Evidence map›Paper›PMID 34261464›Full record

ArticleBMC public health2021

U.S. transgender women's preferences for microeconomic interventions to address structural determinants of HIV vulnerability: a qualitative assessment.

Tonia Poteat, Larissa Jennings Mayo-Wilson, Nastacia Pereira, Brittanni N Wright, Shelby A Smout, Ashlee N Sawyer, Lauretta Cathers, Rick S Zimmerman, Sheila R Grigsby, Eric G Benotsch

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 14 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

10 authors at 5 institutions in 1 country.

Tonia PoteatDepartment of Social Medicine, University of North Carolina at Chapel Hill School of Medicine, CB #7240, Chapel Hill, NC, 27516, USA. tonia_poteat@med.unc.edu.
Larissa Jennings Mayo-WilsonDepartment of Applied Health Sciences, Indiana University School of Public Health, 1025 E. 7th Street, Bloomington, IN, 47405, USA.
Nastacia PereiraDepartment of Social Medicine, University of North Carolina at Chapel Hill School of Medicine, CB #7240, Chapel Hill, NC, 27516, USA.
Brittanni N WrightDepartment of Applied Health Sciences, Indiana University School of Public Health, 1025 E. 7th Street, Bloomington, IN, 47405, USA.
Shelby A SmoutDepartment of Psychology, Virginia Commonwealth University, 806 West Franklin Street, Richmond, VA, 23284, USA.
Ashlee N SawyerDepartment of Psychology, Virginia Commonwealth University, 806 West Franklin Street, Richmond, VA, 23284, USA.
Lauretta CathersDepartment of Psychology, Virginia Commonwealth University, 806 West Franklin Street, Richmond, VA, 23284, USA.
Rick S ZimmermanWayne State University, College of Nursing, 5557 Cass Avenue, Detroit, MI, 48202, USA.
Sheila R GrigsbyUniversity of Missouri St. Louis, College of Nursing, 221 NAB South Campus, University Blvd, St. Loius, MO, 63121, USA.
Eric G BenotschDepartment of Psychology, Virginia Commonwealth University, 806 West Franklin Street, Richmond, VA, 23284, USA.
Virginia Commonwealth University · USIndiana University Bloomington · USUniversity of North Carolina at Chapel Hill · USUniversity of Missouri–St. Louis · USWayne State University · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Integrating Microenterprise and Behavioral Economics for HIV Prevention in African-American Young AdultsK01MH107310 · NIMH · TRUSTEES OF INDIANA UNIVERSITY · PI JENNINGS MAYO-WILSON, LARISSA · 2015 to 2019
$848k
Microeconomic Intervention to Reduce HIV Transmission in Economically Disadvantaged Transgender WomenR34MH115775 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI BENOTSCH, ERIC G, ZIMMERMAN, RICK S. · 2018 to 2020
$724k
NIAID NIH HHS P30 AI050410NIMH NIH HHS K01 MH107310NIMH NIH HHS R25 MH067127NIMH NIH HHS R34 MH115775
6 · The paper itself

Abstract

backgroundTransgender women in the United States (U.S.) experience a disproportionate burden of HIV infection and challenges to engagement in HIV prevention and care. This excess burden is driven by structural and economic inequities. Microeconomic interventions may be effective strategies for reducing HIV inequities for this population. However, few studies have explored transgender women's preferences for microeconomic interventions to address structural determinants of HIV vulnerability.

methodsWe conducted individual interviews with 19 adult transgender women in 2 U.S. cities (Richmond, VA and St. Louis, MO) who reported one or more sexual risk behaviors and recent economic hardship related to employment/income, housing, or food security. Interviews were recorded, transcribed, and analyzed using thematic content analysis.

resultsThe majority (74%) of transgender women were racial/ethnic minorities with mean age of 26.3 years. 89% were currently economically vulnerable; and 23% were employed full-time. 37% reported living with HIV. Participants expressed strong support for unrestricted vouchers, with many expressing the need for funds to support gender-affirming interventions. Assistance with how to budget and save and support for job acquisition, career planning, and employment sustainment were also preferred, including access to non-stigmatizing employment. Visible transgender leadership, group empowerment, and small (rather than large) numbers of participants were considered important aspects of intervention design for transgender women, including outreach through existing transgender networks to facilitate inclusion. Incorporating HIV counseling and testing to reduce vulnerability to HIV was acceptable. However, transgender women enrolled in the study preferred that HIV not be the focus of an intervention.

conclusionsFlexible microeconomic interventions that support gender affirming interventions, improve financial literacy, and provide living-wage non-stigmatizing employment are desired by economically vulnerable transgender women. While not focused on HIV, such interventions have the potential to reduce the structural drivers of HIV vulnerability among transgender women.

Indexed as

HIV InfectionsTransgender PersonsTranssexualismAdultCitiesFemaleHumansMaleSexual BehaviorUnited StatesEconomicEmploymentGenderHIVHousingIntervention developmentMinorityQualitativeStructuralTransgender womenU.S.

Identifiers

PMID34261464
PMCPMC8281671
OpenAlexW3178378777

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.