Barriers and Facilitators to Participation in Long-Acting Injectable PrEP Research Trials for MSM, Transgender Women, and Gender-Nonconforming People of Color

2021 ◽  
Vol 33 (6) ◽  
pp. 465-482
Author(s):  
Sameena Azhar ◽  
Xiangyu Tao ◽  
Vaidehi Jokhakar ◽  
Celia B. Fisher
Keyword(s):  
Research Participation ◽  
Transgender Women ◽  
People Of Color ◽  
Women And Gender ◽  
Web Based ◽  
Gender Nonconforming ◽  
Hiv Research ◽  
Facilitators And Barriers ◽  
And Gender ◽  
Long Acting

We collected 216 responses from sexually active MSM, transgender women, and gender-nonconforming (GNC) people of color through a web-based survey to understand the facilitators and barriers to research participation in a hypothetical LAI PrEP trial. In adjusted models, these items were found to be significantly associated with research participation likelihood: ever participated in HIV research study; comfort with taking daily pill; comfort with providing urine sample; and concerns over potential side effects of shot. Asian participants were more concerned about others knowing they were being recruited than were Black and Latinx respondents F(2, 216) = 3.98; p < .05. Asian respondents were also less comfortable with being recruited at organizations serving communities of color than Black and Latinx respondents, F(2, 216) = 5.10; p < .05. Cisgender respondents were more comfortable with being recruited by a friend or colleague than were transgender/GNC respondents, F(1, 215) = 4.8; p < .05.

The Category Is . . . Opulence!

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Joseph Plaster
Keyword(s):  
Performance Studies ◽  
Knowledge Creation ◽  
People Of Color ◽  
Gender Nonconforming ◽  
Johns Hopkins University ◽  
The Cross ◽  
And Gender ◽  
A Performance

In recent years there has been a strong “public turn” within universities that is renewing interest in collaborative approaches to knowledge creation. This article draws on performance studies literature to explore the cross-disciplinary collaborations made possible when the academy broadens our scope of inquiry to include knowledge produced through performance. It takes as a case study the “Peabody Ballroom Experience,” an ongoing collaboration between the Johns Hopkins University Sheridan Libraries, the Peabody Institute BFA Dance program, and Baltimore’s ballroom community—a performance-based arts culture comprising gay, lesbian, queer, transgender, and gender-nonconforming people of color.

Sublingual Estradiol Is Associated with Higher Estrone Concentrations than Transdermal or Injectable Preparations in Transgender Women and Gender Nonbinary Adults

LGBT Health ◽  
2021 ◽  
Author(s):  
Lauren R. Cirrincione ◽  
Gabrielle Winston McPherson ◽  
Jessica Rongitsch ◽  
Katerina Sadilkova ◽  
Julia C. Drees ◽  
...  
Keyword(s):  
Transgender Women ◽  
Women And Gender ◽  
And Gender

scholarly journals ‘It all dials back to safety’: A qualitative study of social and economic vulnerabilities among transgender women participating in HIV research in the USA

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e029852
Author(s):  
Sari L Reisner ◽  
Aeysha Chaudhry ◽  
Erin Cooney ◽  
Henri Garrison-Desany ◽  
Elisa Juarez-Chavez ◽  
...  
Keyword(s):  
New York ◽  
Hiv Infection ◽  
Focus Groups ◽  
Group Discussion ◽  
Research Participation ◽  
Transgender Women ◽  
Future Research ◽  
Wide Range ◽  
The Usa ◽  
Hiv Research

ObjectivesTransgender women (TW) are highly burdened by HIV infection in the USA. Research is needed into drivers of the HIV epidemic for TW, including longitudinal studies to identify risks for incident HIV infection and optimal intervention targets. This formative research sought to understand TW’s experiences with, perceptions of and barriers and facilitators to HIV research participation to inform future research implementation.DesignBetween August 2017 and January 2018, five online synchronous computer-mediated focus groups were conducted in English and two in Spanish. Recruitment used a mixed format of technology, such as geotargeted social media, and non-technology infused methods, such as peer referrals. Maximum variation sampling was used to enrol participants across a wide range of characteristics. Qualitative codes were iteratively developed and applied to focus group discussion transcripts by independent analysts.SettingParticipants were recruited from Atlanta, Baltimore, Boston, Miami, New York City and Washington D.C.ParticipantsParticipants identified as TW≥18 years and resided in one of the six metropolitan areas or outlying regions. 33 participants elected to partake in English focus groups and eight participated in Spanish-led groups.ResultsThe geographically diverse sample had a mean age of 41.1 years (SD=13.6), and 34% identified as Black African American and 29% as Hispanic/Latina. Social and economic factors were found to shape HIV research participation for TW. Barriers to HIV research participation included limited research opportunities, mistrust, fear of mistreatment, safety and confidentiality, competing priorities and HIV stigma. Facilitators to HIV research participation were peer involvement and engagement, monetary and non-monetary incentives, flexibility and choices, multiple modalities and methods, and transcenteredness.ConclusionIt is critical to address the social and economic vulnerabilities surrounding HIV research participation for TW. Results from this study can inform the design and implementation of gender-affirming and culturally tailored approaches to HIV research with TW.

