Wilson Erin C, Arayasirikul Sean, Johnson Kelly
Senior Research Scientist in the Center for Public Health Research at the San Francisco Department of Public Health in San Francisco, California, USA.
Doctoral student in the Medical Sociology program at the University of California, San Francisco and a Project Coordinator at the Center for Public Health Research at the San Francisco Department of Public Health.
Int J Transgend. 2013;14(4):182-195. doi: 10.1080/15532739.2014.890090.
Low access to HIV care and support has led to survival rates for transwomen that are half that of other populations at risk for HIV. Within the population, HIV disproportionately impacts African American transwomen. Interventions to increase access to HIV care and support are needed to better serve those most affected and vulnerable within the population. We conducted a study of barriers and facilitators to care and support services for African American transwomen to fill a gap in the literature to improve access for this particularly impacted population. A total of 10 in-depth interviews were conducted with African American transwomen living with HIV who lived outside the metro area of San Francisco. Three overarching thematic topics emerged-gender stigma, peer, and institutional distrust - giving insight into African American transwomen's barriers to HIV care and support services. A number of factors within these themes impacted access, such as whether organizations offered gender-related care, the geography of organizations as it relates to safe transportation and location, confidentiality and trust of peers and organizations, and trauma. Specific instrumental, institutional and emotional supports are provided that that may increase access to care and support services for African American transwomen living with HIV.
获得艾滋病毒护理和支持的机会有限，导致跨性别女性的存活率仅为其他艾滋病毒风险人群的一半。在这一人群中，艾滋病毒对非裔美国跨性别女性的影响尤为严重。需要采取干预措施，增加获得艾滋病毒护理和支持的机会，以便更好地服务于该人群中受影响最严重和最脆弱的群体。我们开展了一项关于非裔美国跨性别女性获得护理和支持服务的障碍及促进因素的研究，以填补文献空白，改善这一受影响尤为严重群体的获得机会。我们对居住在旧金山大都市区以外的感染艾滋病毒的非裔美国跨性别女性进行了总共10次深入访谈。出现了三个总体主题——性别耻辱、同伴和对机构的不信任——这让我们深入了解了非裔美国跨性别女性在获得艾滋病毒护理和支持服务方面的障碍。这些主题中的一些因素影响了获得机会，例如组织是否提供与性别相关的护理、组织的地理位置与安全交通及地点的关系、同伴和组织的保密性与信任度，以及创伤。文中提供了具体的工具性、机构性和情感支持，这些支持可能会增加感染艾滋病毒的非裔美国跨性别女性获得护理和支持服务的机会。
