Understanding social and sexual networks of sexual minority men and transgender women in Guatemala city to improve HIV prevention efforts.
J Health Care Poor Underserved
; 25(4): 1698-717, 2014 Nov.
Article
en En
| MEDLINE
| ID: mdl-25418236
Sexual minority men and transgender women are disproportionately affected by HIV in Guatemala. Innovative prevention strategies are urgently needed to address these disparities. While social network approaches are frequently used to reach sexual minorities, little is known about the unique network characteristics among sub-groups. We conducted in-depth qualitative interviews with 13 gay-identifying men, eight non-gay-identifying men who have sex with men (MSM) and eight transgender women in Guatemala City. Using narrative and thematic coding procedures, we identified distinct patterns in the size, composition, and overlap between social and sexual networks across groups. Gay-identifying men had the largest, most supportive social networks, predominantly comprising family. For both non-gay-identifying MSM and transgender women, friends and sex clients provided more support. Transgender women reported the smallest social networks, least social support, and the most discrimination. HIV prevention efforts should be tailored to the specific sexual minority population and engage with strong ties.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Conducta Sexual
/
Apoyo Social
/
Infecciones por VIH
/
Homosexualidad Masculina
/
Personas Transgénero
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Aspecto:
Determinantes_sociais_saude
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
America central
/
Guatemala
Idioma:
En
Revista:
J Health Care Poor Underserved
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2014
Tipo del documento:
Article
Pais de publicación:
Estados Unidos