Evidence map›Paper›PMID 30383751›Full record

ArticlePloS one2018

"We don't treat your kind": Assessing HIV health needs holistically among transgender people in Jackson, Mississippi.

Amaya Perez-Brumer, Amy Nunn, Elaine Hsiang, Catherine Oldenburg, Melverta Bender, Laura Beauchamps, Leandro Mena, Sarah MacCarthy

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 51 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Amaya Perez-BrumerDepartment of Sociomedical Sciences, Columbia University, New York, New York, United States of America.ORCID 0000-0003-2441-4358
Amy NunnDepartment of Behavioral and Social Sciences and the Rhode Island Public Health Institute, Brown University School of Public Health, Providence, Rhode Island, United States of America.
Elaine HsiangSchool of Medicine, University of California, San Francisco, California, United States of America.
Catherine OldenburgFrancis I Proctor Foundation, University of California, San Francisco, California, United States of America.
Melverta BenderDivision of Infectious Diseases, University of Mississippi Medical Center, Jackson, Mississippi, United States of America.
Laura BeauchampsDivision of Infectious Diseases, University of Mississippi Medical Center, Jackson, Mississippi, United States of America.
Leandro MenaDivision of Infectious Diseases, University of Mississippi Medical Center, Jackson, Mississippi, United States of America.
Sarah MacCarthyRand Corporation, Santa Monica, California, United States of America.
University of Mississippi Medical Center · USUniversity of California, San Francisco · USColumbia University · USRAND Corporation · USRhode Island Department of Health · US

Funding

The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

HIV disproportionately impacts transgender communities and the majority of new infections occur in the Southern United States. Yet, limited data exists on contextual realities of HIV vulnerability and healthcare needs among transgender individuals in the Deep South. Addressing this gap in the literature, we assess the health needs, including barriers and facilitators to accessing healthcare, including and beyond HIV, from the perspective of transgender men and women in Mississippi. Between June-August 2014, in-depth, semi-structured qualitative interviews (n = 14) were conducted with adult transgender persons at an LGBT healthcare setting in Jackson, Mississippi. In-depth interviews lasted between 60-90 minutes and followed semi-structured format (themes probed: HIV vulnerability, healthcare needs, and availability of gender-affirming medical care). Audio files were transcribed verbatim and analyzed using Dedoose (v.6.1.18). Among participants (mean age = 23.3 years, standard deviation = 4.98), 43% identified as a transgender man or on a transmasculine spectrum, 43% as Black, and 21% self-reported living with HIV. HIV-related services were frequently described as the primary gateway to accessing healthcare needs. Nonetheless, participants' primary health concerns were: gender affirmation processes (hormones, silicone, binding/packing); mental health; and drug/alcohol use. Stigma and discrimination were commonly reported in healthcare settings and health-related information was primarily attained through social networks and online resources. Results highlight gender identity alongside race and pervasive marginalization as key social determinants of transgender health in Mississippi. As Mississippi is one of several states actively debating transgender access to public accommodations, findings underscore the need to treat transgender health as a holistic and multidimensional construct, including, but moving beyond, HIV prevention and care.

Indexed as

Health Services AccessibilityTransgender PersonsAdolescentAdultFemaleHIV InfectionsHumansMaleMississippiSocial StigmaUnited StatesYoung Adult

Identifiers

PMID30383751
PMCPMC6211621
OpenAlexW2899030747

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.