Process of becoming: A health needs assessment of the transgender community in miami, Florida
Recent findings about HIV among transgender populations have found HIV seroprevalence rates ranging from 27.7% to more than 50% for African-American transgenders, as well as high rates of unprotected anal intercourse, multiple partners, and sex work (Herbst, 2008;DiSantis, 2009). Based on the Centers for Disease Control and Prevention's (CDC) Enhanced Comprehensive HIV/AIDS Prevention Plan (ECHPP), the Miami-Dade County Health Department and the Prevention Committee under the HIV/AIDS Partnership approved the creation of a Transgender Workgroup. The main purpose of the workgroup was to conduct a community needs assessment via listening sessions to learn more about the healthcare needs of the Miami transgender community. Five groups (n = 49) were conducted with various segments of the Miami transgender community. Youth, African-Americans, Latino groups all participated and ages ranged from 15 to 55 years. Gender and sexual orientation also varied widely. Most (69.7%) had been tested for HIV and 11.1% reported an HIV-positive status. Almost 16% didn't know their HIV status. Group discussions were digitally recorded, transcribed, and translated (Spanish) if needed. Using NVivo qualitative analysis software from a grounded theory framework, all data were analyzed for themes. Emergent themes included healthcare needs, discrimination, barriers to care, and identity issues facing the transgender community. Participants conveyed a lack of primary healthcare services as well as trans-specific care. Barriers to care included discrimination from both employers and providers. Identity issues were also discussed. Participants suggested that a drop-in center and a mentorship program targeting transgenders were needed. Themes and quotes will be presented.
Diversity and culture
Public health or related research
Identify the healthcare needs of the transgender community in Miami, Florida.
Keyword(s): Underserved Populations
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I have over 10 years of HIV and substance use research experience. I am currently a PI on an a federally funded grant and have been a co-investigator on several federally funded projects. My interest is in HIV prevention among communities of color.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.