Unique considerations for HIV prevention research with Latina transgender women and Latino men who have sex with men
Methods: Our community-based participatory research partnership recruited social networks of Latina transgender women and Latino MSM (n=186) in North Carolina to participate in an HIV prevention intervention. Using baseline data, we conducted descriptive and bivariable analyses that accounted for clustering to compare sociodemographics, psychosocial characteristics, and HIV risk behaviors.
Results: On average, participants were 30 years old (range=18-61) and had lived in the US for 10 years (range=.25-27); 75% emigrated from Mexico. Latina transgender women (n=33) reported lower monthly income (p<.05), educational attainment (p<.001), and acculturation (p<.01) compared to Latino MSM (n=153). They were more likely to report being depressed (p<.05) and identified more barriers to seeking or obtaining health care (p<.05); however, they reported having very good or excellent health (p=.07) and higher community attachment (p<.05). Latina transgender women had lower HIV knowledge (p<.01) and condom use skills (p=.09) and were less likely to have used a condom during most recent sex (p=.07).
Conclusion: HIV risk is greater and resources (e.g., income, access to care) seem fewer for transgender women. When designing interventions, we should consider whether to intervene with transgender women and MSM at the same time or separately.
Learning Areas:Advocacy for health and health education
Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences
Explain different considerations for conducting HIV prevention research with Latina transgender women and Latino MSM Identify unique HIV prevention needs of Latina transgender women
Keyword(s): Lesbian, Gay, Bisexual and Transgender (LGBT), Latinos
Qualified on the content I am responsible for because: I have conducted extensive research in HIV, focused primarily on vulnerable and underserved populations. I am currently a postdoctoral research fellow working on multiple NIH- and CDC-funded CBPR studies focusing on HIV prevention within Latino populations/communities. I conceptualized and conducted the analyses.
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.