Evidence map›Paper›PMID 35311400›Full record

ArticleWomen's health (London, England)

"I do the she and her": A qualitative exploration of HIV care providers' considerations of trans women in gender-specific HIV care.

Ashley Lacombe-Duncan, Kathryn R Berringer, Jennifer Green, Amy Jacobs, Amy Hamdi

Open access · goldAbstract read
In one paragraph

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

5 authors at 3 institutions in 1 country.

Ashley Lacombe-DuncanSchool of Social Work, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-9023-8877
Kathryn R BerringerSchool of Social Work, University of Michigan, Ann Arbor, MI, USA.
Jennifer GreenUnified: HIV Health and Beyond, Ypsilanti, MI, USA.
Amy JacobsMichigan HIV/AIDS Treatment Program, Michigan Medicine, Ann Arbor, MI, USA.
Amy HamdiMichigan HIV/AIDS Council (MHAC), Lansing, MI, USA.
University of Michigan · USMichigan Health Council · USMichigan Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWomen of all genders, including cisgender (cis) and transgender (trans) women, experience social and structural drivers of HIV inequities and pervasive barriers to HIV care. Yet, little is known about how HIV care providers address gender diversity in health care. Through a critical feminist lens informed by intersectionality theory, medical anthropology, and critical sociology, we explored (1) how do HIV care providers describe women living with HIV's care needs and barriers; (2) what are their perspectives on optimal HIV care for women; and (3) to what extent do these conceptualizations include/exclude trans women.

methodsUtilizing a community-based exploratory qualitative study design, we conducted 60-90 minute semi-structured individual interviews from March 2019-April 2020 with eight HIV care providers (

resultsThree overarching themes emerged: (1) Emphasis on (different) clinical needs: key considerations in cis and trans women's HIV care; (2) Recognition of the structural: barriers to HIV care affecting women of all genders; and (3) Proposed solutions: piecing together individual, social, and organizational interventions to increase access to HIV care that may benefit women living with HIV of all genders but are disproportionately framed as being for cis women. While HIV care providers recognized both cis and trans women living with HIV's clinical care needs and structural barriers to care, they rarely envisioned optimal HIV care inclusive of gender affirmation and structural interventions.

conclusionsFindings suggest that HIV care providers can avoid reducing gender to biology and making assumptions about reproductive care needs, endocrinological care needs, caregiving responsibilities, and other life circumstances; provide gender-affirming medical care; and address structural barriers to HIV care to enhance intersectional and structurally focused gender-affirming-that is, trans-inclusive-women-centered HIV care.

Indexed as

HIV InfectionsTransgender PersonsDelivery of Health CareFemaleHumansMaleUnited StatesHIV primary careintersectionalitystigmatransgenderwomen living with HIV

Identifiers

PMID35311400
PMCPMC8935587
OpenAlexW4220719313

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.