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Comparing Stigma and HIV Outcomes Between Transgender and Cisgender Women Sex Workers Living with HIV in the Dominican Republic.
Goldenberg, Tamar; Karver, Tahilin; Kerrigan, Deanna; Gomez, Hoisex; Perez, Martha; Donastorg, Yeycy; Barrington, Clare.
Afiliación
  • Goldenberg T; Department of Public Health Education, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, North Carolina, USA.
  • Karver T; Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia, USA.
  • Kerrigan D; Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia, USA.
  • Gomez H; HIV Vaccine Research Unit, Instituto Dermatológico y Cirugía de Piel Dr. Huberto Bogaert Díaz, Santo Domingo, Dominican Republic.
  • Perez M; HIV Vaccine Research Unit, Instituto Dermatológico y Cirugía de Piel Dr. Huberto Bogaert Díaz, Santo Domingo, Dominican Republic.
  • Donastorg Y; HIV Vaccine Research Unit, Instituto Dermatológico y Cirugía de Piel Dr. Huberto Bogaert Díaz, Santo Domingo, Dominican Republic.
  • Barrington C; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Transgend Health ; 9(3): 232-240, 2024 Jun.
Article en En | MEDLINE | ID: mdl-39109259
ABSTRACT

Purpose:

Using an intersectionality framework, we compared stigma and HIV care and treatment outcomes across transgender and cisgender women sex workers living with HIV in the Dominican Republic (DR).

Methods:

In 2018-2019, data were collected in Santo Domingo, DR, using interviewer-administered surveys among 211 cisgender women and 100 transgender women. We used t-tests and chi-square tests to examine differences in sex work stigma, HIV stigma, and HIV care and treatment.

Results:

Transgender participants reported more anticipated HIV stigma (mean=13.61, standard deviation [SD]=2.39) than cisgender participants (mean=12.96, SD=2.21; p=0.018), but there were no statistically significant differences for internalized or enacted HIV stigma. Cisgender participants reported more anticipated sex work stigma (cisgender mean=50.00, SD=9.22; transgender mean=44.02, SD=9.54; p<0.001), but transgender women reported more enacted (cisgender mean=49.99, SD=9.11; transgender mean=59.93, SD=4.89; p<0.001) and internalized sex work stigma (cisgender mean=50.00, SD=8.80; transgender mean=57.84, SD=8.34; p<0.001), with no significant differences in resistance to sex work stigma. Cisgender women were significantly more likely to have received HIV care (cisgender 99.53%, transgender 91.00%, p<0.001), be currently taking antiretroviral therapy (cisgender 96.21%, transgender 84.00%, p<0.001), and be virally suppressed (cisgender 76.19%, transgender 64.00%, p=0.025).

Conclusions:

Transgender participants consistently had poorer HIV care and treatment outcomes compared with cisgender participants. Differences in stigma experiences between transgender and cisgender participants depended on the type of stigma. Findings reflect the intersectional nature of distinct types and forms of stigma among sex workers. Understanding the shared and unique experiences of transgender and cisgender women will improve HIV care engagement and viral suppression.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: Transgend Health Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: Transgend Health Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos