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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 em 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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Comportamento Sexual / Apoio Social / Infecções por HIV / Homossexualidade Masculina / Pessoas Transgênero Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America central / Guatemala Idioma: En Revista: J Health Care Poor Underserved Assunto da revista: SERVICOS DE SAUDE Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Comportamento Sexual / Apoio Social / Infecções por HIV / Homossexualidade Masculina / Pessoas Transgênero Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America central / Guatemala Idioma: En Revista: J Health Care Poor Underserved Assunto da revista: SERVICOS DE SAUDE Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos