Reisner Sari L, Silva-Santisteban Alfonso, Huerta Leyla, Konda Kelika, Perez-Brumer Amaya
Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Center for Social Epidemiology and Population Health, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Lancet Reg Health Am. 2025 Jul 10;49:101182. doi: 10.1016/j.lana.2025.101182. eCollection 2025 Sep.
Globally, transgender, nonbinary, and gender diverse (trans) people experience HIV inequities. Calls have been made to engage trans communities in HIV research. Yet few resources exist on how to not only engage with, but center trans communities. We describe our 15+ years of collective experiences partnering on HIV research with trans communities in Peru. Lessons learned include considering context, aspiring for equitable partnerships, continually acknowledging power dynamics, learning from community strengths, practicing reflexivity, building trusting relationships, using a trauma-informed lens, prioritizing knowledge-action, recognizing complex community dynamics, and iteratively implementing gender-responsive praxis. We discuss the need for gender-transformative approaches in HIV epidemiological and interventional research that disrupt existing ideologies and systemic power structures that privilege cisheteropatriarchy (cisgender as the norm) and essentialist understandings of gender (male-female gender binary). The science of community engagement requires more attention in HIV prevention and care research that centers global trans communities' expertise and needs.
在全球范围内，跨性别者、非二元性别者以及性别多样化（跨性别）人群面临着艾滋病病毒感染方面的不平等问题。人们呼吁让跨性别群体参与艾滋病病毒研究。然而，关于如何不仅与跨性别群体接触，而且以跨性别群体为中心的资源却很少。我们描述了我们在秘鲁与跨性别群体合作开展艾滋病病毒研究超过15年的集体经验。吸取的经验教训包括考虑具体情况、追求公平的伙伴关系、持续认识权力动态、从社区优势中学习、进行反思性实践、建立信任关系、采用创伤知情视角、优先考虑知识转化为行动、认识复杂的社区动态以及迭代实施性别敏感实践。我们讨论了在艾滋病病毒流行病学和干预研究中采用性别变革方法的必要性，这种方法要打破现有的意识形态和系统性权力结构，这些结构赋予顺性别异性家长制（以顺性别为规范）和对性别的本质主义理解（男女二元性别）特权。社区参与科学在以全球跨性别群体的专业知识和需求为中心的艾滋病预防和护理研究中需要更多关注。