The Gendered Hidden Curriculum of Adventure Education

2018 ◽  
Vol 42 (2) ◽  
pp. 140-154 ◽  
Author(s):  
Karen Warren ◽  
Denise Mitten ◽  
Chiara D’Amore ◽  
Erin Lotz
Keyword(s):  
Adventure Education ◽  
Hidden Curriculum ◽  
White Men ◽  
Potential Effect ◽  
Critical Examination ◽  
Women And Gender ◽  
Gender Nonconforming ◽  
Modified Delphi ◽  
Gender Based ◽  
And Gender

Background: Critical examination by adventure educators in North American colleges and universities reveals that students receive messages about the nature of adventure education through both the intentional and hidden curriculum. Purpose: The study was designed to discover adventure education’s hidden curriculum and its potential effect on women in adventure education. Methodology/Approach: The phenomenon of the hidden curriculum was examined using a modified Delphi method. Three rounds of questionnaires solicited knowledge from a panel of experts (21 females and 18 males), who had tenure of at least 15 years in the adventure education field, to obtain a reliable semi-consensus of opinion. Findings/Conclusions: Gender-based hidden curriculum messages were found, including the prioritizing of values and traits perceived to be predominantly male, linguistic sexism, assumptions about outdoor identity, outdoor career messages, gender insensitive facilitation and teaching, and the centering of White men in the field’s history. Implications: The proposed strategies to consciously address sexism and gender role conditioning in the adventure education’s hidden curriculum may benefit women and gender-nonconforming participants and leaders.

Queering Protest

2020 ◽  
pp. 165-189
Author(s):  
Jodi Rios
Keyword(s):  
Black Women ◽  
Queer Theory ◽  
Physical Space ◽  
Women And Gender ◽  
Gender Nonconforming ◽  
Queer Of Color Critique ◽  
Queer Of Color ◽  
Black Life ◽  
And Gender ◽  
A Site

This chapter uses a framework of queer theory to argue that the particular aesthetic and affect of resistance in North St. Louis County made visible the extreme violence of the state in addition to exposing the inherent contradictions within masculine and heteronormative spaces of Black struggle. This is a critical component of queer of color critique. Similar to an Afro-pessimistic perspective of blackness, which locates Black life as a site of ontological death, the chapter argues that “the problem posed by blackness” is an antagonism rooted in the historically naturalized logics of society, including physical space, and is not a conflict that can be rectified through legal means. Through a more optimistic lens, it also highlights the various ways Black women and gender nonconforming individuals practiced a choreopolitics—of bodies in space—that demanded the terms of visibility be set by those “in view.” This particular practice of visibility and an insistence on simply living as an act of protest illustrate the capacity and power that Black lives and life hold in revealing the truth and thus reconfiguring the metrics of living as fully human.

Distress and Therapeutic Outcomes Among Transgender and Gender Nonconforming People of Color

2019 ◽  
Vol 47 (1) ◽  
pp. 34-58 ◽  
Author(s):  
G. Tyler Lefevor ◽  
Rebecca A. Janis ◽  
Alexis Franklin ◽  
William-Michael Stone
Keyword(s):  
Mental Health ◽  
Hierarchical Linear Modeling ◽  
Minority Stress ◽  
People Of Color ◽  
Linear Modeling ◽  
Gender Nonconforming ◽  
Color Experience ◽  
Symptoms Of Depression ◽  
Therapeutic Outcomes ◽  
And Gender

Transgender and gender nonconforming (TGNC) People of Color experience stressors unique to both TGNC and racial and/or ethnic minority communities, resulting in disparities in mental health. Guided by minority stress and intersectionality theories, we examined initial anxiety and depression, as well as changes in symptoms, in 41,691 clients from the Center for Collegiate Mental Health 2012–2016 dataset. We sought to understand disparities that may exist in distress and therapeutic response between TGNC and cisgender clients. We also examined the intersection of gender and racial and/or ethnic identities to examine how these trends differ for TGNC People of Color. Results from hierarchical linear modeling indicated greater symptom severity, but a slower remission of symptoms of depression and anxiety, among TGNC clients. Interaction effects were nonsignificant; however, TGNC Clients of Color experienced more distress than either White TGNC clients or cisgender Clients of Color. On average, TGNC clients, compared to cisgender clients, utilized an additional 2.5 sessions of therapy.

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