142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Examining the Role of Social Networks on Venue-Based HIV Testing Access and Decision Making in an Urban, Transgendered Population

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 4:50 PM - 5:10 PM

Adrian Juarez, PhD, PHN , School of Nursing, University at Buffalo, Buffalo, NY
Andrew Spieldenner, PhD , Department of Rhetoric, Hofstra University, Hempstead, NY
Davina Porock, PhD, RN , School of Nursing, University at Buffalo, Buffalo, NY

BACKGROUND: The transgender male to female (MTF) population group has some of the highest HIV testing rates yet continues to experience disproportionate HIV infection rates. There is little understanding regarding the HIV risk behavioral choices or social networks of the transgender-MTF. Additionally, no large national databases exist regarding the HIV burden experienced by the transgender-MTF population group. METHODS: This secondary data analysis used intake data collected by an HIV advocacy organization located in urban New York State for reporting to the New York State AIDS Reporting System (AIRS). Social network analysis was evaluated by inserting demographic data and HIV testing context variables into statistical modeling. RESULTS: Delineation of social networks of an urban, transgender-MTF population group in New York State was achieved by using age, race/ethnicity, history of substance use, health concern descriptives, reported risk behaviors and housing status. The most reported knowledge source of HIV testing opportunity was texting via mobile phone. Transgender-MTFs had higher HIV testing rates according to distance from HIV testing venue, month of testing and test type. CONCLUSIONS: Using demographic data and OTHER HIV testing intake data can assist in delineating several aspects of social networks. Public health nurses and other HIV health care workers can use basic social network analysis findings to target and successfully reach urban and historically marginalized population groups. Nursing and public health researchers can use findings to construct more complex social network delineation.

Learning Areas:

Assessment of individual and community needs for health education
Communication and informatics
Diversity and culture
Public health or related nursing

Learning Objectives:
Describe the demographics of a single, urban, HIV positive marginalized group in New York State. Explain the theoretical foundation of social network health research in marginalized urban communities. List two public health nursing implications associated with social network delineation and HIV testing opportunity knowledge dissemination.

Keyword(s): Nurses/Nursing, Lesbian, Gay, Bisexual and Transgender (LGBT)

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator of this internally funded project and have previously conducted similar research regarding the social context of health in marginalized population groups of New York State.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Johnson & Johnson Pharmaceuticals Stock Ownership

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.

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