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Evidence for the Model of Gender Affirmation: The Role of Gender Affirmation and Healthcare Empowerment in Viral Suppression Among Transgender Women of Color Living with HIV.
Sevelius, Jae; Chakravarty, Deepalika; Neilands, Torsten B; Keatley, JoAnne; Shade, Starley B; Johnson, Mallory O; Rebchook, Greg.
Afiliación
  • Sevelius J; Division of Prevention Sciences, Department of Medicine, Center for AIDS Prevention Studies, UCSF, University of California, 550 16th Street, 3rd Floor, UCSF Box 0886, San Francisco, CA, 94158, USA. jae.sevelius@ucsf.edu.
  • Chakravarty D; Department of Medicine, Center of Excellence for Transgender Health, University of California, San Francisco, CA, USA. jae.sevelius@ucsf.edu.
  • Neilands TB; Division of Prevention Sciences, Department of Medicine, Center for AIDS Prevention Studies, UCSF, University of California, 550 16th Street, 3rd Floor, UCSF Box 0886, San Francisco, CA, 94158, USA.
  • Keatley J; Center for Research and Education on Gender and Sexuality, San Francisco State University, San Francisco, CA, USA.
  • Shade SB; Division of Prevention Sciences, Department of Medicine, Center for AIDS Prevention Studies, UCSF, University of California, 550 16th Street, 3rd Floor, UCSF Box 0886, San Francisco, CA, 94158, USA.
  • Johnson MO; Department of Medicine, Center of Excellence for Transgender Health, University of California, San Francisco, CA, USA.
  • Rebchook G; Division of Prevention Sciences, Department of Medicine, Center for AIDS Prevention Studies, UCSF, University of California, 550 16th Street, 3rd Floor, UCSF Box 0886, San Francisco, CA, 94158, USA.
AIDS Behav ; 25(Suppl 1): 64-71, 2021 Jul.
Article en En | MEDLINE | ID: mdl-31144131
Transgender women of color are disproportionately impacted by HIV, poor health outcomes, and transgender-related discrimination (TD). We tested the Model of Gender Affirmation (GA) to identify intervention-amenable targets to enhance viral suppression (VS) using data from 858 transgender women of color living with HIV (49% Latina, 42% Black; 36% virally suppressed) in a serial mediation model. Global fit statistics demonstrated good model fit; statistically significant (p ≤ 0.05) direct pathways were between TD and GA, GA and healthcare empowerment (HCE), and HCE and VS. Significant indirect pathways were from TD to VS via GA and HCE (p = 0.036) and GA to VS via HCE (p = 0.028). Gender affirmation and healthcare empowerment significantly and fully mediated the total effect of transgender-related discrimination on viral suppression. These data provide empirical evidence for the Model of Gender Affirmation. Interventions that boost gender affirmation and healthcare empowerment may improve viral suppression among transgender women of color living with HIV.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Infecciones por VIH / Personas Transgénero Límite: Female / Humans Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos
Texto completo
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Infecciones por VIH / Personas Transgénero Límite: Female / Humans Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos