Evidence map›Paper›PMID 41180914›Full record

ArticleInternational journal of transgender health2025

Operationalizing the Women-Centred HIV Care Model for trans women and persons with transfeminine experience living with and affected by HIV: A qualitative study.

Harshita Iyer, Angela Underhill, Yasmeen Persad, Ashley Lacombe-Duncan, V Logan Kennedy, Kelendria Nation, Hannah Kia, Carmen H Logie, Angela Kaida, Kinnon MacKinnon and 4 more

Abstract read
In one paragraph

Article in International journal of transgender health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

14 authors.

Harshita IyerWomen's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Angela UnderhillWomen's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Yasmeen PersadWomen's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Ashley Lacombe-DuncanWomen's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
V Logan KennedyWomen's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Kelendria NationWomen's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Hannah KiaSchool of Social Work, University of British Columbia, Kelowna, British Columbia, Canada.ORCID https://orcid.org/0000-0002-7830-4907
Carmen H LogieFactor -Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-8035-433X
Angela KaidaFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.ORCID https://orcid.org/0000-0003-0329-1926
Kinnon MacKinnonFaculty of Liberal Arts & Professional Studies, York University, Toronto, Ontario, Canada.
Ian ArmstrongMaple Leaf Medical Clinic, Toronto, Ontario, Canada.
Celeste Bilbao-JosephBetter Life Counselling Center (BLCC), North York, Ontario, Canada.
Wangari TharaoWomen's Health in Women's Hands, Toronto, Ontario, Canada.
Mona LoutfyWomen's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Women-Centered HIV Care (WCHC) Model and associated toolkits were created to address the health care barriers and disparities that women and gender diverse people living with HIV experience. Since trans women and transfeminine people experience disproportionately high rates of HIV acquisition (in comparison to their cisgender peers) amidst biologic, social, political, and historical factors that affect their general care experiences negatively, more research is needed. Aim: We aimed to obtain feedback on the WCHC Model regarding the acceptability, applicability, usability, gaps, and potential adaptations needed to meet the needs of trans women and gender diverse people with transfeminine experience. Methods: Our study was grounded in community-based research principles and intersectionality frameworks. We conducted semi-structured interviews with 17 trans women and transfeminine people residing in Ontario, Canada. We analyzed the data using a descriptive qualitative content analysis approach. Results: Participants were largely satisfied with the WCHC Model. However, participants were concerned with the model's implementation due to a lack of knowledge among healthcare providers regarding trans women's experiences within broader social contexts. Simultaneously, participants affirmed the need for care providers to offer person-centered care - a central component of the WCHC Model. Lastly, participants spoke to the healthcare system limitations and failures that disproportionately affected trans women and posed significant barriers to WCHC access and engagement. Discussion: Our findings demonstrate that trans women perceive successful healthcare delivery as combining holistic care frameworks - like the WCHC Model - with healthcare providers' understanding of individual and community needs. There is a need for policy reform to improve the healthcare system. We offer reflections and recommendations for improving healthcare for trans women.

Indexed as

Gender diverse peoplehealth inequitiesHIVperson-centred caretransgender (trans) womenwomen-centred HIV care model

Identifiers

PMID41180914
PMCPMC12573519

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.