result of this naming. The authors use the terms queer-spectrum and trans-spectrum to honor how individuals choose to identify themselves as opposed to placing them into socially constructed, fixed categories of sexuality and gender. Next, they explore how the climate has changed in higher education to support queer-spectrum and trans-spectrum students. Finally, the authors examine the research on how queer-spectrum and trans-spectrum students experience their campuses and the climate’s influence on specific outcomes. This retrospective contends that higher education scholars must continue to examine outcomes that will facilitate success for queer- and trans-spectrum student populations.

“My meemaw is a Cool Ass Person”: Family Members as Role Models of Resilience for Sexual and Gender Diverse People of Color

2020 ◽  
Vol 16 (2) ◽  
pp. 241-257 ◽  
Author(s):  
Amy L. Stone ◽  
Elizabeth A. Nimmons ◽  
Robert Salcido ◽  
Phillip Schnarrs
Keyword(s):  
Role Models ◽  
Family Members ◽  
People Of Color ◽  
Gender Diverse ◽  
And Gender

scholarly journals Perceived Gender Presentation Among Transgender and Gender Diverse Youth: Approaches to Analysis and Associations with Bullying Victimization and Emotional Distress

LGBT Health ◽  
2018 ◽  
Vol 5 (5) ◽  
pp. 312-319 ◽  
Author(s):  
Amy L. Gower ◽  
G. Nicole Rider ◽  
Eli Coleman ◽  
Camille Brown ◽  
Barbara J. McMorris ◽  
...  
Keyword(s):  
Emotional Distress ◽  
Bullying Victimization ◽  
Gender Diverse ◽  
And Gender ◽  
Gender Presentation ◽  
Diverse Youth

An Exploration of LGBTQ+ Community Members’ Positive Perceptions of LGBTQ+ Culture

2020 ◽  
Vol 48 (7) ◽  
pp. 1016-1047
Author(s):  
Joshua G. Parmenter ◽  
Renee V. Galliher ◽  
Adam D. A. Maughan
Keyword(s):  
Identity Development ◽  
Emerging Adults ◽  
Large Body ◽  
Community Members ◽  
Individual Interviews ◽  
Gender Diverse ◽  
Intersecting Identities ◽  
And Gender ◽  
Diverse Individual ◽  
The Individual

Although a large body of literature addresses sexual and gender identity development, little research has focused on definitions, conceptualization, and identification with LGBTQ+ culture. Fourteen LGBTQ+ emerging adults (age 20–25 years) with a diverse array of intersecting identities participated in semi-structured individual interviews aimed at exploring the construct of LGBTQ+ culture. Five of the 14 participants also participated in focus groups to further explore the conceptualization of LGBTQ+ culture that was identified in the individual interviews. Participants described the LGBTQ+ culture as a culture of survival, acceptance, and inclusion. Most participants reported a sense of pride and importance in identifying with the broader LGBTQ+ culture and believed it was beneficial in their identity development. A multidimensional conceptualization of LGBTQ+ identity development was proposed to understand the multiple levels of identifying as a marginalized sexual and/or gender diverse individual. We discuss implications for practice, education, and training.

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