Sun Christina J, Anderson Kirsten M, Mayer Liat, Kuhn Tamara, Klein Charles H
Oregon Health and Science University-Portland State University School of Public Health, Portland, Oregon.
Department of Anthropology, Portland State University, Portland, Oregon.
Transgend Health. 2019 Dec 23;4(1):350-358. doi: 10.1089/trgh.2019.0032. eCollection 2019.
Transgender women experience significant health disparities, including increased risk of HIV infection. In this study, we examined the sexual health needs of transgender women in the context of their overall health and well-being and to identify overarching content framing strategies and content for a mobile health intervention. We conducted four focus groups and 20 individual in-depth interviews in the United States with racially and geographically diverse transgender women. Four key themes were identified: structural factors as a central part of health; prioritization of transition-related care and mental health; the need for sexual health beyond preventing sexually transmitted infections and HIV; and the importance of connection and community. These themes can help inform the development of HIV prevention and sexual health promotion interventions for transgender women. The results suggest that the HIV and sexual health needs of transgender women should be addressed within the context of structural factors with a focus on resilience, community connection, and social support.
跨性别女性面临着显著的健康差异，包括感染艾滋病毒的风险增加。在本研究中，我们在跨性别女性的整体健康和福祉背景下审视了她们的性健康需求，并确定了移动健康干预的总体内容框架策略和内容。我们在美国对不同种族和地域的跨性别女性进行了四个焦点小组讨论和20次个人深度访谈。确定了四个关键主题：结构因素是健康的核心部分；与过渡相关的护理和心理健康的优先次序；除预防性传播感染和艾滋病毒之外的性健康需求；以及联系和社区的重要性。这些主题有助于为针对跨性别女性的艾滋病毒预防和性健康促进干预措施的制定提供信息。结果表明，应在结构因素的背景下，以恢复力、社区联系和社会支持为重点，来满足跨性别女性的艾滋病毒和性健康需求。
