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I'm not interested in research; i'm interested in services': How to better health and social services for transgender women living with and affected by HIV
Journal article   Open access   Peer reviewed

I'm not interested in research; i'm interested in services': How to better health and social services for transgender women living with and affected by HIV

Avery R. Everhart, Hayden Boska, Hagit Sinai-Glazer, Jia Qing Wilson-Yang, Nora Butler Burke, Gabrielle LeBlanc, Yasmeen Persad, Evana Ortigoza, Ayden I. Scheim and Zack Marshall
Social science & medicine (1982), v 292, 114610
Jan 2022
DOI: https://doi.org/10.1016/j.socscimed.2021.114610
PMID: 34923191
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/j.socscimed.2021.114610View
Published, Version of Record (VoR)CC BY V4.0,  Open

Abstract

Canada Community-based participatory research Hard to reach populations Health services HIV Qualitative Transgender health Transgender women
This paper presents results of a research priority setting process focused on trans women living with and affected by HIV across Canada. It features data from semi-structured interviews and focus groups conducted with a diverse group of 76 trans women in five urban centers across the country on how they have navigated health and social service programming within their geographic context. The results focus on the structure and types of services. Respondents offered simple, yet creative ways to address barriers to vital services based on their individual and collective experiences. Notably, participants stressed the need for 1) trans-friendly and trans-specific services, 2) integrated health services, and aid in navigating complex, overlapping systems, and 3) comprehensive community-based services. They also suggest employing trans women as care coordinators or case managers in order to foster more trans-friendly environments and empower community members. We identify concrete ways to improve health and social services at the level of service delivery and program design, as well as recommendations for future participatory research. We close with an interrogation of trans people, and trans women living with and affected by HIV in particular, as ‘hard to reach’ populations. •Research with trans women yields richer insights if trans-identified experts lead.•Trans-friendly and trans-specific modes of service design and provision differ.•Integrated services are vital, but must address nuance of transgender women's needs.•Trans women are not hard to reach; rather, it is services that are hard to access.•Our trans-led community-based participatory approach can and should be reproduced.

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20 Record Views
19 citations in Web of Science
20 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Public, Environmental & Occupational Health
Social Sciences, Biomedical
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