Munro Lauren, Marshall Zack, Bauer Greta, Hammond Rebecca, Nault Caleb, Travers Robb
J Assoc Nurses AIDS Care. 2017 Sep-Oct;28(5):708-722. doi: 10.1016/j.jana.2017.06.001.
Transgender (trans) women have been particularly impacted by HIV. To seek insights into the dynamics of health service utilization, interviews were conducted with trans women living with HIV (n = 14) as part of the Trans PULSE community-based research project in Ontario, Canada. Service providers (n = 10) were also interviewed to provide additional details about communication between trans women, social service providers, and clinicians. Results highlight how both problematic interactions with individuals and health systems navigation challenges affect access to services and impede the development of trans-specific HIV supports. Participants described discrimination, identified strategies for navigating a dysfunctional system, and outlined specific ways in which health and social services may be failing trans women living with HIV. Findings support the importance of coordinating HIV services and transition-related care, and providing training for service providers.
跨性别女性受艾滋病毒影响尤为严重。为深入了解卫生服务利用的动态情况，作为加拿大安大略省基于社区的“跨性别脉搏”研究项目的一部分，对14名感染艾滋病毒的跨性别女性进行了访谈。还采访了10名服务提供者，以提供有关跨性别女性、社会服务提供者和临床医生之间沟通的更多细节。结果突出表明，与个人的问题互动以及卫生系统导航挑战如何影响服务获取，并阻碍针对跨性别者的艾滋病毒支持措施的发展。参与者描述了歧视情况，确定了应对功能失调系统的策略，并概述了卫生和社会服务可能未能满足感染艾滋病毒的跨性别女性需求的具体方式。研究结果支持了协调艾滋病毒服务和与过渡相关护理以及为服务提供者提供培训的重要性。
