Literature DB >> 31144131

Evidence for the Model of Gender Affirmation: The Role of Gender Affirmation and Healthcare Empowerment in Viral Suppression Among Transgender Women of Color Living with HIV.

Jae Sevelius1,2, Deepalika Chakravarty3,4, Torsten B Neilands3, JoAnne Keatley5, Starley B Shade3,6, Mallory O Johnson3, Greg Rebchook3,5.   

Abstract

Transgender women of color are disproportionately impacted by HIV, poor health outcomes, and transgender-related discrimination (TD). We tested the Model of Gender Affirmation (GA) to identify intervention-amenable targets to enhance viral suppression (VS) using data from 858 transgender women of color living with HIV (49% Latina, 42% Black; 36% virally suppressed) in a serial mediation model. Global fit statistics demonstrated good model fit; statistically significant (p ≤ 0.05) direct pathways were between TD and GA, GA and healthcare empowerment (HCE), and HCE and VS. Significant indirect pathways were from TD to VS via GA and HCE (p = 0.036) and GA to VS via HCE (p = 0.028). Gender affirmation and healthcare empowerment significantly and fully mediated the total effect of transgender-related discrimination on viral suppression. These data provide empirical evidence for the Model of Gender Affirmation. Interventions that boost gender affirmation and healthcare empowerment may improve viral suppression among transgender women of color living with HIV.

Entities:  

Keywords:  Gender affirmation; HIV; Healthcare empowerment; Transgender; Viral suppression

Mesh：

Year:  2021        PMID： 31144131      PMCID： PMC9351439          DOI： 10.1007/s10461-019-02544-2

Source DB:  PubMed          Journal:  AIDS Behav        ISSN： 1090-7165


  20 in total

1.  Social context of HIV risk behaviours among male-to-female transgenders of colour.

Authors:  T Nemoto; D Operario; J Keatley; D Villegas
Journal:  AIDS Care       Date:  2004-08

Review 2.  The social psychology of stigma.

Authors:  Brenda Major; Laurie T O'Brien
Journal:  Annu Rev Psychol       Date:  2005       Impact factor: 24.137

3.  Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support.

Authors:  Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde
Journal:  J Biomed Inform       Date:  2008-09-30       Impact factor: 6.317

Review 4.  Barriers to healthcare for transgender individuals.

Authors:  Joshua D Safer; Eli Coleman; Jamie Feldman; Robert Garofalo; Wylie Hembree; Asa Radix; Jae Sevelius
Journal:  Curr Opin Endocrinol Diabetes Obes       Date:  2016-04       Impact factor: 3.243

5.  Healthcare Empowerment and HIV Viral Control: Mediating Roles of Adherence and Retention in Care.

Authors:  Tracey E Wilson; Emma Sophia Kay; Bulent Turan; Mallory O Johnson; Mirjam-Colette Kempf; Janet M Turan; Mardge H Cohen; Adaora A Adimora; Margaret Pereyra; Elizabeth T Golub; Lakshmi Goparaju; Lynn Murchison; Gina M Wingood; Lisa R Metsch
Journal:  Am J Prev Med       Date:  2018-04-12       Impact factor: 5.043

6.  Comparative fit indexes in structural models.

Authors:  P M Bentler
Journal:  Psychol Bull       Date:  1990-03       Impact factor: 17.737

7.  The Transgender Women of Color Initiative: Implementing and Evaluating Innovative Interventions to Enhance Engagement and Retention in HIV Care.

Authors:  Gregory Rebchook; JoAnne Keatley; Robert Contreras; Judy Perloff; Luis Freddy Molano; Cathy J Reback; Kelly Ducheny; Tooru Nemoto; Royce Lin; Jeffrey Birnbaum; Tiffany Woods; Jessica Xavier
Journal:  Am J Public Health       Date:  2017-02       Impact factor: 9.308

Review 8.  Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions.

Authors:  Jaclyn M White Hughto; Sari L Reisner; John E Pachankis
Journal:  Soc Sci Med       Date:  2015-11-11       Impact factor: 4.634

9.  The Impact of Discrimination on the Mental Health of Trans*Female Youth and the Protective Effect of Parental Support.

Authors:  Erin C Wilson; Yea-Hung Chen; Sean Arayasirikul; H Fisher Raymond; Willi McFarland
Journal:  AIDS Behav       Date:  2016-10

Review 10.  Adult development and quality of life of transgender and gender nonconforming people.

