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A life course health development model of HIV vulnerabilities and resiliencies in young transgender women in Peru

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dc.contributor.author Reisner, S.L.
dc.contributor.author Aguayo-Romero, R.A.
dc.contributor.author Perez-Brumer, A.
dc.contributor.author Salazar Lostaunau, Ximena
dc.contributor.author Nunez Curto Sifuentes, Edgar Aron
dc.contributor.author Orozco-Poore, C.
dc.contributor.author Silva-Santisteban Portella, Alfonso Alberto
dc.date.accessioned 2023-10-09T17:09:15Z
dc.date.available 2023-10-09T17:09:15Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14201
dc.description.abstract Background: Globally transgender women (TW) are at heightened vulnerability for HIV infection. In Lima Peru, sharp increases in HIV prevalence are seen among TW ages 25 years and older highlighting the need for early HIV prevention efforts for young TW. This study conducted in-depth qualitative interviews to elucidate the social and developmental contexts of HIV vulnerability for young TW in Lima Peru. Methods: Between November 2019 and February 2020, young TW ages 16–24 years (n = 21) in Lima Peru were purposively sampled using in-person (e.g., face-to-face outreach) and online (e.g., social media, networking websites) social network-based methods. Interviews were conducted in Spanish and a rapid qualitative analysis was conducted using a modified immersion crystallization methodology to identify themes. Results: Five themes emerged, informing the conceptualization of a Life Course Health Development Model of HIV Vulnerabilities and Resiliencies: (1) interpersonal contexts (family, school, partners, sexual debut, trans mothers); (2) structural vulnerabilities (poverty, educational constraints, migration, hostile environments, sex work, police violence); (3) concomitant mental health and psychosocial factors (discrimination, violence, depression, suicidality, substance use, life hopes/dreams/future expectations); (4) gender affirmation processes (gender identity development, hormones, surgery, legal name/gender marker change); (5) HIV prevention and treatment barriers (PrEP uptake, HIV care, condom use, risk reduction). Conclusions: Young TW experience formidable developmental challenges associated with transphobia, violence, and pre-maturely facing accelerated milestones. Developmentally and culturally appropriate interventions to mitigate HIV vulnerability in Peru are needed, including those that consider co-occurring stigma-related conditions in adolescence and young adulthood. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartofseries Global Health Research and Policy
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject HIV prevention en_US
dc.subject Transgender en_US
dc.subject Latin America en_US
dc.subject Youth en_US
dc.title A life course health development model of HIV vulnerabilities and resiliencies in young transgender women in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s41256-023-00317-y
dc.relation.issn 2397-0642


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