Maragh-Bass Allysha C, Cyrus Elena, Woodard Tatyana, Lescott Lekiah, French Ashley, Arnold Emily A, Johnson Mallory O, Martinez Omar
Duke Global Health Institute, Duke University, Durham, NC, USA.
Center for AIDS Prevention Studies, University of California, San Francisco, CA, USA.
HIV Res Clin Pract. 2025 Dec;26(1):2515806. doi: 10.1080/25787489.2025.2515806. Epub 2025 Jun 19.
Men and women of transgender experience encounter HIV-related health inequities based on race across the HIV care continua. We explored HIV prevention and care needs focus groups, surveys, and Sexually Transmitted Infection (STI) testing experiences ( = 40); we supplemented this data via in-depth interviews with peer navigators.
This study was conducted from 2020 to 2022. Analyses included coding and descriptive statistics. Nearly 63% identified as Black, and 20% identified as Latinx. Nearly 90% of participants reported ever having HIV tests; 10% of participants tested positive for other STIs.
Qualitative analyses yielded three core intervention components for men and women of transgender experience: (1) Comprehensive Trans Care; (2) Community, Mentorship, and Support; and (3) Life Skills and Professional Development. Study participants, community and scientific advisory board members agreed on the need for a peer-led, group-level intervention in English and Spanish.
These needs and priorities are conducive to future interventions which build community agency, structural approaches, and health equity centered on men and women of transgender experience of color.
跨性别者在整个艾滋病护理连续过程中，基于种族面临与艾滋病相关的健康不平等问题。我们通过焦点小组、调查和性传播感染（STI）检测经历（n = 40）探索了艾滋病预防和护理需求；我们通过与同伴导航员的深入访谈补充了这些数据。
本研究于2020年至2022年进行。分析包括编码和描述性统计。近63%的人认定为黑人，20%的人认定为拉丁裔。近90%的参与者报告曾进行过艾滋病检测；10%的参与者其他性传播感染检测呈阳性。
定性分析得出跨性别者的三个核心干预组成部分：（1）全面的跨性别护理；（2）社区、指导和支持；（3）生活技能和职业发展。研究参与者、社区和科学咨询委员会成员一致认为需要以英语和西班牙语开展由同伴主导的团体层面干预。
这些需求和优先事项有利于未来的干预措施，这些措施以有色人种跨性别者为中心，建立社区机构、结构性方法和健康公平。