Authors:  Walter Bockting; Eli Coleman; Madeline B Deutsch; Antonio Guillamon; Ilan Meyer; Walter Meyer; Sari Reisner; Jae Sevelius; Randi Ettner
Journal:  Curr Opin Endocrinol Diabetes Obes       Date:  2016-04       Impact factor: 3.243
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  15 in total

1.  Management and Prevention of HIV Among Transgender Adults.

Authors:  Asa E Radix
Journal:  Top Antivir Med       Date:  2020 Dec-Jan

2.  "I've Learned to Value Myself More": Piloting an Adapted Multilevel Intervention for Transgender Women Sex Workers Living with HIV in the Dominican Republic.

Authors:  Clare Barrington; Dirk A Davis; Hoisex Gomez; Yeycy Donastorg; Martha Perez; Deanna Kerrigan
Journal:  Transgend Health       Date:  2021-06-02

3.  Improving Data-Driven Methods to Identify and Categorize Transgender Individuals by Gender in Insurance Claims Data.

Authors:  Jaclyn M W Hughto; Landon Hughes; Kim Yee; Jae Downing; Jacqueline Ellison; Ash Alpert; Guneet Jasuja; Theresa I Shireman
Journal:  LGBT Health       Date:  2022-03-15       Impact factor: 5.150

4.  Gender Affirmation as a Source of Resilience for Addressing Stigmatizing Healthcare Experiences of Transgender Youth of Color.

Authors:  Tamar Goldenberg; Kristi E Gamarel; Sari L Reisner; Laura Jadwin-Cakmak; Gary W Harper
Journal:  Ann Behav Med       Date:  2021-11-18

Review 5.  A Scoping Review Examining Social and Legal Gender Affirmation and Health Among Transgender Populations.

Authors:  Wesley M King; Kristi E Gamarel
Journal:  Transgend Health       Date:  2021-02-15

6.  Rapid Implementation of Evidence-Informed Interventions to Improve HIV Health Outcomes Among Priority Populations: The E2i Initiative.

Authors:  Linda G Marc; Hilary Goldhammer; Kenneth H Mayer; Sean Cahill; Massah Massaquoi; Erin Nortrup; Stacy M Cohen; Demetrios A Psihopaidas; Jhetari T Carney; Alex S Keuroghlian
Journal:  Public Health Rep       Date:  2021-06-29       Impact factor: 3.117

7.  A "tax" on gender affirmation and safety: costs and benefits of intranational migration for transgender young adults in the San Francisco Bay area.

Authors:  Kristi E Gamarel; Wesley M King; Raha Mouzoon; Hui Xie; Victorine Stanislaus; Mariko Iwamoto; Keanu Baxter; Sabrina Suico; Tooru Nemoto; Don Operario
Journal:  Cult Health Sex       Date:  2020-09-14

8.  Medical Gender Affirmation and HIV and Sexually Transmitted Disease Prevention in Transgender Youth: Results from the Survey of Today's Adolescent Relationships and Transitions, 2018.

Authors:  Jack Andrzejewski; Richard Dunville; Michelle M Johns; Stuart Michaels; Sari L Reisner
Journal:  LGBT Health       Date:  2021-02-09       Impact factor: 4.151

9.  Peer Navigation to Support Transgender Women's Engagement in HIV Care: Findings from the Trans Amigas Pilot Trial in São Paulo, Brazil.

Authors:  Sheri A Lippman; Jae M Sevelius; Gustavo Santa Roza Saggese; Hailey Gilmore; Katia Cristina Bassichetto; Daniel Dutra de Barros; Renata Batisteli de Oliveira; Luca Fasciolo Maschião; Dorothy Chen; Maria Amelia de Sousa Mascena Veras
Journal:  AIDS Behav       Date:  2022-02-04

10.  Biopsychosocial Mechanisms Linking Gender Minority Stress to HIV Comorbidities Among Black and Latina Transgender Women (LITE Plus): Protocol for a Mixed Methods Longitudinal Study.

Authors:  Ashleigh J Rich; Jennifer Williams; Mannat Malik; Andrea Wirtz; Sari Reisner; L Zachary DuBois; Robert Paul Juster; Catherine R Lesko; Nicole Davis; Keri N Althoff; Christopher Cannon; Kenneth Mayer; Ayana Elliott; Tonia Poteat
Journal:  JMIR Res Protoc       Date:  2020-04-13
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